Liener Ulrich Christoph, Neuerburg C, Hoffmann R, Bökeler U
Klinik für Orthopädie und Unfallchirurgie, Marienhospital Stuttgart, Böheimstr. 27, 70199, Stuttgart, Deutschland.
Unfallchirurgie, LMU München, Campus Großhadern, München, Deutschland.
Chirurgie (Heidelb). 2025 Mar;96(3):201-204. doi: 10.1007/s00104-024-02204-9. Epub 2024 Dec 16.
The number of patients with fragility fractures will continue to increase in the future. The multimorbidity of these patients places high demands on the treatment. The treatment of this complex group of patients in specialized centers is therefore recommended. The collaborative treatment of patients by trauma surgeons and geriatricians improves the results. The treatment is carried out according to a standardized protocol and includes rapid surgical stabilization of the fracture and an interdisciplinary care of the patients. During hospitalization many patients develop delirium. Due to the high rate of complications endangered patients should already be identified in the emergency department to enable a timely initiation of preventive measures. Due to the high number of patients requiring treatment and the complexity of the patients, the legislation has established specific requirements for the treatment of proximal femoral fractures. The treatment of fragility fractures in trauma surgery goes beyond the surgical stabilization alone and incorporates the pharmaceutical treatment of the osteoporosis.
未来，脆性骨折患者的数量将持续增加。这些患者的多种疾病对治疗提出了很高的要求。因此，建议在专业中心对这一复杂患者群体进行治疗。创伤外科医生和老年病医生对患者进行联合治疗可改善治疗效果。治疗按照标准化方案进行，包括骨折的快速手术固定和患者的跨学科护理。住院期间，许多患者会出现谵妄。由于并发症发生率高，应在急诊科就识别出濒危患者，以便及时启动预防措施。由于需要治疗的患者数量众多且病情复杂，立法对股骨近端骨折的治疗制定了具体要求。创伤外科中脆性骨折的治疗不仅仅是手术固定，还包括骨质疏松症的药物治疗。
