脆性骨折网络关于髋部骨折手术后无限制负重的立场。
Fragility Fracture Network Position on Unrestricted Weight-Bearing After Hip Fracture Surgery.
作者信息
Turabi Ruqayyah, Frihagen Frede, McGlasson Rhona, Wyatt David, Trompeter Alex, Beaupre Lauren, Cocco Luiz Fernando, Costa Matthew, Dinamarca-Montecinos José Luis, Viveros-García Juan Carlos, Lim Jae-Young, Lee Joon-Kiong, Khor Hui Min, Ojeda-Thies Cristina, Perracini Monica, Sawaguchi Takeshi, Switzer Julie, Tabu Irewin, Yeung Wong Ronald Man, Mao Wei, Sheehan Katie Jane
机构信息
Department of Population Health Sciences, School of Life Course and Population Sciences, King's College London, UK.
Department of Physical Therapy, College of Nursing and Health Sciences, Jazan University, Saudi Arabia.
出版信息
Geriatr Orthop Surg Rehabil. 2025 Jul 1;16:21514593251351136. doi: 10.1177/21514593251351136. eCollection 2025.
OBJECTIVES
This position paper from the Fragility Fracture Network (FFN) responds to the observed global variation in weight-bearing prescriptions after hip fracture surgery in older adults.
METHODS
The paper summarises current guidelines and evidence regarding unrestricted weight-bearing after hip fracture surgery.
RESULTS
The synthesis of available evidence supports the endorsement of unrestricted weight-bearing after surgery to enhance patient outcomes.
CONCLUSION
The FFN endorses unrestricted weight-bearing and recommends healthcare professionals, institutions, and policymakers re-evaluate practices favouring limited or non-weight-bearing prescriptions and establish a standardised system for monitoring and auditing, with clear justification and documentation of any restrictions.
目标
本份来自脆性骨折网络（FFN）的立场文件回应了观察到的老年人髋部骨折手术后负重处方在全球范围内的差异。
方法
本文总结了关于髋部骨折手术后无限制负重的当前指南和证据。
结果
现有证据的综合支持了手术后无限制负重以改善患者预后。
结论
FFN支持无限制负重，并建议医疗保健专业人员、机构和政策制定者重新评估倾向于有限或不负重处方的做法，并建立一个标准化的监测和审计系统，对任何限制要有明确的理由和记录。
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本文引用的文献
Bone Joint J. 2024-7-9
J Am Acad Orthop Surg. 2022-10-15
Eur J Trauma Emerg Surg. 2022-10
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