Pieske O, Lob G
Abteilung für Unfallchirurgie, Ludwig-Maximilians-Universität, Klinikum Grosshadern, München.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:960-2.
According to demographic studies in Germany about 95,000 proximal femur fractures (PFF) in patients aged over 65 will occur in the year 2030; that means around 40% more than in 1995 (n = 68,233). These injuries lead to very high socio-economic costs and only PFF therapy with a rapid full-recovery could be a useful solution. At present PFF treatment consists mainly of operative osteosynthesis with a mortality rate of only 4% (own study of 100 patients). In contrast, the long-term efficiency of PFF therapy is poor because statistically nearly every second patient requires partial or full-time help. Clearly, postoperative training is, as yet, insufficient. But only a complete PFF therapy (operation and intensive postoperative physiotherapy, ergotherapy and geriatrics) can improve the long-term results, thereby reducing costs and social problems which would otherwise only worsen in the future.
根据德国的人口统计研究，到2030年，65岁以上的患者中将发生约95,000例股骨近端骨折（PFF）；这意味着比1995年（n = 68,233）增加了约40%。这些损伤导致了非常高的社会经济成本，只有能够快速完全康复的PFF治疗才可能是一个有效的解决方案。目前，PFF治疗主要包括手术骨合成，死亡率仅为4%（本人对100例患者的研究）。相比之下，PFF治疗的长期效果较差，因为从统计学上看，几乎每两名患者中就有一名需要部分或全职帮助。显然，术后训练目前还不够充分。但是，只有完整的PFF治疗（手术以及强化的术后物理治疗、职业治疗和老年病治疗）才能改善长期效果，从而降低成本和社会问题，否则这些问题在未来只会恶化。
