Kocher M, Melcher G A, Leutenegger A, Rüedi T
Chirurgische Klinik, Kantonsspital Chur.
Swiss Surg. 1997;3(4):167-71.
Are the well established methods for operative treatment of fractures about the elbow and their results also applicable to elderly people with osteoporosis? In a retrospective study 23 of 32 patients with 33 operatively stabilized fractures of the distal humerus and the proximal radius and ulna, could be reviewed and personally questioned. The fracture type, the complications and the range of motion of the elbow were analysed and classified. Over 75% of the cases presented with a good to excellent range of motion with no increase of complications. 80% of the patients were satisfied with their result after surgical treatment of the fracture. Fractures of the elbow in elderly people with osteoporosis may be sucessfuly treated by ORIF. It appears important to start early with postoperative physiotherapy. Thereby good functional results can be expected without an increase of complications.
成熟的肘部骨折手术治疗方法及其效果是否也适用于患有骨质疏松症的老年人?在一项回顾性研究中,对32例患者的33处经手术稳定固定的肱骨远端、桡骨近端和尺骨骨折进行了复查并亲自询问。分析并分类了骨折类型、并发症及肘关节活动范围。超过75%的病例肘关节活动范围良好至极佳,且并发症未增加。80%的患者对骨折手术治疗后的结果满意。患有骨质疏松症的老年人肘部骨折可通过切开复位内固定术成功治疗。早期开始术后物理治疗似乎很重要。由此可以预期获得良好的功能结果,且并发症不会增加。