摘要
老年肱骨近端骨折是临床常见骨折,其流行病学特点趋向于骨质疏松性骨折。对于粉碎性骨折较严重者(NeerⅢ、Ⅳ型),临床治疗方案一直存在争议。近年来,随着对肩关节解剖特点及其局部生物力学研究的不断深入,对这一疾病也有了新的认识。其治疗应遵循复位理想、保护肱骨头血供、稳定骨折端及早期功能锻炼这4项原则。本文结合国内外诊疗指南及最新文献对老年肱骨近端骨折的治疗策略进行分析,以期提高临床医师对此疾病的处理能力,改善患者预后,提高老年肱骨近端骨折患者的生活质量。
Proximal humeral fracture in the elderly patients is a common fracture in clinical setting,usually associated with osteoporosis in epidemiological features.There are some controversies about the choice of treatment for the elderly patients with Neer tpyeⅢor tpyeⅣproximal humeral fractures.For the past few years,clinical cognition of this disease has achieved significant progress along with the continuous development of the anatomy and biomechanics of the shoulder joint.The principles of treatment include striving for an ideal reduction,protecting blood supply of the humeral head,maintaining stability of the fracture segment,and performing early functional exercises.In this review,domestic and foreign guidelines and the latest literature are summarized in order to offer help in selecting therapeutic strategies for proximal humeral fractures and to improve the prognosis of patients and their quality of life.
作者
扈克治
甘干达
Hu Kezhi;Gan Ganda(Department of Trauma Orthopedics and Microsurgery,Guilin People’s Hospital,Guilin,Guangxi 541002,China;Department of Trauma Orthopedics and Microsurgery,The No.924 Hospital of PLA,Guilin,Guangxi 541002,China)
出处
《创伤外科杂志》
2022年第9期641-644,共4页
Journal of Traumatic Surgery
关键词
肱骨近端骨折
骨质疏松
老年
治疗决策
proximal humeral fracture
osteoporosis
elderly
treatment strategy
