Surgical treatment of osteoporotic fractures: An update on the principles of management

Surgical treatment of osteoporotic fractures: An update on the principles of management
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DOI:
10.1016/j.injury.2017.08.036
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发表时间:
2017-12-01
影响因子:
2.5
通讯作者:
Horwitz, Daniel S.
Horwitz, Daniel S.
中科院分区:
医学3区
文献类型:
--
作者:
Yaacobi, Eyal;Sanchez, Daniela;Horwitz, Daniel S.

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肱骨干骨折的治疗一直是骨科医生面临的挑战。底层骨的脆弱性以及对特定植入物的需求导致了明确的外科技术的发展,以最大限度地减少植入物失效相关的并发症、发病率和死亡率。从患者的角度来看,虚弱、痴呆和其他医学相关合并症的存在导致复杂的情况,需要在围手术期和术后期间高度警惕。本更新回顾了成功手术治疗这些损伤所必需的当前原则和技术。(C)2017爱思唯尔有限公司版权所有
The treatment of osteoporotic fractures continues to challenge orthopedic surgeon. The fragility of the underlying bone in conjunction with the need for specific implants led to the development of explicit surgical techniques in order to minimize implant failure related complications, morbidity and mortality. From the patient's perspective, the existence of frailty, dementia and other medical related comorbidities induce a complex situation necessitating high vigilance during the perioperative and postoperative period. This update reviews current principles and techniques essential to successful surgical treatment of these injuries. (C) 2017 Elsevier Ltd. All rights reserved.