Mears Simon C, Kates Stephen L
Geriatr Orthop Surg Rehabil. 2015 Jun;6(2):58-120. doi: 10.1177/2151458515572697.
Over the past 4 decades, much has been learned about the pathophysiology and treatment of osteoporosis, the prevention of fragility fractures, and the perioperative management of patients who have these debilitating injuries. However, the volume of published literature on this topic is staggering and far too voluminous for any clinician to review and synthesize by him or herself. This manuscript thoroughly summarizes the latest research on fragility fractures and provides the reader with valuable strategies to optimize the prevention and management of these devastating injuries. The information contained in this article will prove invaluable to any health care provider or health system administrator who is involved in the prevention and management of fragility hip fractures. As providers begin to gain a better understanding of the principles espoused in this article, it is our hope that they will be able to use this information to optimize the care they provide for elderly patients who are at risk of or who have osteoporotic fractures.
在过去的40年里,我们对骨质疏松症的病理生理学和治疗、脆性骨折的预防以及患有这些致残性损伤患者的围手术期管理有了很多了解。然而,关于这个主题的已发表文献数量惊人,任何临床医生都难以独自审阅和综合。本手稿全面总结了关于脆性骨折的最新研究,并为读者提供了优化这些毁灭性损伤预防和管理的宝贵策略。本文所包含的信息对于任何参与脆性髋部骨折预防和管理的医疗保健提供者或卫生系统管理人员都将被证明是非常宝贵的。随着提供者开始更好地理解本文所支持的原则,我们希望他们能够利用这些信息来优化他们为有骨质疏松性骨折风险或已经患有骨质疏松性骨折的老年患者提供的护理。