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中华肩肘外科电子杂志 ›› 2022, Vol. 10 ›› Issue (04) : 363 -369. doi: 10.3877/cma.j.issn.2095-5790.2022.04.013

综述

老年肱骨近端骨质疏松性骨折的治疗进展
高宇辉1, 佟雁翔1,(), 贾燕飞1, 冯卫1, 郝廷1, 张立峰1, 薛飞1, 于成涌1, 李亚光1, 王文选1, 张哲汉1   
  1. 1. 010090 呼和浩特,内蒙古医科大学附属第二医院创伤外科
  • 收稿日期:2022-02-12 出版日期:2022-11-05
  • 通信作者: 佟雁翔
  • 基金资助:
    国家自然科学基金(82060488); 内蒙古自然科学基金(2018MS08019); 内蒙古自治区草原英才创新人才团队(201608)

Advances in the treatment of proximal humeral fractures in the elderly

Yuhui Gao1, Yanxiang Tong1(), Yanfei Jia1   

  • Received:2022-02-12 Published:2022-11-05
  • Corresponding author: Yanxiang Tong
引用本文:

高宇辉, 佟雁翔, 贾燕飞, 冯卫, 郝廷, 张立峰, 薛飞, 于成涌, 李亚光, 王文选, 张哲汉. 老年肱骨近端骨质疏松性骨折的治疗进展[J]. 中华肩肘外科电子杂志, 2022, 10(04): 363-369.

Yuhui Gao, Yanxiang Tong, Yanfei Jia. Advances in the treatment of proximal humeral fractures in the elderly[J]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2022, 10(04): 363-369.

在高龄群体中,骨质疏松是骨折的重要因素之一。众多骨折类型中,肱骨近端骨折(proximal humeral fracture,PHF)又是临床上最常见的类型之一,约占所有骨折的5%。总的来说,老年人中PHF的发病率超过50%[1] ,在65岁以上患者中排名第三[2,3,4] ,仅次于股骨近端骨折和桡骨远端骨折。而且有研究发现这种类型的骨折最常见于60岁以上的女性,且其发病率随着年龄的增长而增加[5,6] 。预计到2030年,随着世界人口老龄化加重,PHF的发病率也将增加3倍。原因是高龄、骨质疏松症和跌倒作为此类骨折的主要危险因素将随之增长。对于这个年龄组的骨折在疼痛、功能丧失甚至死亡率方面给患者带来的巨大负担必须给予广泛的关注。比如PHF导致的身体残疾使得其难以自理和独立生活,最终影响生活质量[7] 。因此临床医生要熟悉病因及分型,掌握手术指征,给予患者最好的、最适合的治疗方式。本文即对近些年关于老年肱骨近端骨质疏松性骨折的治疗进行综述。

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