髋部骨折面临的问题与思考

The confronting problems and discussion on hip fracture

髋部骨折高发、频发一直是不争的事实,其发生除了严重创伤之外,与人口老龄化的迅速发展有着直接关系。据统计髋部骨折约占全身骨折的20%以上,流行病学数据显示全球每年发生髋部骨折的人群将由1990年的130万上升到2025年的260万,到2050年将达到450万。

Hip fracture is a severe injury commonly seen among middle aged and elderly individuals. The incidence of hip fracture keeps increasing as a result of the rapid development of aging of the social population. Reasonable treatment and scientific management are needed in orthopedics due to the particular hip anatomy, the complex biomechanical environment, the poor physical functions in the elderly coupled with the severe complications which can compromise the life if treated improperly. However, it is still in dispute on the current emergency treatment, therapy options, perioperative management and rehabilitation training. Consequently, it is necessary for us to grasp the principles of treatment comprehensively concerning different ages and various fracture types, to integrate all kinds of disciplines, to establish fast passage for patients＇ access to the emergency department, to standardize an efficient treatment system, to comply with surgical indications strictly, to restore the original anatomical morphology, to choose internal fixation devices properly, and to utilize relative surgical techniques accurately in order to improve the treatment quality efficiently and promote the recovery of patients rapidly.