摘要
肱骨近端骨折是一种老年常见骨折,老年患者常合并心脏病、糖尿病等基础疾病,以及不同程度的骨质疏松,治疗方式的选择与年轻患者不同。治疗方式主要取决于骨折类型以及患者的功能需求,包括保守治疗和手术治疗。手术治疗包括闭合复位、切开复位以及关节置换术。术后康复应根据患者相应的治疗手段选择合理的康复计划,而其他康复治疗措施如心理治疗和物理治疗也必不可少。为了进一步认识此类骨折并提高老年肱骨近端骨折的治疗,本文就老年肱骨近端骨折患者的治疗与康复做一综述。
The proximal humeral fracture was a common fracture in the elderly.The elder patients often have underlying diseases such as cardiopathy,diabetes or osteoporosis.The treatment options were also different from young patients and mainly depended on fracture pattern and functional demand of patients,including conservative and operative options like minimally invasive operation,open reduction and arthroplasty.An reasonable rehabilitation modal was made to consolidate the corresponding treatment,other strategies such as psychological and physical methods were either indispensable links that were necessary to improve patients'functional results.In order to further understand this type of fracture,this article discusses the treatment and rehabilitation of proximal humerus fractures in the elderly and aims to improve the treatment of proximal humerus fractures in the elderly.
作者
郭家良
王海立
董维冲
金霖
尹英超
张瑞鹏
张英泽
Guo Jialaing;Wang Haili;Dong Weichong;Jin Lin;Yin Yingchao;Zhang Ruipeng;Zhang Yingze(Emergency Center of Trauma,the Third Hospital of Hebei Medical University,Key Laboratory of Orthopaedic Surgery,Biomechanics of Hebei Province,Orthopaedic Research Institution of Hebei Province,Shijiazhuang 050051,China)
出处
《中华老年骨科与康复电子杂志》
2019年第4期233-237,共5页
Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)
基金
河北省医学科学研究重点课题（20180415）
关键词
肩骨折
治疗
康复
Shoulder fractures
Treatment
Rehabilitation
