树立老年骨创伤防治并重的新理念

Holding a new view of paying equal attention to prevention and treatment of bone trauma in the elderly

随着我国人口老龄化程度不断加剧,老龄化疾病特别是老年骨创伤成为临床面临的重要问题。但是对于老年骨创伤的治疗还需要观念方面的转变。笔者从积极选择手术治疗、充分协同的术前准备、术中微创复位与坚强固定原则及术后康复锻炼四个方面探讨老年骨创伤的治疗理念,并针对老年人跌倒的预防及膝关节骨性关节炎防治等常见问题提出指导建议。树立老年骨创伤防治并重的新理念,需要广大医护人员、患者家庭及全社会的共同努力。

With increase of aging population in China,the aging disease especially bone trauma in the elderly is important problem in clinical practice.However,the treatment of bone trauma in the elderly requires a conceptual change.In this paper,the author proposes a new concept of combining prevention and treatment for bone trauma in the elderly from four aspects including active choice of surgical treatment,fully coordinated preoperative preparation,principle of minimally invasive reduction with strong fixation and postoperative rehabilitation exercise.Meanwhile,some suggestions are provided for elimination of preoperative fear,prevention of falling down as well as prevention and treatment of knee osteoarthritis in the elderly.The synergistic efforts from medical staff,patients'families and the whole society are needed for firmly holding the new view to attain effective prevention and treatment of bone trauma in the elderly.