Rehabilitation After Lower Limb Fracture Fixation in Osteoporotic Bone.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2024-12-21 eCollection Date: 2025-03-01 DOI:10.1007/s43465-024-01325-x

Akashdeep Singh, Akhilesh Kumar, Sachin Yashwant Kale, Suraj Prakash, Vishal Kumar

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引用次数: 0

Abstract

Background: Osteoporotic fractures, particularly in the lower limbs, are a significant health burden, especially in elderly patients. With an increasing aging population globally, effective fracture fixation and rehabilitation are critical to restoring mobility and reducing complications.

Objectives: This study aims to review rehabilitation approaches following lower limb fracture fixation in osteoporotic bones, emphasizing the biomechanics of fracture fixation and post-surgical rehabilitation.

Methods: A detailed analysis of current surgical techniques for fixing osteoporotic fractures is presented, including internal fixation strategies, the use of implants, and their biomechanical performance. In addition, rehabilitation protocols post-surgery are reviewed to highlight early mobilization strategies and their impact on recovery outcomes.

Results: The review highlights that, despite challenges posed by osteoporotic bone quality, advancements in surgical implants and fixation techniques allow for stable fracture management. Early mobilization, while previously controversial, is increasingly supported by recent evidence, showing improved functional outcomes and reduced complications, particularly in elderly patients.

Conclusions: Early rehabilitation and weight-bearing strategies play a pivotal role in restoring function after osteoporotic fractures of the lower limbs. This review advocates for tailored rehabilitation protocols, considering patient age, fracture type, and the mechanical stability of the fixation.

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骨质疏松性下肢骨折固定后的康复。

背景：骨质疏松性骨折，特别是在下肢，是一个重要的健康负担，特别是在老年患者中。随着全球人口老龄化的加剧，有效的骨折固定和康复对于恢复活动能力和减少并发症至关重要。目的：本研究旨在综述骨质疏松性下肢骨折固定后的康复方法，重点介绍骨折固定的生物力学和术后康复。方法：详细分析了目前用于固定骨质疏松性骨折的手术技术，包括内固定策略、植入物的使用及其生物力学性能。此外，还回顾了手术后的康复方案，以强调早期动员策略及其对恢复结果的影响。结果：该综述强调，尽管骨质疏松性骨质量带来了挑战，但外科植入物和固定技术的进步允许稳定的骨折管理。早期活动，虽然以前有争议，但最近的证据越来越支持，显示改善功能结局和减少并发症，特别是在老年患者中。结论：早期康复和负重策略在骨质疏松性下肢骨折后功能恢复中起关键作用。本综述提倡考虑患者年龄、骨折类型和固定物的机械稳定性，制定量身定制的康复方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.