[The current state of the background, incidence, and treatment strategies of hip fractures].

IF 0.9 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Máté Burkus, Andreas Bruch
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引用次数: 0

Abstract

Hip fractures are typical injuries among old and very old patients. Their incidence is particularly high and strongly correlates with increasing age. While a significant rise in fracture rates was projected for the late 20th century and subsequent decades, available literature data since then have presented mixed findings. Although an absolute increase in fracture numbers was observed, in many developed regions a decline in incidence has also been noted. The epidemiology of hip injuries is relatively complex. Beyond factors such as smoking, alcohol consumption, hereditary and acquired diseases, and certain drug therapies, geographical and social factors – including urbanization – also play a clearly demonstrable role. The most fundamental principle in the therapeutic algorithm for hip fractures is striving for the earliest and most complete restoration of patient mobility, thereby reducing the high complication rates associated with immobilization. However, treating old and very old patients cannot be based only on trauma principles. For these individuals, concurrent interdisciplinary geriatric therapy as well as proper rehabilitation and nursing care are of great importance. Given the frequency of periarticular hip injuries – as their role is significant in the daily emergency practice as well as in every other subspecialty that includes the care of the elderly – it is essential to understand their epidemiological background and the fundamentals of treatment options. This knowledge can facilitate early and adequate recognition of injuries as well as prompt and appropriate therapy. The aim of this review is to provide a general and comprehensive overview, thereby expanding current knowledge on hip fractures based on the latest available literature. Orv Hetil. 2025; 166(30): 1163–1171.

【髋部骨折的背景、发病率和治疗策略的现状】。
髋部骨折是老年人和高龄患者的典型损伤。它们的发病率特别高,并且与年龄增长密切相关。虽然预计在20世纪末和随后的几十年里,骨折率会显著上升,但从那时起,现有的文献数据呈现出不同的结果。虽然观察到骨折数量的绝对增加,但在许多发达地区,发生率也有所下降。髋部损伤的流行病学比较复杂。除了吸烟、饮酒、遗传和后天疾病以及某些药物治疗等因素外,地理和社会因素——包括城市化——也发挥着明显的作用。髋部骨折治疗算法的最基本原则是争取尽早和最完整地恢复患者的活动能力,从而减少与固定相关的高并发症发生率。然而,治疗老年和高龄患者不能仅仅基于创伤原则。对于这些个体,同时进行跨学科的老年治疗以及适当的康复和护理是非常重要的。鉴于髋关节关节周围损伤的频率-因为它们在日常急诊实践以及包括老年人护理在内的其他亚专科中的作用是重要的-了解它们的流行病学背景和治疗选择的基本原理是至关重要的。这些知识可以促进早期和充分的识别损伤以及及时和适当的治疗。这篇综述的目的是提供一个一般和全面的概述,从而在最新文献的基础上扩展目前关于髋部骨折的知识。Orv Hetil. 2025;166(30): 1163 - 1171。
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
Orvosi hetilap
Orvosi hetilap MEDICINE, GENERAL & INTERNAL-
CiteScore
1.20
自引率
50.00%
发文量
274
期刊介绍: The journal publishes original and review papers in the fields of experimental and clinical medicine. It covers epidemiology, diagnostics, therapy and the prevention of human diseases as well as papers of medical history. Orvosi Hetilap is the oldest, still in-print, Hungarian publication and also the one-and-only weekly published scientific journal in Hungary. The strategy of the journal is based on the Curatorium of the Lajos Markusovszky Foundation and on the National and International Editorial Board. The 150 year-old journal is part of the Hungarian Cultural Heritage.
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