Frakturen der oberen Extremitäten im Alter
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- 作者：PD Dr. Roland Biber ; S. Grüninger ; H. J. Bail
- 关键词：SchlüsselwörterHumerusfraktur ; Radiusfraktur ; Osteoporosefrakturen ; Immobilisation ; Kombinierte Therapien
- 刊名：Zeitschrift für Gerontologie und Geriatrie
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：50
- 期：1
- 页码：73-85
- 全文大小：
- 刊物主题：Geriatrics/Gerontology; Internal Medicine; Aging; Social Sciences, general;
- 出版者：Springer Medizin
- ISSN：1435-1269
- 卷排序：50
文摘
Upper extremity fractures in the elderly are very frequent and second only to hip fractures in the group of fragility fractures. Their impact on mobility and functional decline seems to be underestimated especially when they occur in combination with lower extremity fractures. Fractures of the proximal humerus and the distal radius can often be treated conservatively; however, the indications for operative treatment must not be based on fracture morphology alone and due consideration should be given to all concomitant circumstances affecting functional aspects of patients. Operative treatment of proximal humeral fractures may aim either at preserving the humeral head or at prosthetic replacement. There is broad agreement that this decision should depend on the condition of the humeral head fragment (degree of damage, perfusion). Fixation of distal radial fractures is commonly performed with angular volar stable plates. The more complex the fracture, the more likely conservative treatment will fail.