医学
指南
氨甲环酸
髋部骨折
围手术期
股骨颈
老年病科
临床实习
关节置换术
循证医学
血液管理
物理疗法
失血
外科
骨质疏松症
替代医学
内科学
病理
精神科
出处
期刊:PubMed
日期:2023-03-25
卷期号:36 (3): 279-83
被引量:1
标识
DOI:10.12200/j.issn.1003-0034.2023.03.017
摘要
American Academy of Orthopaedic Surgeons (AAOS) just released the up-to-date , which has become the principles to care hip fractures in the elderly. In comparison to the Guideline 2014, considerable changes are made in terms of guideline composition and focused items. The interval of 7 years yielded dramatic progress in the care of geriatric hip fractures, including the recommendation of cemented femoral stems in hip arthroplasty due to displaced femoral neck fractures, cephalomedullary device for unstable intertrochanteric fractures and tranexamic acid to reduce blood loss and blood transfusion. Additionally, the individualized properties of the elderly with hip fractures should be noted to balance an early operation within 24 and 48 hours and patient safety. The interpretation of is helpful to comprehensively understand the progress of the care of geriatric hip fractures, thus to make orthopaedic surgeons master the key points of clinical practice, and to improve the quality of operations and decrease perioperative complications.
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