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首页> 外文期刊>Injury >Outcome following a second hip fracture.
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Outcome following a second hip fracture.

机译:第二髋骨折后的结果。

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摘要

Hip fracture has a significant impact on medical resources and patient morbidity and mortality. Few patients admitted with a hip fracture are considered for prophylactic measures aimed at the reduction of further fracture risk. Currently, 10-13% of patients will later sustain a second hip fracture. In considering the possible role of prophylactic measures in the prevention of second hip fracture, we investigated whether second hip fracture has a significant further impact on patients' mobility and social independence. We also sought to identify a pattern to second hip fracture that may allow targeting of those patients who are most likely to benefit from currently available prophylactic measures. We undertook a retrospective review of 49 consecutive patients admitted with a second hip fracture between August 1999 and September 2000. Fewer patients maintained their ability to walk independently after the second fracture than did so after the first (53 and 91% respectively, P<0.0005). Following second hip fracture, patients' level of mobility determined their future social independence. Older patients and those with a history of multiple falls had a shorter time interval between fractures. Second hip fracture has a significant further impact on patients' mobility and social independence. Younger patients and those without a history of multiple falls are most likely to benefit from medical prophylaxis.
机译:髋部骨折对医疗资源以及患者的发病率和死亡率具有重大影响。很少考虑接受髋部骨折的患者采取旨在降低进一步骨折风险的预防措施。目前,有10-13%的患者以后会再次发生髋部骨折。在考虑预防措施在预防第二髋骨折中的可能作用时,我们调查了第二髋骨折是否对患者的活动能力和社会独立性具有重大影响。我们还试图确定第二髋骨折的模式,该模式可以针对那些最有可能从当前可用的预防措施中受益的患者。我们对1999年8月至2000年9月连续第二次髋部骨折入组的49例患者进行了回顾性研究。与第一次髋部骨折相比,第二次骨折后保持独立行走能力的患者更少(分别为53%和91%,P <0.0005)。 )。第二次髋部骨折后,患者的活动能力决定了他们未来的社会独立性。老年患者和有多次跌倒史的患者之间的骨折间隔时间较短。第二髋骨折对患者的活动能力和社会独立性具有进一步的重大影响。年轻患者和无多次跌倒史的患者最有可能从医学预防中受益。

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