摘要
骨质疏松性骨折具有骨量差、修复慢、内固定稳定性弱且失败率高等特点,常伴有不同程度骨缺损.临床以肱骨近端、桡骨远端、胫骨平台、胫骨远端、跟骨与脊柱骨缺损较为常见,主要以自体骨、异体骨与各种骨替代物进行修复.本共识在骨质疏松性骨折流行病学的基础上,依据文献复习和专家调研的结果,对骨缺损特点、骨修复材料、常见部位骨修复策略及康复辅具应用等方面存在争议的问题进行阐述,期望改善疾病预后,并推进骨质疏松性骨折骨缺损临床规范化的修复进程.
Abstract
Osteoporotic fracture is characterized by poor bone mass, slow repair, weak stability and high failure rate of internal fixation, often accompanied with bone defects to varied degrees. Clinically, the common defect sites are proximal humerus, distal radius, tibia plateau, calcaneus and spine. At present, autogenous, allogenic and various bone substitutes are used for repair. Based on the epidemiology of osteoporotic fracture, literature review, and field research, this consensus outlines the characteristics of bone defects, bone repair materials, bone repair strategies at common sites and the application of rehabilitation aids. It is expected to improve the prognosis of osteoporotic fracture and promote the clinical standardization process of bone defect repair of osteoporotic fracture.
基金项目
国家重点研发计划(2018YFC2001500)
国家自然科学基金重大研究计划重点项目(91749204)
国家自然科学基金(81771491)
上海市卫生系统优秀学科带头人培养计划(2017BR011)
上海市卫生计生委科研项目(201640156)
上海市卫生计生委科研项目(201740237)
NETL
NSTL
维普
万方数据