[1]曾凯 樊仕才.老年骨盆脆性骨折的治疗进展[J].中华老年骨科与康复电子杂志,2025,(06):372-378.[doi:10.3877/cma.j.issn.2096-0263.2025.06.008]
 Zeng Kai,Fan Shicai..Advancements in the management of fragility fractures of the pelvis in older adults[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2025,(06):372-378.[doi:10.3877/cma.j.issn.2096-0263.2025.06.008]
点击复制

老年骨盆脆性骨折的治疗进展()
分享到:

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2025年06期
页码:
372-378
栏目:
综述
出版日期:
2025-12-05

文章信息/Info

Title:
Advancements in the management of fragility fractures of the pelvis in older adults
作者:
曾凯 樊仕才
510000 广州,南方医科大学第三附属医院
Author(s):
Zeng Kai Fan Shicai.
The Third Affiliated Hospital of Southern Medical University, Guang Zhou 510000, China
关键词:
骨盆脆性骨折 老年人 骨质疏松 微创 机器人
Keywords:
Fragility fractures of the pelvis Older adults Osteoporosis Minimally invasive Robot-assisted
DOI:
10.3877/cma.j.issn.2096-0263.2025.06.008
文献标志码:
A
摘要:
老年骨盆脆性骨折(FFP)是骨质疏松背景下由低能量损伤引发的特殊骨折类型,与高能量创伤所致骨盆骨折在病理机制、临床表现、影像学特征及治疗策略上存在显著差异。这类骨折因其隐匿性及易被忽视的特点,常导致迁延疼痛、功能障碍及生活质量下降,给老龄化社会带来沉重负担。随着我国逐渐进入人口老龄化社会,FFP逐渐成为多个学科交叉领域的核心,本文聚焦FFP的分型、诊断难点及策略、治疗进展等方面,旨在综述其诊疗现状与挑战。
Abstract:
Fragility fractures of the pelvis (FFP) represent a distinct category of pelvic fractures occurring in the context of osteoporosis and resulting from low-energy trauma. They exhibit significant differences from high-energy traumatic pelvic fractures in terms of pathological mechanisms, clinical presentation, radiographic characteristics, and treatment strategies.Due to their often insidious nature and tendency to be overlooked, FFPs frequently lead to persistent pain, functional impairment, and reduced quality of life. This imposes a substantial burden on aging societies.As China progressively enters an era of population aging, FFPs have increasingly become a central topic within the multidisciplinary domain. This article focuses on the classification of FFPs, diagnostic challenges and strategies, and therapeutic advancements, among other aspects, aiming to review the current status and ongoing challenges in their diagnosis and management.

相似文献/References:

[1]沈鹏程 朱立帆 蒋富贵 鞠文 徐能 李晓林.锁定钢板结合重建肱骨内侧柱治疗老年不稳定型肱骨近端骨折的疗效分析[J].中华老年骨科与康复电子杂志,2015,(02):7.[doi:10.3877/cma.j.issn.2096-0263.2015.02.002]
 Shen Pengcheng,Zhu Lifan,Jiang Fugui,et al.Clinical research of locking plate combined with medial column mechanical support for unstable fractures of the proximal humerus in elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(06):7.[doi:10.3877/cma.j.issn.2096-0263.2015.02.002]
[2]刘文宣 张宇宸 刘文聪 高霞 李涛 张晓琳.CTR 基因多态性与老年男性骨质疏松的相关性研究[J].中华老年骨科与康复电子杂志,2015,(02):19.[doi:10.3877/cma.j.issn.2096-0263.2015.02.004]
 Liu Wenxuan,Zhang Yuchen,Liu Wencong,et al.Association between calcitonin receptor gene polymorphism and osteoporosis in elderly men[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(06):19.[doi:10.3877/cma.j.issn.2096-0263.2015.02.004]
[3]董仁卫 郭琪 王家仲 王连成.老年人群肌力水平与心血管疾病 三大危险因素的相关性研究[J].中华老年骨科与康复电子杂志,2015,(02):29.[doi:10.3877/cma.j.issn.2096-0263.2015.02.006]
 Dong Renwei,Guo Qi,Wang Jiazhong,et al.The association between muscle strength level and three major risk factors of cardiovascular disease in elderly population[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(06):29.[doi:10.3877/cma.j.issn.2096-0263.2015.02.006]
[4]李森磊,孙立,杨先腾,等.老年髋关节置换术后认知功能障碍的危险因素分析[J].中华老年骨科与康复电子杂志,2016,(02):71.[doi:10.3877/cma.j.issn.2096-0263.2016.02.002]
 Li Senlei,Sun Li,Yang Xianteng,et al.Risk factors analysis for postoperative cognitive dysfunction in  elderly patients undergoing hip arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):71.[doi:10.3877/cma.j.issn.2096-0263.2016.02.002]
[5]钟俊青,王连成.快速外科通道理念对老年股骨转子间骨折围手术期康复指导的前瞻性研究[J].中华老年骨科与康复电子杂志,2016,(02):87.[doi:10.3877/cma.j.issn.2096-0263.2016.02.005]
 Zhong Junqing,Wang Liancheng..Prospective study of the effect of fast track surery on peri-operative rehabilitation of elderly intertrochanteric fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):87.[doi:10.3877/cma.j.issn.2096-0263.2016.02.005]
[6]赵德伟,马志杰,杨磊,等.多孔钽金属涂层髋关节假体置换治疗老年股骨颈骨折的临床疗效观察[J].中华老年骨科与康复电子杂志,2016,(02):92.[doi:10.3877/cma.j.issn.2096-0263.2016.02.006]
 Zhao Dewei,Ma Zhijie,Yang Lei,et al.Clinical investigation of hip implants by using porous tantalum coating in the treatment of elderly femoral neck fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):92.[doi:10.3877/cma.j.issn.2096-0263.2016.02.006]
[7]吴啸波,裴宝瑞.老年髋部骨折围手术期相关问题的研究进展[J].中华老年骨科与康复电子杂志,2016,(02):114.[doi:10.3877/cma.j.issn.2096-0263.2016.02.010]
 Wu Xiaobo,Pei Baorui..Perioperative related problems of surgery in elderly patients with hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):114.[doi:10.3877/cma.j.issn.2096-0263.2016.02.010]
[8]宋会平,张柳.阿仑膦酸钠治疗老年女性严重骨质疏松症患者的疗效分析[J].中华老年骨科与康复电子杂志,2016,(03):141.[doi:10.3877/cma.j.issn.2096-0263.2016.03.003]
 Song Huiping,Zhang Liu.Effcacy analysis of alendronate in the treatment of severe osteoporosis in senile women[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):141.[doi:10.3877/cma.j.issn.2096-0263.2016.03.003]
[9]柴仪,田伟明,温志刚.经皮椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折的疗效分析[J].中华老年骨科与康复电子杂志,2016,(03):150.[doi:10.3877/cma.j.issn.2096-0263.2016.03.005]
 Chai Yi,Tian Weiming,Wen Zhigang.Curative effective analysis of percutaneous kyphoplasty for osteoporotic vertebral compression fracture in senile patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):150.[doi:10.3877/cma.j.issn.2096-0263.2016.03.005]
[10]陈旭光,张天燕,单新1,等.围术期抑郁对老年骨科手术患者单核细胞组织因子表达及血小板功能的影响[J].中华老年骨科与康复电子杂志,2016,(03):155.[doi:10.3877//cma.j.issn2096-2063.2016.03.006]
 Chen Xuguang,Zhang Tianyan,Shan Xin,et al.Effect of depressive disorder on tissue factor expression of monocytes and platelet function in elderly patients undergoing orthopaedic surgery[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(06):155.[doi:10.3877//cma.j.issn2096-2063.2016.03.006]

备注/Memo

备注/Memo:
基金项目:广州地区临床高新和重大技术项目(2024PL-GX11)
更新日期/Last Update: 2026-05-18