Abstract: Fragility fractures occur because of low-impact trauma or even spontaneously in individuals with osteoporosis. Caring for older persons with fragility fractures can present several challenges due to the unique needs and vulnerabilities of this population. Older individuals commonly have multiple medical conditions, such as osteoporosis, arthritis, cardiovascular diseases, and diabetes. These comorbidities can complicate fracture management and increase the risk of complications. Fracture repair through surgery may be more complex in older patients due to poor bone quality, decreased tissue elasticity, and higher chances of anesthesia complications. In addition, mobility and functional limitations post-fracture are highly prevalent in this population, affecting their independence and increasing their risk of institutionalization. Addressing these challenges requires a multidisciplinary approach involving orthopedic surgeons, geriatricians, physical and rehabilitation physicians, physiotherapists, occupational therapists, dieticians, social workers, and caregivers. Preventive measures, such as fall prevention strategies and osteoporosis management, can also play a vital role in reducing the incidence of fragility fractures in older persons.

Keywords: osteoporosis, fragility fractures, older persons, osteosarcopenia, rehabilitation


中文翻译：

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为患有脆性骨折的老年人提供有效护理的挑战

摘要：骨质疏松症患者由于低冲击力创伤甚至自发性骨折而发生脆性骨折。由于患有脆性骨折的老年人的独特需求和脆弱性，照顾他们可能会面临一些挑战。老年人通常患有多种疾病，例如骨质疏松症、关节炎、心血管疾病和糖尿病。这些合并症会使骨折治疗复杂化并增加并发症的风险。由于骨质量差、组织弹性下降以及麻醉并发症的发生率较高，老年患者通过手术修复骨折可能更加复杂。此外，骨折后的活动能力和功能限制在这一人群中非常普遍，影响了他们的独立性并增加了他们被送入收容机构的风险。应对这些挑战需要采取多学科方法，包括骨科医生、老年科医生、物理和康复医生、物理治疗师、职业治疗师、营养师、社会工作者和护理人员。跌倒预防策略和骨质疏松症管理等预防措施也可以在降低老年人脆性骨折的发生率方面发挥重要作用。

关键词：骨质疏松症，脆性骨折，老年人，骨肌减少症，康复