Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Höftfrakturer - ett enormt folkhälsoproblem

Thorngren, Karl-Göran LU (2006) In Läkartidningen 103(40). p.2-2990
Abstract
Hip fracture is the most serious and resource consuming consequence of osteoporosis. All patients need operation and hospital treatment which gives a great health economic impact.

The two main types of hip fracture are cervical (femoral neck, intracapsular) and trochanteric (extra capsular). For the displaced cervical fractures the blood circulation to the femoral head is more or less damaged which can result in healing complications such as pseudarthrosis or femoral head necrosis. The extracapsular trochanteric fractures have good vascular supply and few healing complications. They are instead often multifragmented with stability problems influencing weight bearing and rehabilitation. Recently in Sweden displaced cervical... (More)
Hip fracture is the most serious and resource consuming consequence of osteoporosis. All patients need operation and hospital treatment which gives a great health economic impact.

The two main types of hip fracture are cervical (femoral neck, intracapsular) and trochanteric (extra capsular). For the displaced cervical fractures the blood circulation to the femoral head is more or less damaged which can result in healing complications such as pseudarthrosis or femoral head necrosis. The extracapsular trochanteric fractures have good vascular supply and few healing complications. They are instead often multifragmented with stability problems influencing weight bearing and rehabilitation. Recently in Sweden displaced cervical fractures are more operated with arthroplasty. For less displaced cervical fractures as well as undisplaced the osteosynthesis remains the method of choice. Trochanteric fractures are mainly operated with a screw with a side plate. The treatment has successively been improved with immediate postoperative weight bearing, rapid mobilisation and continued rehabilitation in the patient's own home. The time in hospital has been halved during the last 15 years and is now mean 10 days in Sweden. Return to origin has remained around 50%. The rehabilitation result is dependent on nursing, operation technical and biological healing factors. The national quality register RIKSHÖFT is the basis for improvements with optimised treatment and continuous development. This audit and feedback aims at keeping the treatment on a high level all over Sweden. Prevention of osteoporosis and falls in patients who have sustained a hip fracture is an important health promoting work. (Less)
Please use this url to cite or link to this publication:
author
organization
alternative title
Hip fractures--an enormous public health problem
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Benskörhet, Höftfrakturer, spontana, Frakturer, Lårbenshalsfrakturer, Fallolyckor
in
Läkartidningen
volume
103
issue
40
pages
2 - 2990
publisher
Swedish Medical Association
external identifiers
  • scopus:33749818587
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
7d4cb196-1796-4c29-96e1-20704f467b9d (old id 163132)
alternative location
http://ltarkiv.lakartidningen.se/2006/temp/pda32351.pdf
date added to LUP
2016-04-01 16:15:45
date last changed
2020-01-12 19:12:06
@article{7d4cb196-1796-4c29-96e1-20704f467b9d,
  abstract     = {Hip fracture is the most serious and resource consuming consequence of osteoporosis. All patients need operation and hospital treatment which gives a great health economic impact.<br/><br>
The two main types of hip fracture are cervical (femoral neck, intracapsular) and trochanteric (extra capsular). For the displaced cervical fractures the blood circulation to the femoral head is more or less damaged which can result in healing complications such as pseudarthrosis or femoral head necrosis. The extracapsular trochanteric fractures have good vascular supply and few healing complications. They are instead often multifragmented with stability problems influencing weight bearing and rehabilitation. Recently in Sweden displaced cervical fractures are more operated with arthroplasty. For less displaced cervical fractures as well as undisplaced the osteosynthesis remains the method of choice. Trochanteric fractures are mainly operated with a screw with a side plate. The treatment has successively been improved with immediate postoperative weight bearing, rapid mobilisation and continued rehabilitation in the patient's own home. The time in hospital has been halved during the last 15 years and is now mean 10 days in Sweden. Return to origin has remained around 50%. The rehabilitation result is dependent on nursing, operation technical and biological healing factors. The national quality register RIKSHÖFT is the basis for improvements with optimised treatment and continuous development. This audit and feedback aims at keeping the treatment on a high level all over Sweden. Prevention of osteoporosis and falls in patients who have sustained a hip fracture is an important health promoting work.},
  author       = {Thorngren, Karl-Göran},
  issn         = {0023-7205},
  language     = {swe},
  number       = {40},
  pages        = {2--2990},
  publisher    = {Swedish Medical Association},
  series       = {Läkartidningen},
  title        = {Höftfrakturer - ett enormt folkhälsoproblem},
  url          = {http://ltarkiv.lakartidningen.se/2006/temp/pda32351.pdf},
  volume       = {103},
  year         = {2006},
}