Vol.12, No 1, 2005 pp. 12 - 18
UC 616.7-007.233
THE TREATMENT OF SENILE AND
POSTMENOPAUSAL
OSTEOPOROSIS
AS ONE OF THE MAJOR WAYS OF FRACTURE PREVENTION
IN ELDERLY PATIENTS
Saša Milenković1, Milorad Mitković1,
Marko Bumbaširević2,
Igor Kostić1, Gordana Soldatović1,
Marina Deljanin- Ilić3
1Orthopaedic-Traumatology
Clinic, Clinical Center, Niš, Serbia and Montenegro
2Institute
of Orthopaedics and Traumatology, Clinical Center, Belgrade, Serbia and
Montenegro
3Institute
for Prevention, Treatment, and Rehabilitation of Cardiovascular and
Rheumatic
Patients, Niška Banja,
Serbia and Montenegro
E-mail: sasa65@bankerinter.net
Summary. The treatment of fractures in elderly patients is a big
orthopaeadic and socio-economic problem. The number of fractures,
especially
hip fractures, increases year after year. Approximately 250 hip
fracture
patients per year are hospitalized in the Orthopaedic-Traumatology
Clinic
in Niš, which makes nearly 20% of all hospitalized patients. Enormous
funds
are spent for their treatment, especially the surgical one, which
demands
expensive implants for fracture fixation or total hip replacement. The
main cause of fracture in the elderly is osteoporosis. Orthopaedic
surgeons
are daily occupied with radius fractures, fractures of the proximal
part
of the humerus, hip fractures, thoracolumbar vertebral body compression
fractures, ankle fractures, etc. The low energy trauma is the cause of
more than 90% fractures. That is why the proper understanding,
diagnosis
and treatment of osteoporosis are of great importance for prevention of
fractures in the elderly.
Key words: Senile and postmenopausal osteoporosis, treatment,
fracture prevention in the elderly
LEČENJE SENILNE I POSTMENOPAUZALNE
OSTEOPOROZE
-
JEDAN OD GLAVNIH PUTEVA PREVENCIJE PRELOMA
KOD BOLESNIKA STARIJEG ŽIVOTNOG DOBA
Kratak sadržaj: Lečenje preloma bolesnika starije populacije je
veliki ortopedski i socio-ekonomski problem. Broj preloma, naročito
kuka
se povećava iz godine u godinu. Na Ortopedsko-traumatološkoj klinici u
Nišu se godišnje hospitalizuje oko 250 bolesnika sa prelomima kuka, što
predstavlja blizu 20% od ukupnog broja hospitalizovanih. Za lečenje se
troše ogromna materijalna sredstva, pogotovu kada je u pitanju hirurško
lečenje koje zahteva skupe implantate za fiksaciju preloma ili
aloartroplastiku
kuka. Glavni uzrok nastanka preloma bolesnika starije životne dobi je
osteoporoza.Ortopedi
se svakodnevno susreću sa prelomima žbice na tipičnom mestu, prelomima
proksimalnog okrajka ramene kosti, prelomima kuka, pršljenskih tela,
distalne
potkolenice ili prelomima gležnjeva. U preko 90% slučajeva uzrok
preloma
je banalna trauma. Zato je pravilno razumevanje, otkrivanje i lečenjem
osteoporoze od velike važnosti kako bi učinili da se broj preloma kod
bolesnika
starije životne dobi značajno smanji.
Ključne reči: Senilna i postmenopauzalna osteoporoza, terapija,
prevencija preloma kod starijih pacijenata
