Schmerzreduktion durch operative Therapie osteoporotischer Frakturen

Zusammenfassung

Osteoporotische Frakturen führen aufgrund erheblicher Schmerzen und der damit verbundenen Funktionsstörungen zu einer signifikanten Einschränkung der körperlichen Leistungsfähigkeit. In den letzten Jahren konnten durch die Entwicklung neuer winkelstabiler Implantate, durch Zementaugmentation und den Einsatz von Frakturprothesen signifikante Fortschritte in der Behandlung von osteoporotischen Frakturen erzielt werden. Nachdem ältere Studien uneinheitliche Resultate aufwiesen, zeigen aktuelle Untersuchungen eindeutige Ergebnisse zu Gunsten der operativen Therapie. Im Rahmen eines narrativen Reviews soll die Wirkung der operativen Therapie auf die Schmerzreduktion und Verbesserung der Extremitäten dargestellt werden.

Abstract

Osteoporotic fractures are associated with a substantial mortality and morbidity. Because of persistent pain patients often suffer from a significant functional impairment and reduced quality of life. Recent progress in implant design and surgical technique has significantly improved the results of operative therapy of these fractures. Older studies did show conflicting results of operative therapy of osteoporotic fractures, but recent trials have demonstrated the superiority of operative therapy with regard to improvement of pain and function. The aim of this narrative review is to report on the impact of operative therapy on pain following major osteoporotic fractures.

Schlüsselwörter

Osteoporotische Frakturen - Operative Therapie - Schmerzmanagement

Key words

Osteoporotic fractures - Surgical therapy - Pain management

Publication History

Received: 26 September 2023

Accepted: 18 January 2024

Article published online:
20 February 2024

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