| 特集名 | 透析患者の骨折 | |
|---|---|---|
| 題名 | 骨折治療の概念 | |
| 発刊年月 | 1999年 07月 | |
| 著者 | 山崎 誠 | 聖マリアンナ医科大学横浜市西部病院整形外科 |
| 【 要旨 】 | 骨折治療の基本は，骨折の解剖学的整復，整復位保持のための固定，骨折による筋萎縮・関節機能の低下を予防するためのリハビリテーション(以後，リハビリ)である． 解剖学的整復と，この整復位を保持するための方法には保存療法と観血療法がある．骨折治療の原則は保存療法であるが，筋萎縮，関節機能などの身体機能の低下を防ぐために積極的に観血療法も行われる．とくに，下肢では歩行能を考え観血療法が優先されることが多い． 治療法の選択は骨折原因，合併症，年齢や社会的・職業的適応などを考慮して決められる． |
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| Theme | Bone Fracture in Patients with Renal Replacement Therapy | |
|---|---|---|
| Title | The general principle of the fracture treatment | |
| Author | Makoto Yamasaki | Department of Orthopedic Surgery, St.Marianna University, Yokohama City Seibu Hospital |
| [ Summary ] | The basic principles of fracture treatment are anatomical reduction, fixation to maintain reduced position, and rehabilitation to prevent muscle atorophy and decreased joint function. There are two methods of anatomical reduction and fixation; conservative and surgical. The first choice of treatment is conservative,but surgical methods are often used aggressively to prevent muscle atrophy and loss of joint function, and surgery is often performed on the lower limbs, with ambulation in mind. The choice of treatment is decided on the basis of the cause of the fracture, complications, age, occupation, and social indications. |
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