Renal osteodystrophy

被引：25

作者：

Tejwani, NC ^{[1
]}

Schachter, AK ^{[1
]}

Immerman, I ^{[1
]}

Achan, P ^{[1
]}

机构：

[1] NYU Hosp Joint Dis, Bellevue Hosp, Dept Orthopaed, New York, NY 10016 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2006年 / 14卷 / 05期

关键词：

D O I：

10.5435/00124635-200605000-00006

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The incidence of chronic renal disease is increasing, and the pattern of renal osteodystrophy seems to be shifting from the classic hyperparathyroid presentation to one of low bone turnover. Patients with persistent disease also live longer than previously and are more physically active. Thus, patients may experience trauma as a direct result of increased physical activity in a setting of weakened pathologic bone. Patient quality of life is primarily limited by musculoskeletal problems, such as bone pain, muscle weakness, growth retardation, and skeletal deformity. Chronic renal disease also increases the risk of comorbidity, such as infection, bleeding, and anesthesia-related problems. Current treatment strategies include dietary changes, plate-and-screw fixation, and open reduction and internal fixation.

引用

页码：303 / 311

页数：9