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Principles and current concepts in the surgical treatment of fragility fractures in the elderly


Halvachizadeh, Sascha; Teuber, Henrik; Pape, Hans-Christoph; Allemann, Florin (2019). Principles and current concepts in the surgical treatment of fragility fractures in the elderly. Best Practice & Research. Clinical Rheumatology:Epub ahead of print.

Abstract

The constant rise in fragility fractures is proportional to the constant rise in life expectancy. Treatment of fragility fractures can be challenging because of severe fractures, poor bone quality, significant co-morbidities, and reduced mobility. However, new surgical techniques and implants have been developed that address these challenges and show improvement in overall patient outcomes. This review addresses general considerations including nonsurgical and surgical treatments of fractures as well as treatment of specific fragility fractures of the extremities. Based on these findings, this chapter gives treatment recommendations for a selection of common geriatric fractures. The aim of treating fragility fractures is on the early mobilization to prevent complications such as pneumonia. However, the patient's general situation should be taken into consideration while recommending appropriate treatment strategies.

Abstract

The constant rise in fragility fractures is proportional to the constant rise in life expectancy. Treatment of fragility fractures can be challenging because of severe fractures, poor bone quality, significant co-morbidities, and reduced mobility. However, new surgical techniques and implants have been developed that address these challenges and show improvement in overall patient outcomes. This review addresses general considerations including nonsurgical and surgical treatments of fractures as well as treatment of specific fragility fractures of the extremities. Based on these findings, this chapter gives treatment recommendations for a selection of common geriatric fractures. The aim of treating fragility fractures is on the early mobilization to prevent complications such as pneumonia. However, the patient's general situation should be taken into consideration while recommending appropriate treatment strategies.

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Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Department of Trauma Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Rheumatology
Language:English
Date:1 May 2019
Deposited On:29 May 2019 14:03
Last Modified:30 May 2019 07:32
Publisher:Elsevier
ISSN:1521-6942
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.berh.2019.03.018

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