[Current issues regarding fracture treatment in elderly patients].
According to demographic studies in Germany about 95,000 proximal femur fractures (PFF) in patients aged over 65 will occur in the year 2030; that means around 40% more than in 1995 (n = 68,233). These injuries lead to very high socio-economic costs and only PFF therapy with a rapid full-recovery could be a useful solution. At present PFF treatment consists mainly of operative osteosynthesis with a mortality rate of only 4% (own study of 100 patients). In contrast, the long-term efficiency of PFF therapy is poor because statistically nearly every second patient requires partial or full-time help. Clearly, postoperative training is, as yet, insufficient. But only a complete PFF therapy (operation and intensive postoperative physiotherapy, ergotherapy and geriatrics) can improve the long-term results, thereby reducing costs and social problems which would otherwise only worsen in the future.
Pieske
O
O
Abteilung für Unfallchirurgie, Ludwig-Maximilians-Universität, Klinikum Grosshadern, München.
Lob
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G
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D003363:Cost Control / Q000639:trends; D015577:Geriatric Assessment; D005858:Germany; D006620:Hip Fractures / Q000191:economics / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007902:Length of Stay / Q000191:economics*; D010348:Patient Care Team / Q000191:economics*; D012047:Rehabilitation Centers / Q000191:economics
Aktuelle Fragen zur Frakturbehandlung alter Menschen.