[Proximal femoral fractures in the elderly].
Proximal femoral fractures represent an increasing major healthcare problem due to the demographic changes in this aging population and are associated with the highest mortality among fractures in elderly patients after suffering insufficiency injuries (so-called fragility fractures). The main aim in the treatment of orthogeriatric patients who suffered from a proximal femoral fracture is the preservation of function and independency. Given the high prevalence of comorbidities in these patients, interdisciplinary and interprofessional approaches are required. The use of modern osteosynthesis procedures can provide an improved, individualized surgical treatment with early full weight bearing of the affected extremity. Another aspect is the accompanying geriatric treatment which is associated with a significant reduction of perioperative and postoperative complications. In addition to acute treatment, the organization of secondary fracture prevention is a crucial pillar of treatment. This article provides an overview of the essential elements of orthogeriatric trauma surgery in elderly patients following proximal femoral fractures.
Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Klinikum der Ludwig-Maximilians-Universität, Nußbaumstr. 20, 80336, München, Deutschland. Carl.Neuerburg@med.uni-muenchen.de.
Carl
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Neuerburg
Paracelus Medizinische Privatuniversität, Medizinische Klinik 2 - Geriatrie, Klinikum Nürnberg, Nürnberg, Deutschland.
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M
Gosch
Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Klinikum der Ludwig-Maximilians-Universität, Nußbaumstr. 20, 80336, München, Deutschland.
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W
Böcker
Universitätsklinik für Unfallchirurgie, Zentrum Operative Medizin, Innsbruck, Österreich.
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M
Blauth
Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Klinikum der Ludwig-Maximilians-Universität, Nußbaumstr. 20, 80336, München, Deutschland.|Universitätsklinik für Unfallchirurgie, Zentrum Operative Medizin, Innsbruck, Österreich.
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C
Kammerlander
D000368:Aged; D000369:Aged, 80 and over; D019317:Evidence-Based Medicine; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods* / Q000534:rehabilitation*; D015577:Geriatric Assessment / Q000379:methods; D006620:Hip Fractures / Q000175:diagnosis* / Q000517:prevention & control / Q000601:surgery*; D006801:Humans; D008297:Male; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D012008:Recurrence; D016896:Treatment Outcome
Fragility; Hip fractures; Orthogeriatric trauma surgery; Osteoporosis; Secondary prevention