Increase in Geriatric Trauma: Current Knowledge and Future Solutions
A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Geriatrics/Aging".
Deadline for manuscript submissions: closed (1 October 2023) | Viewed by 9298
Special Issue Editor
2. Medical Faculty, University of Zurich, Zurich, Switzerland
3. RWTH Aachen University Hospital, Aachen, Germany
Interests: anchorage strategies in geriatric hip fracture management; fragility fracture; fall prevention; ortho-geriatric co-management; geriatric trauma center; medical education; biomechanical investigations; microcirculation
Special Issues, Collections and Topics in MDPI journals
Special Issue Information
Dear Colleagues,
Geriatric trauma care is gaining more importance due to demographic changes. This growth in geriatric trauma patients presents a great challenge for the treating physicians. In addition to poor bone quality, which makes fracture fixation more difficult, comorbid conditions often lead to perioperative complications and hamper rehabilitation. Considering all these factors, geriatric trauma has great social and economic implications.
Surgical treatment should be straightforward and less invasive, allow immediate weight-bearing, and should be associated with a low complication rate. Various factors, such as patient age, comorbidities, activity level, age of the fracture or pre-injury arthrosis, and experience of the surgeon influence the decision-making for fixation. However, in recent years, cement augmentation strategies came to the fore and were discussed to an increasing degree. In addition, recent studies showed a benefit of the treatment of bone loss in proximal femurs of postmenopausal osteoporotic women with a local osteo-enhancement procedure which increased hip bone mineral density and hip strength to avoid hip fractures in the future.
The purpose of this Special Issue is to discuss the evidence for the fixation/prosthetic treatment of osteoporotic fractures in the elderly considering innovations and developments in the future as well. The scope of the Issue is deliberately broad in order to encourage the coverage of a wide range of topics and perspectives related to the management of geriatric fractures. This includes not only clinical treatments but also biomechanical considerations regarding implant anchorage, patient experience, epidemiology, service delivery, health promotion, complex co-management strategies in geriatric fracture care including fall prevention, and new interdisciplinary developments like the installation of a fracture liaison service or a geriatric fracture center. Promising first results of preventive minimally-invasive surgical interventions to treat osteoporotic bone loss and reduce hip fracture risk provide strong rationale for further clinical investigation.
Prof. Dr. Matthias Knobe
Guest Editor
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Keywords
- hip fracture
- fracture fixation
- implant anchorage
- cement augmentation
- co-management
- fragility fracture
- comorbidity
- fall prevention
- biomechanical investigation
- geriatric fracture center
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