Special Issue "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: 1 June 2023 | Viewed by 793

Special Issue Editor

Prof. Dr. Matthias Knobe
E-Mail
Guest Editor
1. Medical Faculty, University of Zurich, Zurich, Switzerland
2. 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

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hip fracture
  • fracture fixation
  • implant anchorage
  • cement augmentation
  • co-management
  • fragility fracture
  • comorbidity
  • fall prevention
  • biomechanical investigation
  • geriatric fracture center

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Article
Comparison of Trabecular Bone Score–Adjusted Fracture Risk Assessment (TBS-FRAX) and FRAX Tools for Identification of High Fracture Risk among Taiwanese Adults Aged 50 to 90 Years with or without Prediabetes and Diabetes
Medicina 2022, 58(12), 1766; https://doi.org/10.3390/medicina58121766 - 30 Nov 2022
Viewed by 633
Abstract
Background and Objectives: The burden of osteoporosis is projected to increase. Identification and prompt intervention for osteoporotic fractures are important. Adjusting the Fracture Risk Assessment (FRAX®) tool with trabecular bone score (TBS) could improve risk prediction. However, little is known about [...] Read more.
Background and Objectives: The burden of osteoporosis is projected to increase. Identification and prompt intervention for osteoporotic fractures are important. Adjusting the Fracture Risk Assessment (FRAX®) tool with trabecular bone score (TBS) could improve risk prediction. However, little is known about whether TBS-adjusted FRAX® would change the proportion of individuals qualified for osteoporosis intervention. Therefore, the aim of the present study was to compare the proportions of Taiwanese adults who qualified for intervention, according to the FRAX® and TBS-adjusted FRAX®, with stratification by sex, age group, and glucose regulation status. Materials and Methods: A medical record review on adults 50–90 years who had undergone a general health examination in a regional hospital in Taiwan was conducted. FRAX® and TBS-adjusted FRAX® were calculated. FRAX® cut-points of ≥ 20% for major osteoporotic fracture and ≥3% for hip fracture were adopted to identify individuals qualified for osteoporosis intervention. Individuals were classified as prediabetes and diabetes if their HbA1c was 5.7–6.4% and >6.4%, respectively. Results: A total of 8098 individuals with a mean age of 61.0 years were included. The proportion of men qualified for intervention for hip fracture was significantly lower according to TBS-adjusted FRAX® (17.2%) compared with FRAX® (20.7%) (p < 0.001), with a similar pattern across all three age groups and in those with prediabetes. In contrast, the proportion of women qualified for intervention for major osteoporotic fracture was significantly higher according to TBS-adjusted FRAX® (4.6%) compared with FRAX® (3.7%) (p < 0.001), particularly among those with prediabetes 60–69 years. Conclusions: TBS-adjusted FRAX® led to small but significant changes in the proportions of individuals qualified for intervention in specific age groups and glucose regulation status. Full article
(This article belongs to the Special Issue Increase in Geriatric Trauma: Current Knowledge and Future Solutions)
Show Figures

Figure 1

Back to TopTop