Fractures in the Elderly

Fractures in the Elderly: A Guide to Practical Management provides geriatricians and other medical specialists who provide care for older adults with the vital guidance and most current data and opinions regarding the treatment of elderly patients who sustain a variety of fractures. It also provides orthopedic surgeons with the necessary information and most current data and opinions regarding assessment and management of geriatric conditions that predispose the elderly to fracture, perioperative complications and subsequent functional decline. Each chapter is both readable and appealing not only to geriatricians and orthopedic surgeons but to all clinicians that have contact with elderly patients who have sustained or are at high risk of sustaining a fracture. Emphasis is placed on the fact that although in some cases pre- and post-operative care in elderly fracture patient may proceed as it does in younger individuals, often there are considerations owing to functional status, pre-existing conditions, and age-related physiological declines that require specialized knowledge and alternative approaches. Developed by a group of renowned experts, Fractures in the Elderly: A Guide to Practical Management is a major addition to the literature and provides a wealth of specialized knowledge and approaches to care. It is an essential reference for all clinicians who care for older adults as well as fellows and residents in training.

This book offers the latest data on the care and treatment of a variety of fractures in the elderly. It covers the etiologies of fracture in the elderly perioperative management, the surgical treatment of common fractures, and rehabilitation and prevention.

Practical and comprehensive overview of fractures in the elderlyDesigned for wide range of physicians, fellows, and residents
Provide all the necessary information and most current data and opinions regarding the treatment of elderly patients who sustain a variety of fractures

Part I The Aging of Bone and Etiologies of Fractures1 Osteobiology of Aging ............................................................................... 3Andrew Rosenzweig and Robert J. Pignolo............................................................................... 3Andrew Rosenzweig and Robert J. Pignolo2 Pathologic Fractures ................................................................................. 43Jesse T. Torbert and Richard D. Lackman................................................................................. 43Jesse T. Torbert and Richard D. Lackman3 Falls ............................................................................................................ 55Amy M. Corcoran and Bruce Kinosian............................................................................................................ 55Amy M. Corcoran and Bruce KinosianPart II Perioperative Management4 Preoperative Assessment of Risk ............................................................. 71Joan Weinryb............................................................. 71Joan Weinryb5 Anticoagulation ......................................................................................... 87Kathleen Walsh and John Bruza......................................................................................... 87Kathleen Walsh and John Bruza6 Prevention and Management of Perioperative Delirium ....................... 101Jerry C. Johnson....................... 101Jerry C. Johnson7 Anesthesia and Postoperative Pain Control ........................................... 115Jonathan R. Gavrin........................................... 115Jonathan R. Gavrin8 Postoperative Complications .................................................................... 145Jung-Hoon Kim.................................................................... 145Jung-Hoon KimContentsviii ContentsPart III Common Fractures in the Elderly9 Hand and Wrist Fractures in the Elderly ............................................. 171Laura C. Wiegand, Atul F. Kamath, Nick D. Pappas,and David J. Bozentka............................................. 171Laura C. Wiegand, Atul F. Kamath, Nick D. Pappas,and David J. Bozentka10 Fractures of the Shoulder and Elbow ................................................... 187J. Stuart Melvin, Karen Boselli, and G. Russell Huffman................................................... 187J. Stuart Melvin, Karen Boselli, and G. Russell Huffman11 Vertebral Compression Fractures ......................................................... 225Ejovi Ughwanogho and Nader M. Hebela......................................................... 225Ejovi Ughwanogho and Nader M. Hebela12 Hip Fractures........................................................................................... 239Andrew F. Kuntz, Albert O. Gee, Jaimo Ahn, and Samir Mehta........................................................................................... 239Andrew F. Kuntz, Albert O. Gee, Jaimo Ahn, and Samir Mehta13 Fractures of the Distal Femur ................................................................ 257Jesse T. Torbert and John L. Esterhai................................................................ 257Jesse T. Torbert and John L. Esterhai14 Tibial Plateau Fractures in the Elderly ................................................. 269John Alan Scolaro and Gwo-Chin Lee................................................. 269John Alan Scolaro and Gwo-Chin LeePart IV Rehabilitation, Post-fracture Evaluation, and Prevention15 Rehabilitation .......................................................................................... 285Keith Baldwin, Derek J. Donegan, and Mary Ann Keenan.......................................................................................... 285Keith Baldwin, Derek J. Donegan, and Mary Ann Keenan16 Evaluation of Bone Fragility and Fracture Prevention .......................