Orthogeriatric co-management in pelvic and acetabular fractures.

Autor: Keppler AM; Musculoskeletal University Center Munich (MUM), LMU Hospital, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany., Gosch M; Department of Medicine 2/ Geriatrics, Paracelsus Medical University, General Hospital Nuremberg, Nuremberg, Germany., Kammerlander C; AUVA Trauma Hospital Styria, Graz und Kalwang, Graz , Austria. christian.kammerlander@auva.at.
Jazyk: angličtina
Zdroj: Archives of orthopaedic and trauma surgery [Arch Orthop Trauma Surg] 2024 Sep 26. Date of Electronic Publication: 2024 Sep 26.
DOI: 10.1007/s00402-024-05566-1
Abstrakt: Background: Osteoporosis, age and frailty significantly impacts outcomes in fragility fractures of the pelvis, increasing morbidity and mortality. Identifying frailty aids in risk stratification and personalized care plans, enhancing recovery and reducing complications in older adults. Orthogeriatric co-management, an interdisciplinary approach combining orthopedics and geriatrics, optimizes care for older adults with fragility fractures. This model improves outcomes through integrated preoperative and postoperative care. This study examines the current literature for orthogeriatric co-management in pelvic ring or acetabular fractures, aiming to improve outcomes for older adults.
Conclusion: Orthogeriatric co-management can be an effective tool to significantly enhances clinical care and reduces complications in older adults with pelvic ring and acetabular fractures. Studies demonstrate increased detection of urological complications and earlier patient mobilisation, alongside a notable decrease in revision surgery rates. The implementation of a specialized framework underscores the necessity for standardised orthogeriatric protocols, optimizing patient outcomes and satisfaction. Integrating geriatric expertise in surgical treatment addresses comorbidities more effectively and minimizes postoperative complications. The certification of such centers ensures adherence to quality standards, fostering continuous improvement in care. Standardised orthogeriatric management should extend to all older fracture patients.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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