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.

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.

Inhalt

Part I The Aging of Bone and Etiologies of Fractures

1 Osteobiology of Aging ............................................................................... 3Andrew Rosenzweig and Robert J. Pignolo ............................................................................... 3 Andrew Rosenzweig and Robert J. Pignolo

2 Pathologic Fractures ................................................................................. 43Jesse T. Torbert and Richard D. Lackman ................................................................................. 43 Jesse T. Torbert and Richard D. Lackman

3 Falls ............................................................................................................ 55Amy M. Corcoran and Bruce Kinosian ............................................................................................................ 55 Amy M. Corcoran and Bruce Kinosian

Part II Perioperative Management

4 Preoperative Assessment of Risk ............................................................. 71Joan Weinryb ............................................................. 71 Joan Weinryb

5 Anticoagulation ......................................................................................... 87Kathleen Walsh and John Bruza ......................................................................................... 87 Kathleen Walsh and John Bruza

6 Prevention and Management of Perioperative Delirium ....................... 101Jerry C. Johnson ....................... 101 Jerry C. Johnson

7 Anesthesia and Postoperative Pain Control ........................................... 115Jonathan R. Gavrin ........................................... 115 Jonathan R. Gavrin

8 Postoperative Complications .................................................................... 145Jung-Hoon Kim .................................................................... 145 Jung-Hoon Kim

Contents

viii Contents

Part III Common Fractures in the Elderly

9 Hand and Wrist Fractures in the Elderly ............................................. 171Laura C. Wiegand, Atul F. Kamath, Nick D. Pappas,

and David J. Bozentka ............................................. 171 Laura C. Wiegand, Atul F. Kamath, Nick D. Pappas,

and David J. Bozentka

10 Fractures of the Shoulder and Elbow ................................................... 187J. Stuart Melvin, Karen Boselli, and G. Russell Huffman ................................................... 187 J. Stuart Melvin, Karen Boselli, and G. Russell Huffman

11 Vertebral Compression Fractures ......................................................... 225Ejovi Ughwanogho and Nader M. Hebela ......................................................... 225 Ejovi Ughwanogho and Nader M. Hebela

12 Hip Fractures........................................................................................... 239Andrew F. Kuntz, Albert O. Gee, Jaimo Ahn, and Samir Mehta ........................................................................................... 239 Andrew F. Kuntz, Albert O. Gee, Jaimo Ahn, and Samir Mehta

13 Fractures of the Distal Femur ................................................................ 257Jesse T. Torbert and John L. Esterhai ................................................................ 257 Jesse T. Torbert and John L. Esterhai

John Alan Scolaro and Gwo-Chin Lee ................................................. 269 John Alan Scolaro and Gwo-Chin Lee

Part IV Rehabilitation, Post-fracture Evaluation, and Prevention

15 Rehabilitation .......................................................................................... 285Keith Baldwin, Derek J. Donegan, and Mary Ann Keenan .......................................................................................... 285 Keith Baldwin, Derek J. Donegan, and Mary Ann Keenan

16 Evaluation of Bone Fragility and Fracture Prevention ....................... 309Robert J. Pignolo ....................... 309 Robert J. Pignolo

Index ................................................................................................................. 329 ................................................................................................................. 329