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[Periprosthetic fractures. An interdisciplinary challenge].
R Stange1, M J Raschke, T Fuchs
1Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Münster, Deutschland. richard.stange@ukmuenster.de
Der Unfallchirurg
|July 30, 2011
Summary
Future increases in periprosthetic fractures are expected due to demographic shifts and more implanted prostheses. Managing these fractures in elderly patients requires an interdisciplinary approach, considering factors like bone quality and comorbidities.
Area of Science:
- Orthopedic surgery
- Geriatric medicine
- Biomaterials science
Context:
- Aging populations worldwide are experiencing increased mobility demands.
- The number of implanted prostheses, such as joint replacements, is rising.
- Periprosthetic fractures are a growing concern in the elderly population.
Purpose:
- To outline the epidemiology and risk factors associated with periprosthetic fractures in geriatric patients.
- To discuss the challenges and multidisciplinary management strategies for these complex fractures.
- To review current and potential prevention and treatment options for periprosthetic fractures in the elderly.
Summary:
- Demographic changes and an increase in prosthetic implants predict a rise in periprosthetic fractures among the elderly.
- Factors like poor bone quality, comorbidities, and multiple prostheses elevate fracture risk in older individuals.
- Effective management necessitates an interdisciplinary approach, addressing epidemiology, risk factors, prevention, and treatment.
Impact:
- Highlights the increasing clinical significance of periprosthetic fractures in an aging demographic.
- Emphasizes the need for specialized, coordinated care pathways for geriatric fracture patients.
- Provides a comprehensive overview to guide clinical practice and future research in geriatric orthopedic trauma.
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