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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures

Nils Becker1, Tobias Hafner2, Miguel Pishnamaz2

  • 1Department of Orthopedics, Trauma and Reconstructive Surgery, RWTH Aachen University Hospital, Aachen, Germany. nibecker@ukaachen.de.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|March 24, 2022
PubMed

Insights

Proximal femur fractures (PFFs) in older adults are common. Identifying patient-specific risk factors is crucial for preventing complications and improving outcomes, especially in high-risk individuals.

Area of Science:

  • Geriatric Medicine
  • Orthopedic Surgery
  • Public Health

Background:

  • Proximal femur fractures (PFFs) are prevalent in the geriatric population.
  • Risk factors include decreased bone mineral density and increased fall risk.
  • PFFs significantly impact patient outcomes and healthcare resource utilization.

Purpose of the Study:

  • To review recent literature on patient-specific risk factors for PFFs.
  • To analyze the impact of these factors on common complications and outcomes.
  • To identify strategies for improving management and outcomes in high-risk geriatric patients.

Main Methods:

  • Systematic review of recent literature.
  • Focus on patient-specific risk factors and their association with PFF complications.
  • Analysis of outcome parameters including mortality and functional rehabilitation.

Main Results:

  • Patient- and treatment-related factors significantly influence PFF outcomes.
  • Associated risks include increased mortality, impaired functional rehabilitation, and complicated recovery.
  • High-risk patients often reside in nursing homes and have comorbidities like osteoporosis, dementia, and sarcopenia.

Conclusions:

  • Early and continuous assessment of individual risk factors is vital for geriatric PFF patients.
  • Interdisciplinary approaches, comorbidity management, and optimized risk factor evaluation improve outcomes.
  • Enhanced ambulant assessment and therapy for malnutrition, sarcopenia, frailty, and osteoporosis are necessary.
Abstract

Keywords:
ComplicationsGeriatric traumaProximal femur fractureRisk factors

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