[Geriatric traumatology-Principles of orthogeriatrics]

Area of Science:

• Geriatric Medicine
• Trauma Surgery
• Orthopedics

Context:

• Increasing prevalence of fragility fractures necessitates advanced treatment strategies.
• Patients often present with multimorbidity, complicating care pathways.
• Specialized centers are recommended for managing complex fragility fracture cases.

Purpose:

• To outline an optimized, interdisciplinary approach for treating patients with fragility fractures.
• To highlight the benefits of collaborative care between trauma surgeons and geriatricians.
• To emphasize the importance of early identification and prevention of complications such as delirium.

Summary:

• Recommended treatment involves specialized centers with collaborative care from trauma surgeons and geriatricians.
• A standardized protocol includes rapid surgical stabilization, interdisciplinary patient care, and osteoporosis management.
• Early identification of high-risk patients in the emergency department is crucial for timely preventive measures.

Impact:

• Improved patient outcomes through coordinated, multidisciplinary care.
• Reduced complication rates, including delirium, through proactive management.
• Adherence to legislative requirements for proximal femoral fracture treatment.