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[Elbow fractures in elderly patients]

M Kocher1, G A Melcher, A Leutenegger

  • 1Chirurgische Klinik, Kantonsspital Chur.

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|January 1, 1997
PubMed
Summary

Operative treatment of elbow fractures in elderly patients with osteoporosis using open reduction and internal fixation (ORIF) can yield good results. Early postoperative physiotherapy is crucial for achieving excellent outcomes without increased complications.

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Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2017

Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Osteoporosis Research

Context:

  • Elbow fractures are common in the elderly, often associated with osteoporosis, raising questions about the applicability of established surgical methods.
  • Osteoporosis significantly impacts bone quality, potentially complicating fracture fixation and healing in elderly patients.

Purpose:

  • To evaluate the efficacy and safety of operative treatment for distal humerus and proximal radius/ulna fractures in elderly patients with osteoporosis.
  • To assess functional outcomes, complication rates, and patient satisfaction following surgical intervention.

Summary:

  • A retrospective study reviewed 33 operatively stabilized elbow fractures in 32 elderly osteoporotic patients.
  • Over 75% achieved good to excellent range of motion with no increase in complications; 80% were satisfied with surgical outcomes.
  • Open reduction and internal fixation (ORIF) appears to be a successful treatment for these fractures.

Impact:

  • Findings suggest that established operative methods, specifically ORIF, are applicable and effective for elbow fractures in elderly osteoporotic individuals.
  • Early initiation of postoperative physiotherapy is highlighted as a key factor in achieving favorable functional results and minimizing complications.

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