Osteoporosis and fragility fractures:
Gespeichert in:
Format: | Buch |
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Sprache: | English |
Veröffentlicht: |
Philadelphia, Pa.
Elsevier
2013
|
Schriftenreihe: | Orthopedic clinics of North America
44,2 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | Includes bibliographical references and index Preface: Osteoporosis and fragility fractures -- Osteoporosis diagnosis and medical treatment -- Bisphosphonate therapy and atypical fractures -- Cognitive dysfunction in hip fracture patients -- Hip fracture protocols: what have we changed? -- Biomechanical considerations for surgical stabilization of osteoporotic fractures -- The osteoporotic acetabular fracture -- Osteoporotic pelvic ring injuries -- Osteoporotic ankle fractures -- Surgical stabilization of the spine in the osteoporotic patient -- Managing atrophic nonunion in the geriatric population: incidence, distribution, and causes |
Beschreibung: | X S., S. 125 - 260 Ill., graph. Darst. 26 cm |
ISBN: | 9781455771318 1455771317 |
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500 | |a Preface: Osteoporosis and fragility fractures -- Osteoporosis diagnosis and medical treatment -- Bisphosphonate therapy and atypical fractures -- Cognitive dysfunction in hip fracture patients -- Hip fracture protocols: what have we changed? -- Biomechanical considerations for surgical stabilization of osteoporotic fractures -- The osteoporotic acetabular fracture -- Osteoporotic pelvic ring injuries -- Osteoporotic ankle fractures -- Surgical stabilization of the spine in the osteoporotic patient -- Managing atrophic nonunion in the geriatric population: incidence, distribution, and causes | ||
650 | 4 | |a Fractures in old age / Diagnosis | |
650 | 4 | |a Fractures in old age / Treatment | |
650 | 4 | |a Osteoporosis / Diagnosis | |
650 | 4 | |a Osteoporosis / Treatment | |
650 | 4 | |a Osteoporosis / diagnosis | |
650 | 4 | |a Osteoporosis / therapy | |
650 | 4 | |a Fractures, Bone / diagnosis | |
650 | 4 | |a Fractures, Bone / therapy | |
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adam_text | Titel: Osteoporosis and fragility fractures
Autor: Lowe, Jason A
Jahr: 2013
Osteoporosis and Fragility Fractures
Contents
Preface: Osteoporosis and Fragility Fractures ix
Jason A. Lowe and Gary E. Friedlaender
Osteoporosis Diagnosis and Medical Treatment 125
Amy H. Warriner and Kenneth G. Saag
Osteoporosis, the presence of either low bone mineral density or a history of a fragil-
ity fracture, is known to be associated with an increased risk of future fracture. Frac-
ture prevention is possible through use of both nonpharmacologic and prescription
treatments. Despite recent controversy regarding the safety of calcium supplemen-
tation and the appropriate dosing of calcium and vitamin D, calcium and vitamin D
remain an important part of bone health. However, prescription osteoporosis treat-
ments should be considered for those at higher risk for fracture, and there are cur-
rently several treatment options available.
Bisphosphonate Therapy and Atypical Fractures 137
Anas Saleh, Vishai V. Hegde, Anish G. Potty, and Joseph M. Lane
Atypical femoral fractures have attracted a great deal of attention and controversy
in the osteoporosis community because of their association with prolonged
bisphosphonate therapy. The purpose of this article is to review the epidemiologic
evidence linking bisphosphonates to atypical fractures and to highlight the potential
pathologic mechanisms involved in such fractures. A management plan is provided
based on the available evidence.
Cognitive Dysfunction in Hip Fracture Patients 153
Harman Chaudhry, Philip J. Devereaux, and Mohit Bhandari
Hip fractures represent a widespread morbidity among the geriatric population. In
North America, more than 320,000 hip fractures are sustained annually, a number
that is expected to increase dramatically as the population continues to age. Disor-
ders of cognition, primarily dementia and delirium, also have a higher-than-average
incidence and prevalence among the geriatric population. The co-occurrence of
cognitive dysfunction and hip fracture is an important entity for orthopedic surgeons
and other clinicians involved in hip fracture care to recognize. This article provides an
overview of the currently available evidence regarding cognitive dysfunction, specif-
ically dementia and delirium, in patients with hip fractures.
Hip Fracture Protocols: What Have We Changed? 163
GregoryJ. Delia Rocca and Brett D. Crist
Early surgical intervention is thought to reduce in-hospital morbidity and mortality as
well as short-term mortality rates for elderly patients with hip fractures. However, hip
fractures are also thought to be a symptom of progressive decline in elderly patients
with multiple medical comorbidities. A measured approach to medical optimization,
which may preclude rapid surgical intervention, is often required to improve the
patient s ability to resume a prefracture standard of living. Of late, new models of
geriatric hip-fracture care have emerged, most of which entail early involvement of
vi
Contents
geriatricians and interdisciplinary care pathways, while continuing to focus on rapid
surgical treatment.
Biomechanical Considerations for Surgical Stabilization of Osteoporotic Fractures 183
Ljiljana Bogunovic, Steven M. Cherney, Marcus A. Rothermich, and Michael J. Gardner
The incidence of osteoporotic fractures has been steadily rising along with the aging
of the population. Surgical management of these fractures can be a challenge to or-
thopedic surgeons. Diminished bone mass and frequent comminution make fixation
difficult. Advancements in implant design and fixation techniques have served to
address these challenges and when properly applied, can improve overall outcome.
The purpose of this review is to describe fixation challenges of common osteopo-
rotic fractures and provide options for successful treatment.
The Osteoporotic Acetabular Fracture 201
Patrick D.G. Henry, HansJ. Kreder, and Richard J. Jenkinson
Fractures of the acetabulum are some of the most challenging fractures that face
orthopedic surgeons. In geriatric patients, these challenges are enhanced by the
complexity of fracture patterns, the poor biomechanical characteristics of osteopo-
rotic bone, and the comorbidities present in this population. Nonsurgical manage-
ment is preferable when the fracture is stable enough to allow mobilization, and
healing in a functional position can be expected. When significant displacement
and/or hip instability are present, operative management is preferred in most pa-
tients, which may include open reduction and internal fixation with or without total
hip arthroplasty.
Osteoporotic Pelvic Ring Injuries 217
Michael P. Leslie and Michael R. Baumgaertner
As with most fractures associated with osteoporosis, the incidence of pelvic ring in-
juries in this population of patients is rising rapidly. Osteoporotic pelvic ring injuries
are exceedingly different in their etiology, natural history, and treatment from the
more recognizable patterns in young patients with high-energy pelvic ring injuries.
Recognition of a potentially unstable fracture pattern, careful evaluation of the am-
bulatory and functional status of each patient before injury, and the potential pitfalls
and benefits of operative versus nonoperative care are critical to the effective
treatment.
Osteoporotic Ankle Fractures 225
Joshua R. Olsen, Joshua Hunter, and Judith F. Baumhauer
Ankle fractures are one of the most common injuries in the elderly and their inci-
dence is anticipated to increase over the next 20 years. Appropriate management
of ankle fractures in this population requires an understanding of the issues unique
to the elderly. Osteoporosis must be considered when counseling patients about
their ankle fracture. Good outcomes can be achieved with surgical fixation of ankle
fractures in the elderly. Postoperative complications are higher in patients with
diabetes and peripheral vascular disease, and in patients who smoke. This article re-
views how to evaluate and treat ankle fractures in elderly patients with osteoporosis,
evaluates the outcomes, and discusses surgical techniques.
Contents v¡¡
Surgical Stabilization of the Spine in the Osteoporotic Patient 243
Shah-Nawaz M. Dodwad and Safdar N. Khan
Osteoporosis affects millions of US citizens, and millions more are at risk for devel-
oping the disease. Several operative techniques are available to the spine surgeon to
provide care for those affected by osteoporosis. The types of osteoporosis, com-
mon surgical complications, medical optimization, and surgical techniques in the
osteoporotic spine are reviewed, with an emphasis on preoperative planning.
Managing Atrophic Nonunion in the Geriatric Population: Incidence, Distribution, and
Causes 251
Bryon Hobby and Mark A. Lee
Osteoporosis is a systemic disease that affects millions of people worldwide. It is
estimated that 50% of women and approximately 20% of men more than 50 years
of age will sustain a fragility fracture. The cause of nonunion in patients with osteo-
porosis is likely multifactorial, and includes age-related changes in fracture repair as
well as challenges in achieving stable internal fixation. This article discusses fracture
healing in patients with osteoporosis and the principles of fixation. Pharmacotherapy
for the patient with osteoporosis is also discussed.
Index
257
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indexdate | 2024-07-10T00:37:12Z |
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isbn | 9781455771318 1455771317 |
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physical | X S., S. 125 - 260 Ill., graph. Darst. 26 cm |
publishDate | 2013 |
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publisher | Elsevier |
record_format | marc |
series | Orthopedic clinics of North America |
series2 | Orthopedic clinics of North America Clinics review articles |
spelling | Osteoporosis and fragility fractures ed. Jason A. Lowe ; Gary E. Friedlaender Philadelphia, Pa. Elsevier 2013 X S., S. 125 - 260 Ill., graph. Darst. 26 cm txt rdacontent n rdamedia nc rdacarrier Orthopedic clinics of North America 44,2 Clinics review articles Includes bibliographical references and index Preface: Osteoporosis and fragility fractures -- Osteoporosis diagnosis and medical treatment -- Bisphosphonate therapy and atypical fractures -- Cognitive dysfunction in hip fracture patients -- Hip fracture protocols: what have we changed? -- Biomechanical considerations for surgical stabilization of osteoporotic fractures -- The osteoporotic acetabular fracture -- Osteoporotic pelvic ring injuries -- Osteoporotic ankle fractures -- Surgical stabilization of the spine in the osteoporotic patient -- Managing atrophic nonunion in the geriatric population: incidence, distribution, and causes Fractures in old age / Diagnosis Fractures in old age / Treatment Osteoporosis / Diagnosis Osteoporosis / Treatment Osteoporosis / diagnosis Osteoporosis / therapy Fractures, Bone / diagnosis Fractures, Bone / therapy Aged Aged, 80 and over Lowe, Jason A. Sonstige oth Friedlaender, Gary E. Sonstige oth Orthopedic clinics of North America 44,2 (DE-604)BV000001089 44,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025998995&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Osteoporosis and fragility fractures Orthopedic clinics of North America Fractures in old age / Diagnosis Fractures in old age / Treatment Osteoporosis / Diagnosis Osteoporosis / Treatment Osteoporosis / diagnosis Osteoporosis / therapy Fractures, Bone / diagnosis Fractures, Bone / therapy Aged Aged, 80 and over |
title | Osteoporosis and fragility fractures |
title_auth | Osteoporosis and fragility fractures |
title_exact_search | Osteoporosis and fragility fractures |
title_full | Osteoporosis and fragility fractures ed. Jason A. Lowe ; Gary E. Friedlaender |
title_fullStr | Osteoporosis and fragility fractures ed. Jason A. Lowe ; Gary E. Friedlaender |
title_full_unstemmed | Osteoporosis and fragility fractures ed. Jason A. Lowe ; Gary E. Friedlaender |
title_short | Osteoporosis and fragility fractures |
title_sort | osteoporosis and fragility fractures |
topic | Fractures in old age / Diagnosis Fractures in old age / Treatment Osteoporosis / Diagnosis Osteoporosis / Treatment Osteoporosis / diagnosis Osteoporosis / therapy Fractures, Bone / diagnosis Fractures, Bone / therapy Aged Aged, 80 and over |
topic_facet | Fractures in old age / Diagnosis Fractures in old age / Treatment Osteoporosis / Diagnosis Osteoporosis / Treatment Osteoporosis / diagnosis Osteoporosis / therapy Fractures, Bone / diagnosis Fractures, Bone / therapy Aged Aged, 80 and over |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025998995&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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