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Osteoporotic Fracture Care

Medical and Surgical Management


Format: Hardback
ISBN: 9783132427518
Publication Date: September 2018

With an increase in the longevity of the global population, care of the functional, cognitive, and physical health of older adults is essential. There has been a dramatic demographic shift toward a growing aging population and an increase in osteoporotic fractures that has occurred over the last few decades especially in Western countries. This clearly demonstrates the need for a comprehensive approach to treating fragility fractures by surgeons, geriatricians, and care staff.

Osteoporotic Fracture Care is the first book of its kind to offer a well-rounded and comprehensive resource on fragility fractures and orthogeriatric care designed to help new and experienced surgeons, geriatricians, physicians, and care personnel to better work together and develop interprofessional and interdisciplinary systems so as to treat patients more effectively.

The book contains 44 chapters and is divided into three sections: "Principles", "Improving the system of care", and "Fracture management". The book's key features are:

  • In-depth insight into the needs of older adults and how to best improve patient care, patient outcome, and reduce system costs
  • Twenty detailed and illustrative case-based chapters giving the reader a wide array of options to improve patient care and outcomes
  • More than 1,000 high-quality x-rays, clinical images, and illustrations

Section 1—Principles 1

1.1 Principles of orthogeriatric medical care

1.2 Principles of orthogeriatric surgical care

1.3 Principles of orthogeriatric anesthesia

1.4 Preoperative risk assessment and preparation

1.5 Prognosis and goals of care

1.6 Anticoagulation in the perioperative setting

1.7 Postoperative medical management

1.8 Postoperative surgical management

1.9 Postacute care

1.10 Osteoporosis

1.11 Sarcopenia, malnutrition, frailty, and falls

1.12 Pain management

1.13 Polypharmacy

1.14 Delirium

Section 2—Improving the system of care

2.1 Models of orthogeriatric care

2.2 Overcoming barriers to implementation of a care model

2.3 Clinical practice guidelines

2.4 Elements of an orthogeriatric comanaged program

2.5 Adapting facilities to fragility fracture patients

2.6 Orthogeriatric team–principles, roles, and responsibilities

2.7 Protocol and order set development

2.8 Fracture liaison service and improving treatment rates for osteoporosis

2.9 Use of registry data to improve care

2.10 Lean business principles

Section 3—Fracture management

3.1 Proximal humerus

3.2 Humeral shaft

3.3 Distal humerus

3.4 Elbow

3.5 Olecranon

3.6 Distal forearm

3.7 Pelvic ring

3.8 Acetabulum

3.9 Femoral neck

3.10 Trochanteric and subtrochanteric femur

3.11 Femoral shaft

3.12 Distal femur

3.13 Periprosthetic fractures around the hip

3.14 Periprosthetic fractures around the knee

3.15 Proximal tibia

3.16 Tibial shaft

3.17 Ankle

3.18 Atypical fractures

3.19 Chest trauma

3.20 Polytrauma

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