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Current Concepts Review   |    
High-Energy Skeletal Trauma in the Elderly
Julie A. Switzer, MD1; Steven R. Gammon, MD1
1 Division of Orthopaedic Trauma, University of Minnesota-Regions Hospital, 640 Jackson Street, St. Paul, MN 55101. E-mail address for J.A. Switzer: Julie.A.Switzer@HealthPartners.com
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Investigation performed at the University of Minnesota-Regions Hospital, St. Paul, Minnesota



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Dec 05;94(23):2195-2204. doi: 10.2106/JBJS.K.01166
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Abstract

Despite the increasing prevalence of high-energy skeletal trauma in the elderly (i.e., sixty years or older), there is a lack of prospective data regarding best care for these injuries.

Elderly patients with multiple injuries are often undertriaged to trauma centers and underresuscitated.

Aggressive early resuscitation can improve outcomes in elderly patients who have sustained skeletal trauma.

Comanagement by orthopaedic surgeons and geriatricians of elderly patients with skeletal trauma can lead to a lower length of hospital stay, lower readmission rates, shorter time to operation, lower complication rates, and lower mortality.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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