0
Instructional Course Lecture   |    
Geriatric Trauma: The Role of Immediate Arthroplasty
Andrew H. Schmidt, MD1; Jonathan P. Braman, MD2; Paul J. Duwelius, MD3; Michael D. McKee, MD, FRCS(C)4
1 Department of Orthopedic Surgery, Hennepin County Medical Center, 701 Park Avenue, Mailcode G2, Minneapolis, MN 55415. E-mail address: schmi115@umn.edu
2 Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, #R200, Minneapolis, MN 55454. E-mail address: brama011@umn.edu
3 Orthopedic and Fracture Specialists, 11782 SW Barnes Road, Suite 300, Portland, OR 97225. E-mail address: pduwelius@gmail.com
4 Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, St. Michael’s Hospital, 55 Queen Street East, Suite 800, Toronto, ON M5C 1R6, Canada. E-mail address: mckeem@smh.ca
View Disclosures and Other Information
  • Disclosure statement for author(s): PDF

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy’s Annual Meeting, will be available in March 2014 in Instructional Course Lectures, Volume 63. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).



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. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, one or more of the authors has had another relationship, or has engaged in another activity, 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 © 2013 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2013 Dec 18;95(24):2230-2239
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Periarticular fractures in the elderly are difficult to stabilize, and nonoperative treatment is not well tolerated. Surgery is usually indicated, but standard techniques of internal fixation often fail in this age group because of osteopenic bone and fracture comminution. These factors often prevent sufficient fixation to allow early weight-bearing, which is of critical importance in the geriatric patient.
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Akbar Hussaini, MD
    Posted on December 23, 2013
    Timing of THA after femoral neck fracture; non-displaced femoral neck fractures; Trauma vs Arthroplasty primary Surgeon
    Seton Highland Lakes, Burnet,TX, USA

    Could the authors comment on:

    1. Possible bias in existing literature for ORIF in femoral neck fracture treatment, given that many studies are published by trauma surgeons/centers, and not arthroplasty surgeons in treatment of femoral neck fracture.
    2. The role of arthroplasty in non-displaced femoral neck fracture in octogenarians.
    3. Timing of arthroplasty (typically stated as within 48hrs from admission in most studies) for these patients, is there a detriment to operating later (2-4 days)?

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Guidelines
    Results provided by:
    PubMed
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    03/19/2014
    Massachusetts - The University of Massachusetts Medical School
    11/15/2013
    Louisiana - Ochsner Health System
    01/08/2014
    Pennsylvania - Penn State Milton S. Hershey Medical Center