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An AOA Critical Issue. Geriatric Trauma: Young Ideas*
Kenneth J. Koval, MD; Robert Meek, MD; Emil Schemitsch, MD; Frank Liporace, MD; Elton Strauss, MD; Joseph D. Zuckerman, MD
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Kenneth J. Koval, MD
Frank Liporace, MD
Joseph D. Zuckerman, MD
Department of Orthopaedics, Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003. E-mail address for K.J. Koval: kjkmd@yahoo.com

Robert Meek, MD
Department of Orthopaedics, Vancouver General Hospital, 3114-910 West 10th Avenue, Vancouver, BC V5Z 4E3, Canada

Emil Schemitsch, MD
Division of Orthopaedic Surgery, St. Michael's Hospital, 55 Queen Street, East, Suite 800, Toronto, ON M5C 1R6, Canada

Elton Strauss, MD
Department of Orthopaedics, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1188, New York, NY 10029
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

*This report is based on a symposium presented at the Combined Annual Meetings of the American Orthopaedic Association and the Canadian Orthopaedic Association, on June 3, 2002, in Victoria, British Columbia, Canada.

J Bone Joint Surg Am, 2003 Jul 01;85(7):1380-1388
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Extract

Musculoskeletal injuries in the elderly are a major challenge, and this rapidly growing segment of the population sustains a disproportionate number of fractures. As in other orthopaedic populations, the goal is to restore or improve upon the preinjury level of function. Improved methods have increased the number of musculoskeletal conditions and injuries that are managed surgically. Similarly, advances in medical and anesthetic management techniques have enabled many elderly patients to successfully undergo orthopaedic surgical procedures that may have been contraindicated in the past because of associated medical problems. The effect of this has been to substantially improve the "quality" of life for many patients and the "quantity" of life for some.
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