Management of Lower Extremity Fractures in the Elderly: A Focus on Post-Operative Rehabilitation

被引:21
作者
Donohoe, Erin [1 ]
Roberts, Heather J. [1 ]
Miclau, Theodore [1 ]
Kreder, Hans [2 ]
机构
[1] Univ Calif San Francisco, Zuckerberg San Francisco Gen Hosp, Orthopaed Trauma Inst, Dept Orthopaed Surg, San Francisco, CA 94143 USA
[2] Univ Toronto, Sunnybrook Hlth Sci Ctr, Div Orthopaed Surg, Toronto, ON, Canada
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2020年 / 51卷
关键词
Fragility fractures; Elderly; Osteoporosis; Fracture management; Rehabilitation; Post-operative management; DISPLACED ANKLE FRACTURES; CALCIUM-PHOSPHATE CEMENT; WEIGHT-BEARING; HIP-FRACTURE; INTERNAL-FIXATION; RETROSPECTIVE ANALYSIS; OPEN REDUCTION; AUGMENTATION; OLDER; BONE;
D O I
10.1016/j.injury.2020.04.050
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Fractures in the elderly population are increasing in incidence and represent a rising burden of disease. It is difficult for the elderly population to adhere to restricted weight bearing, and immobility poses significant risks and increased morbidity. Therefore, a primary goal of fracture management in the elderly population is early post-operative weight bearing. This review examines published literature regarding lower extremity fracture management in the elderly, with a focus on post-operative rehabilitation. While extensive literature supports early weight bearing after hip fractures in the elderly, further research is warranted to provide guidelines for management of other lower extremity fractures in this population. (C) 2020 Published by Elsevier Ltd.
引用
收藏
页码:S118 / S122
页数:5
相关论文
共 69 条
[51]   Comparison of Autogenous Bone Graft and Endothermic Calcium Phosphate Cement for Defect Augmentation in Tibial Plateau Fractures [J].
Russell, Thomas A. ;
Leighton, Ross K. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2008, 90A (10) :2057-2061
[52]   Outcome after surgical treatment of fragility ankle fractures in a certified orthogeriatric trauma center [J].
Schray, D. ;
Ehrnthaller, C. ;
Pfeufer, D. ;
Mehaffey, S. ;
Boecker, W. ;
Neuerburg, C. ;
Kammerlander, C. ;
Zeckey, C. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2018, 49 (08) :1451-1457
[53]   Two-year effects of an interdisciplinary intervention on recovery following hip fracture in older Taiwanese with cognitive impairment [J].
Shyu, Yea-Ing L. ;
Tsai, Wen-Che ;
Chen, Min-Chi ;
Liang, Jersey ;
Cheng, Huey-Shinn ;
Wu, Chi-Chuan ;
Su, Juin-Yih ;
Chou, Shih-Wei .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2012, 27 (05) :529-538
[54]   Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis [J].
Simunovic, Nicole ;
Devereaux, P. J. ;
Sprague, Sheila ;
Guyatt, Gordon H. ;
Schemitsch, Emil ;
DeBeer, Justin ;
Bhandari, Mohit .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2010, 182 (15) :1609-1616
[55]   Early ambulation after hip fracture - Effects on function and mortality [J].
Siu, AL ;
Penrod, JD ;
Boockvar, KS ;
Koval, K ;
Strauss, E ;
Morrison, RS .
ARCHIVES OF INTERNAL MEDICINE, 2006, 166 (07) :766-771
[56]   Internal fixation of ankle fractures in the very elderly [J].
Srinivasan, CMS ;
Moran, CG .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2001, 32 (07) :559-563
[57]   The management of ankle fractures in the elderly [J].
Strauss, Eric J. ;
Egol, Kenneth A. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2007, 38 :2-9
[58]   How long should patients be kept non-weight bearing after ankle fracture fixation? A survey of OTA and AOFAS members [J].
Swart, Eric ;
Bezhani, Hariklia ;
Greisberg, Justin ;
Vosseller, J. Turner .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2015, 46 (06) :1127-1130
[59]   Postoperative weight bearing and patient reported outcomes at one year following tibial plateau fractures [J].
Thewlis, Dominic ;
Fraysse, Francois ;
Callary, Stuart A. ;
Verghese, Viju Daniel ;
Jones, Claire F. ;
Findlay, David M. ;
Atkins, Gerald J. ;
Rickman, Mark ;
Solomon, Lucian B. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2017, 48 (07) :1650-1656
[60]   Are Low-Energy Open Ankle Fractures in the Elderly the New Geriatric Hip Fracture? [J].
Toole, William P. ;
Elliott, Mark ;
Hankins, David ;
Rosenbaum, Corey ;
Harris, Anthony ;
Perkins, Christopher .
JOURNAL OF FOOT & ANKLE SURGERY, 2015, 54 (02) :203-206