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that reversal of warfarin-associated coagulopathy with vitamin K and/or FFP is not associated with a greater rate of post-operative complications in the high-risk geriatric population of patients with hip fractures and was found to be a safe alternative
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is healthier and more active 8 , 12 and presents a major public healthcare issue. 13 Globally, the management of hip fractures may serve as an indicator of the quality of care of the geriatric population. 4 FNFs are associated with
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investigation. Epidemiology of pelvic ring fractures About 3% of all fractures affect the pelvic ring. 9 , 10 However, a Swedish study in the early 1990s showed that the incidence of pelvic ring fractures notably increases in geriatric patients
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Kristiansen T Bartlett CS Schottel PC . Nonoperative geriatric hip fracture treatment is associated with increased mortality: a matched cohort study . J Orthop Trauma 2019 ; 33 : 346 – 350 . 15. Koval KJ Rezaie
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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. Suicidal jumper’s fracture – sacral fractures and spinopelvic instability: a case series . J Med Case Rep 2018 ; 12 : 186 . 21. Pulley BR Cotman SB Fowler TT . Surgical fixation of geriatric sacral U-type insufficiency
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tibial plate ( n = 5) Corticocancellous autograft from iliac bone ( n = 10) Metwaly & Zakaria (31) Prospective 23 Isolated, closed, osteoporotic distal femoral fracture in geriatric patients (>60 years).A3 ( n = 3), C1 ( n = 2), C2
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increased infection and wound complication rates. 12 Comorbidities Cardiovascular The prevalence of often multiple comorbidities increases with age. Data from Nikkel et al of over 30 000 geriatric patients with proximal femur fractures gives
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complex. Due to the demographic change, the population worldwide is aging and how to handle geriatric fractures becomes a more important question. Considering acetabular fractures, many authors tried to define radiographic guidelines or predictive criteria
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-energy trauma, high comminution and poor bone stock in geriatric patients were cited as reasons for nonunion. Particularly in elderly patients, fracture union rather than motion is the first priority, because motion can be restored by later contracture release
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Gras F Hohmann T Märdian S Holmenschlager F Keil H Palm HG Herath SC Josten C Age and ‘general health’ – beside fracture classification – affect the therapeutic decision for geriatric pelvic ring fractures: a German Pelvic Injury