orthopaedic procedures, older adult patients, especially with co-morbidities, need a more intensive level of care than younger patients during the pre- peri- and post-operative periods. 2 – 4 Pre-operative management In the pre-operative period the
Dieter Wirtz and Hendrik Kohlhof
Nikolaos Gougoulias, Hesham Oshba, Apostolos Dimitroulias, Anthony Sakellariou, and Alexander Wee
Diabetics are also more likely to undergo secondary operations 1 , 6 and have worse outcomes regarding activity limitation scores. 1 Because of the higher risk of infection and other serious surgical complications, non-operative management of acute
Paul Hoogervorst, Peter van Schie, and Michel PJ van den Bekerom
open fractures, compromised skin, neurovascular complications or an additional fracture of the scapular neck (floating shoulder). 17 , 18 Others have described relative indications for operative management, which are displaced midshaft clavicle
Thomas J. Holme, Marta Karbowiak, Magnus Arnander, and Yael Gelfer
the cases undergoing cerclage wiring, the intra-operative reduction was inadequate, resulting in poor clinical and radiological outcomes secondary to development of OA. OI-related fractures ( Table 4 ) Table 4. Management and outcomes in
Allan Roy Sekeitto, Nkhodiseni Sikhauli, Dick Ronald van der Jagt, Lipalo Mokete, and Jurek R.T. Pietrzak
of systemic decline 23 and sub-clinical physiological changes which impair the body’s response to the trauma of the injury. 22 Management Pre-operative assessment FNFs constitute an orthopaedic emergency. 13 The pre-operative
Fahima A. Begum, Babar Kayani, Justin S. Chang, Rosamond J. Tansey, and Fares S. Haddad
high risk of injury recurrence. 1 , 5 However, understanding the optimal management of rectus femoris injuries is challenging, as existing reports on non-operative and operative management of these injures have combined proximal and distal muscle
Michele Boffano, Stefano Mortera, and Raimondo Piana
rehabilitation programme. Operative management, which may involve open or arthroscopic surgery, incorporates soft-tissue reconstructions (repair of labral detachment with or without capsular shift) and/or bony procedures (e.g. transfer of the coracoid process
Nick Evans and Michael McCarthy
grade of stability. 16 Non-operative management For the majority of patients with low-grade degenerative spondylolisthesis who present with lower back pain without stenotic symptoms, the spondylolisthesis is static and symptoms do not
Rafik Yassa, Mahdi Yacine Khalfaoui, Ihab Hujazi, Hannah Sevenoaks, and Paul Dunkow
(BCSH) did not make reference to the peri-operative management of VKA anticoagulation in hip fracture patients but suggested, in the non-acute setting, that FFP should be reserved only for the reversal of VKA anticoagulation in the presence of severe
Ian Garrison, Grayson Domingue, and M. Wesley Honeycutt
. Treatment Non-operative management of ST fractures is not usually a viable option. Without surgical reduction and fixation, patients have a high risk of symptomatic malunion or nonunion; but more importantly, they are unable to mobilize, resulting in a