Management of Lower Extremity Fractures in the Elderly: A Focus on Post-Operative Rehabilitation. (May 2020)

• Record Type: Journal Article
• Authors: Donohoe, Erin; Roberts, Heather J.; Miclau, Theodore; Kreder, Hans
• Is Part Of: Injury. Volume 51(2020)Supplement 2
• Page Start: S118
• Page End: S122
• Publication Date: 2020-05
• Subjects: Fragility fractures -- Elderly -- Osteoporosis -- Fracture management -- Rehabilitation -- Post-operative management; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2020.04.050
• Languages: English
• ISSNs: 0020-1383

Abstract

Highlights: Fractures in the elderly population are a rising source of morbidity and mortality. Early mobilization is paramount, as restricted weight bearing and immobility are poorly tolerated and increase risk of complications. Surgical techniques may allow early weight bearing after lower extremity fractures in the elderly population. Abstract: 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.