New Strategies in the Management of Geriatric Bone Fracture

Dear Colleagues,

Geriatric trauma care is gaining more importance due to demographic changes. In addition to poor bone quality, which makes fracture fixation more difficult, comorbid conditions often lead to perioperative complications and hamper rehabilitation.

Surgical treatment in geriatric trauma care should be straightforward and less invasive, allow immediate weight-bearing, and should be associated with a low complication rate. The failed treatment of geriatric fragility fractures leads to remarkable disability and pain, and revision surgery is frequently accompanied by higher complication and reoperation rates than primary fixation. There is an urgent need to establish a profound strategy for the effective surgical management of these fragile patients. The answer to all problems is still lacking—all or partly in consequence of the complication rate induced by the surgeon themselves. Even though the fracture pattern indicates a specific treatment option to some extent, the patient characteristics play an important role in decision making. To improve construct stability, cement augmentation strategies should be evaluated critically. Adequate reduction and stable fixation are prerequisites for uneventful healing. A meticulous operative technique can prevent iatrogenic complications.

The purpose of this Special Issue is to discuss the evidence for the fixation/prosthetic treatment of osteoporotic fractures in the elderly considering innovations and developments in the future as well. The scope of this Special Issue is deliberately broad in order to encourage the coverage of a wide range of topics and perspectives related to the management of geriatric fractures. This includes not only clinical treatments but also biomechanical considerations regarding implant anchorage, patient experience, epidemiology, service delivery, complex co-management strategies in geriatric fracture care including fall prevention, and new interdisciplinary developments like the installation of a fracture liaison service or a geriatric fracture center.

Prof. Dr. Matthias Knobe
Guest Editor

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• osteoporosis
• fracture fixation
• implant anchorage
• cement augmentation
• co-management
• fragility fracture
• comorbidity
• fall prevention
• biomechanical investigation
• geriatric fracture center