Orthopedic Surgery and the Geriatric Patient

Alexander S Greenstein; John T Gorczyca

doi:10.1016/j.cger.2018.08.007

Orthopedic Surgery and the Geriatric Patient

Clin Geriatr Med. 2019 Feb;35(1):65-92. doi: 10.1016/j.cger.2018.08.007. Epub 2018 Oct 11.

Authors

Alexander S Greenstein¹, John T Gorczyca²

Affiliations

¹ Department of Orthopaedics, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, NY 14642, USA.
² Department of Orthopaedics, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, NY 14642, USA. Electronic address: John_Gorczyca@URMC.Rochester.edu.

PMID: 30390985
DOI: 10.1016/j.cger.2018.08.007

Abstract

As more patients live longer, it is probable that an increasing number of geriatric patients will require surgery. An organized, systematic, coordinated, multidisciplinary approach to the perioperative management of these patients will result in fewer complications, improved outcomes, and reduced cost of care. Details are herein provided on the preoperative diagnostic evaluation and assessment as well as perioperative care provided to optimize outcomes. The diagnosis, workup, and treatment of osteoporosis and fragility fractures are presented. The article concludes with a review of the care of the geriatric orthopedic patient in the posthospital time period.

Keywords: Comanagement; Falls; Fragility fracture; Geriatric patient; Orthopaedic surgery; Orthopedic surgery; Osteoporosis.

Publication types

Review

MeSH terms

Aged
Geriatric Assessment / methods
Hip Fractures* / rehabilitation
Hip Fractures* / surgery
Humans
Orthopedics* / methods
Orthopedics* / organization & administration
Osteoporotic Fractures* / rehabilitation
Osteoporotic Fractures* / surgery
Patient Care Team / organization & administration
Perioperative Care* / methods
Perioperative Care* / standards
Risk Adjustment / methods