Acetabular Fractures in Older Patients Assessment and Management
Acetabular fractures in older adults are increasing in frequency and present unique challenges to the surgeons charged with their treatment. This text provides the clinician tools for deciding who is an operative candidate and reviews in detail the variou
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Acetabular Fractures in Older Patients
Theodore T. Manson Editor
Acetabular Fractures in Older Patients Assessment and Management
Editor Theodore T. Manson Department of Orthopaedic Surgery R Adams Cowley Shock Trauma Center University of Maryland Baltimore, MD USA
ISBN 978-3-030-25104-8 ISBN 978-3-030-25105-5 (eBook) https://doi.org/10.1007/978-3-030-25105-5 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
The number of older adults with acetabular fractures is increasing; not only from lower energy falls but also from higher energy injuries in a more active older population. Our exploration of the care of these patients will start with a description of the scope of the problem and special techniques to evaluate activity level and frailty of older adults. The optimal treatment for older adults with acetabular fractures is controversial with advocates for non-operative treatment, limited percutaneous or minimally invasive techniques, standard formal reduction and fixation and even fixation plus concomitant total hip arthroplasty in the same surgery. Rather than advocating for one technique, all these techniques are reviewed and detailed surgical descriptions and illustrations are included. Finally, the known outcomes for each of these techniques are reviewed and summarized. We hope that you will find this helpful in managing these difficult fractures. Baltimore, MD, USA
Theodore T. Manson
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Contents
1 Introduction and Scope of the Problem ������������������������������������������������ 1 Andrew H. Schmidt 2 Life Expectancy and Assessment of Functional Status in Older Adults �����������������������������������������
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