Fractures in the Elderly A Guide to Practical Management
Fractures in the Elderly: A Guide to Practical Management provides geriatricians and other medical specialists who provide care for older adults with the vital guidance and most current data and opinions regarding the treatment of elderly patients who sus
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Robert J. Pignolo • Mary Ann Keenan Nader M. Hebela Editors
Fractures in the Elderly A Guide to Practical Management
Editors Robert J. Pignolo Departments of Medicine and Orthopaedic Surgery Director Ralston-Penn Clinic for Osteoporosis and Related Bone Disorders University of Pennsylvania School of Medicine Philadelphia, PA USA [email protected]
Mary Ann Keenan Professor, Department of Orthopaedic Surgery Hospital of the University of Pennsylvania Philadelphia, PA USA [email protected]
Nader M. Hebela Assistant Professor of Orthopaedic Surgery Department of Orthopaedic Surgery University of Pennsylvania School of Medicine Philadelphia, PA USA [email protected]
ISBN 978-1-60327-466-1 e-ISBN 978-1-60327-467-8 DOI 10.1007/978-1-60327-467-8 Springer New York Dordrecht Heidelberg London © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Humana Press, c/o Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Humana Press is part of Springer Science+Business Media (www.springer.com)
Preface
According to the National Osteoporosis Foundation, one in two women and one in four men over age 50 will have an osteoporosis-related fracture in their lifetime, accounting for more than 1.5 million fractures annually. In the USA, a women’s risk of hip fracture is equal to her combined risk of breast, uterine, and ovarian cancer. Although not all fractures in the elderly are related to osteoporosis, the vast majority of them are, and the risk of fracture from both low- and high-impact trauma is increased in the setting of osteoporosis. Only about 40% of hip fracture survivors are able to return to their prior level of activities of daily living, and even fewer return to their prefracture level for instrumental activities. A nontrivial proportion of patients with hip fractures will require long-term institutional care. Despite these sober statistics, currently less than
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