Unfallchirurgie im Alter

Siebert, H.; Beck, A.

doi:10.1007/s00104-004-0980-z

Cited by 29 publications

(9 citation statements)

References 48 publications

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“…Antegrade femoral nailing is the gold standard for surgical treatment of diaphyseal femoral shaft fractures because of decreased operative trauma and the possibility of early weight bearing [8]. It has a high rate of union (99%) and a low rate of infection and malunion (<1%) [9,10].…”

Section: Discussionmentioning

confidence: 99%

Osteosarcoma in the distal femur two years after an ipsilateral femoral shaft fracture: a case report

Dorrestijn

Jutte

2011

J Med Case Reports

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IntroductionThe duration of symptoms preceding a definitive diagnosis of osteosarcoma is quite long. Pathological radiological signs are often evident by the time of diagnosis. Although several case reports have been published on osteosarcoma of the femur, to the best of our knowledge this report is the first one with such an unusual clinical course.Case presentationWe describe the case of a 58-year-old Caucasian man who presented with a femoral shaft fracture. Two years post-trauma osteosarcoma in the ipsilateral distal femur was diagnosed. Was it coincidence? We think that the history of the trauma is crucial to answering this question.ConclusionThis case report underlines the need to keep up awareness of pathological fractures in emergency medicine and trauma surgery. When radiographs do not raise any suspicion but the history of trauma or the physical examination does, we recommend further radiological and/or histological diagnostic examinations.

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Section: Discussionmentioning

confidence: 99%

Osteosarcoma in the distal femur two years after an ipsilateral femoral shaft fracture: a case report

Dorrestijn

Jutte

2011

J Med Case Reports

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“…Das Risiko, innerhalb eines Jahres eine weitere osteoporosebedingte Fraktur zu erleiden, beträgt ca. 30 % [34]. …”

Section: Outcome/prognoseunclassified

Hüftendoprothetik nach Trauma

Hack

Bücking

Eschbach

et al. 2017

Trauma Berufskrankh

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“…Apart from biomechanical considerations, individual factors, such as age, gender, morbidity, fracture classification, quick rehabilitation, and bone density, must be incorporated in the decisionmaking process before osteosynthesis. Goldhahn & Siebert et al provide an overview of fracture repair in the elderly [28,29]. The main causal factor for failure of fracture repair may not be independent of the bone density.…”

Section: Current Concepts In Fragility Fracture Repairmentioning

confidence: 99%

Current Aspects of Fragility Fracture Repair

Grote

Boecker²,

Mutschler³

et al. 2008

Eur J Trauma Emerg Surg

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Due to the demographic developments worldwide, fragility fractures represent an increasing problem for the public health system. The risk of developing osteoporosis increases with age and is relatively higher in women and in the Caucasian population. The stability of bone is reduced because of accentuation of the normal loss of bone mass in ageing, leading to an increased susceptibility to fracture with an increased rate of complications after surgical stabilization. Due to this, the orthopedic surgeon has to assess the quality of the bone during preoperative planning and select the implants and postoperative care accordingly to achieve the best. Over the last 10 years fixed locking implants have been introduced into clinical practice. These represent a new type of angle stable fixation devices that address the mechanical instability between bone and implant. The novel problems associated with this device are due to higher cut-out rates when the bone structure is altered and mass is reduced. The developments in joint replacement have also resulted in longer standing times and lower complication rates with immediate fullweight-bearing after implantation. However, to date, little is known about the mechanisms of fracture healing in osteoporosis or fragility fractures. One future approach may be in supporting biological fracture healing by regenerative therapies using growth hormones and/or (stem) cells. The most frequent initial clinical symptom of osteoporosis is a fracture without a relevant trauma. At this stage, the trauma surgeon should initiate diagnostic procedures, treatment of osteoporosis and tertiary prevention according to the European guidelines. Ultimately, all female patients older than 50 years and all male patients older than 60 years with fractures should be assessed and treated for bone quality. Orthogeriatric specialists or interdisciplinary orthogeriatric teams should initiate a specific surgical treatment followed by early rehabilitation in order to allow the elderly patient to return to daily living as soon as possible.

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Unfallchirurgie im Alter

Cited by 29 publications

References 48 publications

Osteosarcoma in the distal femur two years after an ipsilateral femoral shaft fracture: a case report

Osteosarcoma in the distal femur two years after an ipsilateral femoral shaft fracture: a case report

Hüftendoprothetik nach Trauma

Current Aspects of Fragility Fracture Repair

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