ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
Paradigm shift in geriatric fracture treatment.
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed.
- Clinical outcomes and risk factors in the surgical treatment of distal femur fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Acceptable outcomes after anterior subcutaneous pelvic Internal Fixation (INFIX) for Fragility Fractures of the Pelvis (FFP) type III in elderly patients: a retrospective study.BMC geriatrics · 2026Article
- Biomechanical Considerations in Osteoporotic Fracture Fixation.Indian journal of orthopaedics · 2025Article
- Outcome of Conservative Treatment of Odontoid Fractures in Elderly Patients Over 80 Years Old.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Anterior variable angle locking neutralisation plate superiority over traditional tension band wiring for treating transverse patella fractures.Journal of experimental orthopaedics · 2024Article
- Odontoid fracture in geriatric patients - analysis of complications and outcome following conservative treatment vs. ventral and dorsal surgery.BMC geriatrics · 2023Article
- Outcomes of Angular Stable Locking System in Femoral Diaphyseal Fractures of Elderly Patients: A Multicenter Comparative Study.Clinics in orthopedic surgery · 2023Article
- Exposing the Care Conundrum of Low-Energy Pelvic Ring Fractures in Older Adults: A Review of 322 Patients.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Safety and efficacy of two ilioiliac tension band plates osteosynthesis of fragility fractures of the pelvis.Scientific reports · 2022Article
- Percutaneous operative treatment of fragility fractures of the pelvis may not increase the general rate of complications compared to non-operative treatment.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Does surgical treatment for unstable fragility fracture of the pelvis promote early mobilization and improve survival rate and postoperative clinical function?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Operative treatment of fragility fractures of the pelvis: a critical analysis of 140 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Incidence of Radiolucent Lines after Cemented Total Knee Arthroplasty.The archives of bone and joint surgery · 2022Article
- Outcomes of Tibial Plateau Fracture Surgical Fixation: a Comparative Study between Younger and Older Age Groups.The archives of bone and joint surgery · 2021Article
- Focus on fragility fractures of the pelvis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Hypoxia in Bone and Oxygen Releasing Biomaterials in Fracture Treatments Using Mesenchymal Stem Cell Therapy: A Review.Frontiers in cell and developmental biology · 2021Review
- Iliac intramedullary stabilization for Type IIIA fragility fractures of the pelvis.Scientific reports · 2020Article
- Osteosynthesis of a Multifragment Femoral Shaft Fracture and Peri-Implant Refracture in an 83-Year-Old Patient with Osteogenesis Imperfecta.Case reports in orthopedics · 2020Article
- Biomechanics of Osteoporotic Fracture Fixation.Current osteoporosis reports · 2019Review
- [Osteoporotic bone fractures: intramedullary augmentation and hybrid osteosynthesis].Der Unfallchirurg · 2019Review
Corrections and comments
- Commented on by
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The number of geriatric patients is increasing. These patients exhibit specific characteristics, which influence the type of fracture care. Many patients have comorbidities, which make them more vulnerable to surgical procedures. The soft tissue envelope around the fracture often is compromised due to pre-existing diseases such as diabetes, chronic venous insufficiency or peripheral vascular disease. Bone mineral density has decreased, which enhances the risk of implant loosening. The goals of treatment differ from those, which are valid for younger adults. Primary goal is preserving independency of the elderly patient in his activities of daily life. Advantages and drawbacks of surgical procedures have to be balanced with those of conservative treatment. Fractures of the lower extremities will more often need surgical treatment than fractures of the upper extremities. Patient´s autonomy is best obtained by creating high stability in the fracture plane, which enables motion and weight-bearing. Second priority is prevention of general and local post-operative complications by the use of less invasive surgical procedures. Restoring anatomy and optimal function are less important goals. The implants, which are used, are inserted through small incisions, placed deep under the skin and use long anatomic or osseous corridors. Intramedullary devices have important advantages. This paradigm shift takes the special challenges and requirements of geriatric patients into account.
Indexed as
Identifiers
30725152What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.