Conservative fracture treatment in old people

• Published in: Zeitschrift für Gerontologie und Geriatrie 2024-07, Vol.57 (4), p.321
• Main Authors: Pass, B, Schoeneberg, C
• Format: Article
• Language: ger
• ISSN: 1435-1269; 1435-1269
• DOI: 10.1007/s00391-024-02314-3

The numbers of osteoporotic fractures will increase due to the demographic change, which particularly affects the proximal femur, pelvis, proximal humerus, wrist and vertebral column. Surgical treatment is superior to conservative treatment of proximal femoral fractures. Non-dislocated fractures of the wrist can also be treated with a plaster cast but studies suggest that the results in the first 12 months are better after surgical treatment. The situation is similar for fractures of the proximal humerus and non-dislocated fractures in particular can also be treated conservatively. A score and classification were recently developed for making decisions on the treatment of osteoporotic vertebral fractures. Fractures of the anterior and posterior pelvic ring can be treated conservatively with the patient under sufficient analgesia as long as there is no substantial dislocation. The highest priority in geriatric traumatology is fast remobilization.