[The problematic nature of fractures in the geriatric patient]. / Bagatelltrauma--Knochenbruch--Dekubitus--Invalidität. Weshalb die Sturzprophylaxe für lhre betagten Patienten so wichtig ist.

Fractures in the elderly patient require specialized management encompassing a complex care-providing concept that involves particular expertise, specific instruments, interdisciplinary cooperation and comprehensive aftercare. This latter aspect needs to be extended to include the provision of care in the patient's home. Surgical correction of a fracture alone can no longer be considered sufficient management.

[Joint replacement surgery in the elderly patient: where to draw the line for the indication?]. / Gelenkersatz bei betagten Patienten. 1st das Alter eine Kontraindikation?

As a consequence of the fact that the population is getting progressively older it is to be expected that the numbers of aged patients requiring surgical interventions on the musculoskeletal system will continue to increase. The decision as to where to draw the line for surgical treatment must not be based on the calendar age of the patient, but should be taken by the patient him/herself after comprehensive counseling by the family doctor, surgeon and anesthetist, and an assessment of the impairment of his/her current quality of life. In the field of orthopedics, the majority of the relevant problems are arthritis of the larger joints (in particular the knee and hip joints), diseases of the vertebral column, and the sequelae of osteoporosis.

[Structured conservative therapy]. / Therapiestaffel konservativer Massnahmen.

In the case of typical whiplash after low-energy rear-end collision we recommend a clear and structured therapeutic regimen to overcome and prevent neuromuscular deficits. Patients with bony and discoligamentous lesions have to be excluded, as well as patients with distinct neurologic deficits. A therapeutic rationale is the basis of full neuromuscular recovery ad integrum.