1 Introduction: why orthogeriatrics, worldwide distribution of orthogeriatric approach.- 2 Epidemiology of hip fracture and social costs.-3 Osteoporosis in the elderly patient.- 4 Frailty, sarcopenia and falls.- 5 Pre-operative management.- 6 Hip fracture: the choice of surgery.- 7 Orthogeriatric anaesthetics. 8 Post-operative management.- 9 The role of nursing.- 10 Rehabilitation.- 11 Multi-professional team: coordination and communication.- 12 How to implement a Fracture Liaison Service.- 13 Co-management of elective orthopaedic patients.- 14 Patient’s and caregiver’s psychological evaluation.
Paolo Falaschi was awarded a First Class Honours Degree in Medicine and Surgery in 1972. In 1975 he achieves a Post-graduate Higher Medical Diploma in Endocrinology and in 1976 in Pathology. In 1976 he was Visiting Fellow at the Department of Endocrinology, St. Bartholomew’s Hospital, London. In 1977 he attended the University of London’s Postgraduate Course in Endocrinology. From 1980 to 1981 he was Visiting Assistant Professor at the Department of Medicine, Mount Sinai Hospital, New York, USA. From 1974 a 1988 he was researcher at Rome’s “Sapienza” State University, and till 1999 he was Associate Professor of Internal Medicine at Naples Federico II University. Now he is Associate Professor of Internal Medicine and Geriatrics at Rome’s “Sapienza” State University. He is the chief of the Geriatric Unit and Orthogeriatric section in Sant’Andrea Hospital in Rome. He is the Coordinator of the Orthogeriatrics Study Group of the Italian Society of Gerontology and Geriatrics and Director of Higher Education Training Course in “Clinical management of elderly hip fracture patient”. He has produced 475 publications, mostly in peer-reviewed journals.
David Russell Marsh: As Senior Lecturer in Orthopaedics at the University of Manchester (1989 to 1997), he established his clinical subspecialty of limb reconstruction, being one of the early adopters of the Ilizarov technique. From 1997 to 2005 he was Professor of Trauma and Orthopaedics at Queens University in Belfast and from 2005 to 2012 he was Professor of Clinical Orthopaedics at University College London. He was the lead author of the ‘Blue Book’ on the management of fragility fracture patients and led the establishment of the UK National Hip Fracture Database; he was awarded an Honorary Fellowship by the British Orthopaedic Association in recognition of this work. He has retired from his clinical and university roles, but remains active in the field of fragility fractures. He was the foundation President of the Fragility Fracture Network of the Bone and Joint Decade and remains internationally active in that organisation. He is chairman of the Fracture Liaison Services Implementation Group in the UK. He was Visiting Professor in Orthogeriatrics at the Sapienza University of Rome.
This book focuses on orthogeriatrics, a topic that has received little attention in the literature to date. As active members of the Fragility Fracture Network (FFN), the editors and most of the authors of this book have gathered all essential expertise on hip fracture management in a single volume. The 14 chapters provide a complete overview of how to approach fractures in elderly patients, starting with the epidemiology of hip fractures and subsequently addressing osteoporosis, surgery, anesthesia, medical management of frailty, and peri-operative complications. Attention is also given to rehabilitation and nursing, as well as to the psychological evaluation of the patient and the caregivers, thus emphasizing the importance of a multidisciplinary approach.
Thanks to its clinical and practice-oriented nature, the book will especially be of interest to residents and young geriatricians, as well as orthopaedic surgeons, anesthesiologists and nurses dealing with elderly fracture patients in all parts of the world.
