Description
In this presentation, Dr. Daniel Engelke discusses the complexities of treating fractures in elderly patients, emphasizing the importance of evaluating each individual's activity level rather than solely their age when considering treatment options. Engelke illustrates his points using x-ray examples for patients of different ages—highlighting that a conservative approach may be preferred for a 68-year-old insurance broker, while a surgical approach could be indicated for a 38-year-old plumber with a similar injury. He elaborates on common fracture types, such as dorsally displaced extra-articular and volar Barton fractures, outlining the efficacy of closed reduction and the use of k-wires versus plates for treatment.
Engelke also delves into the management of intra-articular fractures, detailing the necessity for surgical intervention such as open reduction internal fixation (ORIF) for complex fracture patterns. He stresses the significance of imaging, particularly CT scans, to assess fracture complexities and guide surgical decisions, including the potential use of fracture-specific plates when dealing with complicated injuries. The presentation concludes with an overview of standard treatment principles for different fracture scenarios, reaffirming that individualized care and precise evaluation of fracture stability are crucial in achieving successful outcomes.