AO Trauma Course—Fracture Care in Older Adults

Module 1: Preoperative phase

Lectures:

• Principles of comanaged care
• Comorbidity and preoperative optimization
•  Functional status, treatment goals, and prognosis
• Anticoagulation

Module 2: Operative phase – Day 1

Lectures:

• Regional versus general anesthesia–does it matter?
• Bleeding (optional)

Case Based discussions:

• Upper extremity
• Proximal humerus
• Around the elbow
• Around the wrist
• Lower extremity
• Femoral neck fractures and per-/subtrochanteric fractures
• Pelvis and acetabulum
• Periprosthetic femur fractures
• Fractures around the knee and ankle
• Principles, typical failures, and solutions
• Sarcopenia, frailty, and nutrition
• Pain medication: Pre and postoperative
• Atypical fractures

Module 3: Operative phase

Lectures:

• Full weight bearing
•  Postoperative medical management
•  Evaluation and management of falls
• Secondary fracture prevention–case
• Osteoporosis management–treatment algorithm
• Delirium

Module 4: Orthogeriatric co-management

• How to involve your team (what elements do you need and how do you create the optimal team) – stress importance of communication, etc
• What is necessary for efficient smooth implementation (protocols, etc)?
• How to convince your hospital management (resources and to pay for it)?

1. Femoral nail with augmentation
2. Periprosthetic fracture fixation