• B Bücking, C Neuerburg, M Knobe, and U Liener.
• Klinik für Orthopädie, Unfallchirurgie und Alterstraumatologie, DRK-Kliniken Nordhessen Gemeinnützige GmbH, Standort Wehlheiden, Hansteinstr. 29, 34121, Kassel, Deutschland. buecking@drk-nh.de.
• Unfallchirurg. 2019 Oct 1; 122 (10): 755-761.

BackgroundFragility fractures are fractures in multimorbid, geriatric patients. Currently, their number is already high and is likely to increase in the future.ObjectiveThis article gives an overview of the principles in the management of patients with fragility fractures.Material And MethodsA selective literature review was performed to describe the epidemiology and relevance of fragility fractures. In addition, the principles of the perioperative management and surgical treatment of patients with fragility fractures are shown.ResultsDue to the significant number of comorbidities, the treatment of patients with fragility fractures represents an interdisciplinary challenge. Ideally, treatment should be carried out in an interdisciplinary team under the leadership of orthopedic surgeons and geriatricians. Treatment should be based on consensus guidelines, which have been adapted to the local circumstances. Attention should be paid to some special aspects of the surgical treatment in this vulnerable patient cohort. Important are optimal soft tissue management, cement augmentation procedures and joint replacement in cases of periarticular fractures.ConclusionThere is evidence that with optimal care the treatment of patients with fragility fractures can be significantly improved.

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