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Year : 2017  |  Volume : 51  |  Issue : 3  |  Page : 353

Department of Orthopaedics, University College of Medical Sciences and GTB Hospital, New Delhi, India

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Date of Web Publication4-May-2017

How to cite this article:
Jain AK. Orthogeriatrics. Indian J Orthop 2017;51:353

How to cite this URL:
Jain AK. Orthogeriatrics. Indian J Orthop [serial online] 2017 [cited 2020 Feb 26];51:353. Available from:

Editor: Paolo Falaschi and David R Marsh
Published: Springer International Publishing Switzerland
2017, ISBN: 978-3-319-43248-9, P. 211

I read with interest the book titled “Orthogeriatrics” edited by Paolo Falaschi and David R Marsh published by Springer International Publishing, Switzerland.

The needs of the geriatric patients are different than younger patients. The geriatric patients with fracture require multidisciplinary approach to ensure rehabilitation of these patients to their environment. The book has 14 chapters written by the authors who are active members of the Fragility Fracture Network of the Bone and Joint Decade with objective to recognize the special needs of elderly patients with fragility fractures and present orthogeriatric approach to make a beneficial difference to the care of elderly fracture patients, so that necessary competences within the available resources can be developed by all countries to deliver the care.

Chapter one introduces the orthogeriatric approach and progress made worldwide during the last 20 years. The epidemiology of hip fractures and its social cost is covered in the second chapter. The risk factor prevention is stressed with listing of factors causing reduction in bone mineral density and increase rate of falls. The next two chapters discuss osteoporosis, classification of osteoporosis, diagnosis, imaging modalities, and treatment principals of osteoporosis. The definitions of fragility, sarcopenia, and epidemiological and biological link between fragility, sarcopenia, poor bone health, and geriatric syndrome of falls are discussed in separate chapter.

Since the geriatric fractures are part of multidisciplinary problems, it requires multidisciplinary review to take informed decision taking into account the risk and benefits in a separate chapter. The surgical issues are covered comprehensively in the next 3 chapters. It includes choice of surgery, orthogeriatric anesthesia, and postoperative management. The role of nursing on rehabilitation following hip fractures and coordination and communication of multiprofessional team to provide comprehensive care to geriatric patient so as to achieve rehabilitation of patients in the home is discussed at length. The fracture liaison service is important to prevent second fracture and provide optimum care to achieve well rehabilitate patient. This is extensively discussed in a separate chapter.

India and china are going to have the largest number of hip fracture by 2050. The approach to bridge the evidence practice gaps are discussed at length in chapter 13 which provides a brief of steps required to improve geriatric fracture care. The last chapter covers the importance and way to improve the psychological status of patients by caregiver.

This book not only covers the lacunae of availability of guide on this complex ill understood subject but also provides a basic foundation for future work. All authors have provided a lucid description of issues. This book will prove to be a useful guide to improve geriatric fracture care and also a baseline for future improved guidelines of orthogeriatric fracture care.

Correspondence Address:
Anil Kumar Jain
Department of Orthopaedics, University College of Medical Sciences and GTB Hospital, New Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ortho.IJOrtho_48_17

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