Abstract
The chapter explores the profound implications of increased life expectancy on orthopaedic trauma implantology. As advancements in healthcare and lifestyle improvements contribute to longer life spans, the ageing population becomes more susceptible to traumatic injuries requiring orthopaedic interventions. This chapter examines the evolving landscape of implantology, considering the unique challenges and opportunities arising from the growing demand for orthopaedic implants in older individuals. It investigates the impact of age-related factors such as osteoporosis and compromised bone healing on implant success rates. Furthermore, the chapter highlights strategies for adapting implant designs and surgical approaches to optimise outcomes and enhance the quality of life for this expanding patient population.
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References
Di Puccio F, Mattei L. Biotribology of artificial hip joints. World J Orthop. 2015;6(1):77–94.
Mukhopadhaya J, Jain AK. AO principles of fracture management. Indian J Orthop. 2019;53(1):217–8.
Kurtz BSM, Ong KL, Schmier J, Mowat F, Saleh K, Dybvik E, et al. Future clinical and economic impact of revision total hip and knee arthroplasty. J Bone Joint Surg Am. 2007;89(Suppl 3):144–51.
Liow MHL, Kwon YM. Metal-on-metal total hip arthroplasty: risk factors for pseudotumours and clinical systematic evaluation. Int Orthop [Internet] 2017;41(5):885–892. Available from: https://doi.org/10.1007/s00264-016-3305-1.
Mihalko WM, Wimmer MA, Pacione CA, Laurent MP, Murphy RF, Rider C. How have alternative bearings and modularity affected revision rates in total hip arthroplasty? Clin Orthop Relat Res. 2014;472(12):3747–58.
Chouhan V. Arthroscopic fixation of tibial spine avulsion fracture in open physis. J Orthop Case Rep. 2016;6(2):86–8.
Klenk J, Keil U, Jaensch A, Christiansen MC, Nagel G. Changes in life expectancy 1950–2010: contributions from age- and disease-specific mortality in selected countries. Popul Health Metr [Internet] 2016;1–11. Available from: https://doi.org/10.1186/s12963-016-0089-x.
Timonin S, Shkolnikov VM, Jasilionis D, Grigoriev P, Jdanov DA, Leon DA. Disparities in length of life across developed countries: measuring and decomposing changes over time within and between country groups. Popul Health Metr [Internet]. 2016;1–19. Available from: https://doi.org/10.1186/s12963-016-0094-0.
Liou L, Joe W, Kumar A, Subramanian SV. Inequalities in life expectancy: an analysis of 201 countries, 1950–2015. Soc Sci Med. 2020;253(March):112964.
Joeris A, Höglinger M, Meier F, Knö F, Scholz S, Brügger U, et al. The impact of the AO Foundation on fracture care: an evaluation of 60 years AO Foundation. Injury. 2019;50(11):1868–75.
Licona CR. Incidencia de padecimientos ortopédicos en pacientes adultos atendidos en un Hospital de asistencia privada. Acta Ortop Mex. 2007;21:177–81.
Daniachi D, Netto S, Ono NK, Guimarães RP, Polesello GC, Honda EK. Epidemiology of fractures of the proximal third of the femur in elderly patients. Rev Bras Ortop [Internet] 2015;50(4):371–7. Available from: https://doi.org/10.1016/j.rboe.2015.06.
Kane RL, Ouslander JG, Resnick B, Malone ML. Principios de geriatría clínica. 8th ed. McGRAW-HILL Interamericana Editores, S.A. de C.V; 2018. ISBN-13: 978-1-4562-6126-9l; ISBN-10: 1-4562-6126-6
Antoniadou E, Kouzelis A, Diamantakis G, Bavelou A, Panagiotopoulos E. Characteristics and diagnostic workup of the patient at risk to sustain fragility fracture. Injury [Internet] 2017;48:S17–23. Available from: https://doi.org/10.1016/j.injury.2017.08.033.
Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37:691–7. https://doi.org/10.1016/j.injury.2006.04.130.
Wei J, Zeng L, Li S, Luo F, Xiang Z, Ding Q. Relationship between comorbidities and treatment decision-making in elderly hip fracture patients. Aging Clin Exp Res [Internet] 2019;31(12):1735–41. Available from: https://doi.org/10.1007/s40520-019-01134-5
Court-Brown CM, McQueen MM. Global forum: fractures in the elderly. J Bone Joint Surg Am. 2016;98:e36. https://doi.org/10.2106/JBJS.15.00793.
Court-Brown CM, Clement ND, Duckworth AD, Biant LC, McQueen MM. The changing epidemiology of fall-related fractures in adults. Injury. 2017;48:819–24. https://doi.org/10.1016/j.injury.2017.02.021.
Court-brown CM, Duckworth AD, Clement ND, Mcqueen MM. Fractures in older adults. A view of the future? Injury [Internet]. 2018;49(12):2161–6. Available from: https://doi.org/10.1016/j.injury.2018.11.009
Strømsøe K. Fracture fixation problems in osteoporosis. Injury. 2004;35:107–13. https://doi.org/10.1016/j.injucy.2003.08.019.
Wikipedia contributors. Mid-20th century baby boom. Wikipedia, The Free Encyclopedia. 2023; https://en.wikipedia.org/w/index.php?title=Mid-20th_century_baby_boom&oldid=1144374538
Frey WH. The National Center for Health Statistics. Teaching/training modules on trends in health and aging. Website http://www.asaging.org/blog/aging-community-communitarianalternative-aging-place-alone. Accessed 21 Feb 2015.
Costa AG, Wyman A, Siris ES, Watts NB, Silverman S, Saag KG, et al. When, where and how osteoporosis-associated fractures occur: an analysis from the Global Longitudinal Study of Osteoporosis in Women (GLOW). PLoS One. 2013;(12):8, e83306.
U. S. Department of Health and Human Services. The 2004 surgeon general’s report on bone health and osteoporosis. Website. http://www.ncbi.nlm.nih.gov/books/NBK45513/. Accessed 21 Feb 2015.
Su H, Aharonoff GB, Zuckerman JD, Egol KA, Koval KJ. The relation between discharge hemoglobin and outcome after hip fracture. Am J Orthop (Belle Mead NJ). 2004;33:576–80.
Ekman EF. The role of the orthopaedic surgeon in minimizing mortality and morbidity associated with fragility fractures. J Am Acad Orthop Surg. 2010;18(5):278–85.
Schatzker J. Changes in the AO/ASIF principles and methods. Injury. 1995;26(Suppl. 2):51–6.
Perren SM. The concept of biological plating using the limited contact-dynamic compression plate (LC-DCP): scientific background, design, and application. Injury. 1991;22(Suppl. 1):1–41.
Haidukewych GJ. Innovations in locking plate technology. J Am Acad Orthop Surg. 2004;12:205–12. https://doi.org/10.5435/00124635-200407000-00001.
Schütz M, Südkamp NP. Revolution in plate osteosynthesis: new internal fixator systems. J Orthop Sci. 2003;8:252–8. https://doi.org/10.1007/s007760300044.
Cronier P, Pietu G, Dujardin C, Bigorre N, Ducellier F, Gerard R. The concept of locking plates. Orthop Traumatol Surg Res. 2010;96:S17–36. https://doi.org/10.1016/j.otsr.2010.03.008.
Kubiak EN, Fulkerson E, Strauss E, Egol KA. The evolution of locked plates. J Bone Joint Surg Am. 2006;88(Suppl 4):189–200. https://doi.org/10.2106/JBJS.F.00703.
Gautier E, Sommer C. Guidelines for the clinical application of the LCP. Injury. 2003;34(Suppl 2):B63–76. https://doi.org/10.1016/j.injury.2003.09.026.
Frigg R. Development of the locking compression plate. Injury. 2003;34(Suppl 2):B6–10. https://doi.org/10.1016/j.injury.2003.09.020.
Tidwell JE, Roush EP, Ondeck CL, Kunselman AR, Reid JS, Lewis GS. The biomechanical cost of variable angle locking screws. Injury. 2016;47:1624–30. https://doi.org/10.1016/j.injury.2016.06.001.
Haidukewych G, Sems SA, Huebner D, Horwitz D, Levy B. Results of polyaxial locked-plate fixation of periarticular fractures of the knee. Surgical technique: surgical technique. J Bone Joint Surg Am. 2008;90(Suppl 2 Pt 1):117–34. https://doi.org/10.2106/JBJS.G.01086.
Martineau PA, Berry GK, Harvey EJ. Plating for distal radius fractures. Orthop Clin North Am. 2007;38(193–201):vi. https://doi.org/10.1016/j.ocl.2007.01.001.
Johanson NA, Litrenta J, Zampini JM, Kleinbart F, Goldman HM. Surgical treatment options in patients with impaired bone quality. Clin Orthop Relat Res. 2011;469:2237–47. https://doi.org/10.1007/s11999-011-1838-6.
Chen X, Hu Y, Geng Z, Su J. The “ Three in One ” Bone Repair Strategy for Osteoporotic Fractures. Front Endocrinol (Lausanne). 2022;13(June):910602.
Seeman E. Bone modeling and remodeling. Crit Rev Eukaryot Gene Expr. 2009;19:219–33. https://doi.org/10.1615/critreveukargeneexpr.v19.i3.40.
Tomlinson RE, Li Z, Li Z, Minichiello L, Riddle RC, Venkatesan A, et al. NGF-TrkA signaling in sensory nerves is required for skeletal adaptation to mechanical loads in mice. Proc Natl Acad Sci U S A. 2017;114:E3632–41. https://doi.org/10.1073/pnas.1701054114.
Konstantinidis L, Helwig P, Hirschmüller A, Langenmair E, Südkamp NP, Augat P. When is the stability of a fracture fixation limited by osteoporotic bone? Injury. 2016;47(Suppl 2):S27–32. https://doi.org/10.1016/S0020-1383(16)47005-1.
Witte F. Reprint of: the history of biodegradable magnesium implants: a review. Acta Biomater. 2015;23(Suppl):S28–40. https://doi.org/10.1016/j.actbio.2015.07.017.
Hou P, Han P, Zhao C, Wu H, Ni J, Zhang S, et al. Accelerating corrosion of pure magnesium co-implanted with titanium in vivo. Sci Rep. 2017:7. https://doi.org/10.1038/srep41924.
Li H, Zheng Y, Qin L. Progress of biodegradable metals. Prog Nat Sci. 2014;24:414–22. https://doi.org/10.1016/j.pnsc.2014.08.014.
Gawlik MM, Wiese B, Desharnais V, Ebel T, Willumeit-Römer R. The effect of surface treatments on the degradation of biomedical mg alloys-a review paper. Materials (Basel). 2018;11:2561. https://doi.org/10.3390/ma11122561.
Li X, Liu X, Wu S, Yeung KWK, Zheng Y, Chu PK. Design of magnesium alloys with controllable degradation for biomedical implants: from bulk to surface. Acta Biomater. 2016;45:2–30. https://doi.org/10.1016/j.actbio.2016.09.005.
Staiger MP, Pietak AM, Huadmai J, Dias G. Magnesium and its alloys as orthopedic biomaterials: a review. Biomaterials. 2006;27:1728–34. https://doi.org/10.1016/j.biomaterials.2005.10.003.
Karunakaran R, Ortgies S, Tamayol A, Bobaru F, Sealy MP. Additive manufacturing of magnesium alloys. Bioact Mater. 2020;5:44–54. https://doi.org/10.1016/j.bioactmat.2019.12.004.
Zhang Y, Xu J, Ruan YC, Yu MK, O’Laughlin M, Wise H, et al. Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats. Nat Med. 2016;22:1160–9. https://doi.org/10.1038/nm.4162.
Li G, Zhang L, Wang L, Yuan G, Dai K, Pei J, et al. Dual modulation of bone formation and resorption with zoledronic acid-loaded biodegradable magnesium alloy implants improves osteoporotic fracture healing: an in vitro and in vivo study. Acta Biomater. 2018;65:486–500. https://doi.org/10.1016/j.actbio.2017.10.033.
Tian L, Tang N, Ngai T, Wu C, Ruan Y, Huang L, et al. Hybrid fracture fixation systems developed for orthopaedic applications: a general review. J Orthop Translat. 2019;16:1–13. https://doi.org/10.1016/j.jot.2018.06.006.
Jones CB. Augmentation of implant fixation in osteoporotic bone. Curr Osteoporos Rep. 2012;10:328–36. https://doi.org/10.1007/s11914-012-0124-1.
Khouri RK, Koudsi B, Reddi H. Tissue transformation into bone in vivo. A potential practical application. JAMA. 1991;266:1953–5. https://doi.org/10.1001/jama.266.14.1953.
Wan L, Song H, Chen X, Zhang Y, Yue Q, Pan P, et al. A magnetic-field guided interface coassembly approach to magnetic mesoporous silica nanochains for osteoclast-targeted inhibition and heterogeneous nanocatalysis. Adv Mater. 2018;30:e1707515. https://doi.org/10.1002/adma.201707515.
Sommer C, Babst R, Müller M, Hanson B. Locking compression plate loosening and plate breakage: a report of four cases. J Orthop Trauma. 2004;18:571–7. https://doi.org/10.1097/00005131-200409000-00016.
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Lozano, C.M., Samundeeswari, S., Araujo-Espinoza, G., Shanmugasundaram, S. (2023). Impact of Increased Life Expectancy on Orthopaedic Trauma Implantology. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_53
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