High-energy skeletal trauma in the elderly

▶ Despite the increasing prevalence of high-energy skeletal trauma in the elderly (i.e., sixty years or older), there is a lack of prospective data regarding best care for these injuries. ▶ Elderly patients with multiple injuries are often undertriaged to trauma centers and underresuscitated. ▶ Aggressive early resuscitation can improve outcomes in elderly patients who have sustained skeletal trauma. ▶ Comanagement by orthopaedic surgeons and geriatricians of elderly patients with skeletal trauma can lead to a lower length of hospital stay, lower readmission rates, shorter time to operation, lower complication rates, and lower mortality.