Os in elderly
Download as PPTX, PDF
0 likes45 views
An 85-year-old right-hand dominant patient presented with a distal radius fracture. While surgery could help restore function, the risks of operating due to the patient's age, anticoagulation status, and high INR level had to be weighed against non-surgical treatment. The document discusses factors such as the patient's medical history, appropriate INR thresholds for surgery, surgical techniques to control bleeding, and post-operative challenges in determining whether to operate or not on elderly patients with distal radius fractures.
Os in elderly
- 1. Distal Radius Fractur in the Elderly Patient 1
- 2. 85 yo, right hand dominant Distal Radius Fractur To operate or not to operate ? 2
- 3. 85 yo, right hand dominant Distal Radius Fractur To operate or not to operate ? 3
- 4. 85 yo, right hand dominant Distal Radius Fractur To operate or not to operate ? 4
- 5. Patient History: -> Why anticoag / antiplatlet Indication: INR 3.0 as an arbitrary ceiling Technique: deflation and selective electro cautery before wound closure Future: challenge Take Home Message Wallace DL, Latimer MD, Belcher HJ. Stopping warfarin therapy is unnecessary for hand surgery. J Hand Surg 2004;29B:203205. 5
- 6. 02/01/2018 6 Merci Camillo Theo M端ller, MD @camillomueller 6