Geriatric Orthopedics: Prevention, Causes and Treatment of Fractures

The risk of bone fractures and orthopedic trauma goes up as we age. More than 90% of people hospitalized for hip fractures are over the age of 65. If you or someone you love is older than 65, it’s important to learn about geriatric fractures, treatment options, prevention techniques and the role of geriatric orthopedics in care.

Geriatric Orthopedics: Bone Fractures 

Symptoms

The signs of a geriatric fracture may be obvious, such as after an accident or fall, but they can also start with pain in a specific area along with:

• Trouble moving the area
• Pain and swelling
• Obvious deformity
• Warmth, bruising, or redness
• Not being able to put weight on the limb

In geriatric orthopedics, doctors often look for these warning signs quickly to prevent further damage.

Causes

Many things can cause geriatric fractures. Some people are more at risk due to:

• Heavy alcohol use
• Smoking
• Inactive lifestyle
• Osteoporosis or osteopenia
• Thyroid or parathyroid disease
• Kidney failure
• Intestinal issues
• Certain long-term medications (for asthma, high blood pressure, seizures, cancer, thyroid issues, blood thinners, anxiety, or sleep problems)
• Previous fractures
• Family history of fractures
• Bone diseases like cancer, Paget’s disease, or rheumatoid arthritis
• Movement disorders like Parkinson’s
• Spine disorders
• Steroid or contraceptive use

Genetics also play a role. In geriatric orthopedics, research shows Caucasian women are generally at higher risk than other groups.

Prevention

While you can’t completely avoid geriatric fractures, you can lower your risk with these steps often recommended in geriatric orthopedics:

Exercise Regularly

Build a routine to keep bones strong. Aim for walking 30 minutes at least five times a week. Try balance exercises like Tai Chi or yoga to prevent falls.

Take the Right Supplements

Calcium and vitamin D can help with bone health. Ask your doctor if these are right for you.

Keep Your Home Safe

Look for and fix trip hazards like wires, loose rugs, or poorly lit areas.

Make Healthy Lifestyle Choices

Avoid smoking and limit alcohol. Some sleeping medications can increase the risk of falls and fractures.

Review Your Medications

Taking more than three medications, or starting a new one, can increase fall risk. In geriatric orthopedics, doctors often review all medications to reduce this risk.

Treatment

If you think you have a geriatric fracture, go to the hospital. Providers will stabilize your injury to prevent more harm. Geriatric orthopedics specialists will help manage pain and make you comfortable. Some cases don’t require surgery, but if needed, surgery usually happens within a few days if you’re healthy enough. You may get a splint or cast and likely need physical therapy for fracture care and recovery.

At Baptist Health, our Geriatric Fracture Program connects seniors with top care when it matters most. From immediate pain control to advanced surgery and rehabilitation, our team – including experts in geriatric orthopedics – supports patients and families through every step of recovery.