Strategies for Perioperative Optimization in Upper Extremity Fracture Care.

Hand Clin · Nov 2023 · Review

Zhuang T, Kamal RN

Department of Orthopaedic Surgery, VOICES Health Policy Research Center, Stanford University

Hand & Upper Extremity Orthopaedic Trauma

SUMMARY — THE REDUCTIONOptimizing glycemic control, anticoagulation, smoking, nutrition, and frailty before upper extremity fracture surgery can lower surgical risk, though timely treatment must be balanced against optimization and multidisciplinary pathways are needed.

Abstract, as published

Perioperative optimization in upper extremity fracture care must balance the need for timely treatment with the benefits of medical optimization. Care pathways directed at optimizing glycemic control, chronic anticoagulation, smoking history, nutrition, and frailty can reduce surgical risk in upper extremity fracture care. The development of multidisciplinary approaches that tie risk modification with risk stratification is needed.

Read the article: PubMed · Publisher (DOI)

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