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Matthias Bungartz, Georg Matziolis, Marcel Schulze, Olaf Brinkmann
The alteration of the age pyramid also leads to changes in the orthopaedic routine. Hence, increasingly more old and very old people (>75.YOA and 91.-100.YOA according to WHO Definition) are being treated with injury patterns that were very rare in this form until now. This could be explained on one hand both by the decreasing osseous stability and the alteration of the soft-tissue condition, and on the other hand by the maintenance of everyday activities even in old age. Thus, low-energy traumas can partly lead to serious injuries. Treatment strategies need to be adapted to the individual cases. The medical care of bones and soft-tissue injuries results to be demanding.