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Geriatric Orthopedics and Challenges with Mild Cognitive Impairment

  • Geriatric Orthopedics (C Quatman and C Quatman-Yates, Section Editors)
  • Published:
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Abstract

Purpose of Review

To examine the literature to identify the optimal methods to manage patients with mild cognitive impairment (MCI) in the perioperative period.

Recent Findings

Several studies have identified the risk of delirium and other postoperative complications in patients with dementia and other cognitive disorders. Recent studies have shown a significant impact in performance on measures assessing processing speed and inhibitory function which can continue to have their effect after several years of surgery. Little research has been published that specifically focuses on elderly patients with mild cognitive impairment.

Summary

An optimal treatment plan cannot be formed based on the available literature. Since the elderly with cognitive disorders such as MCI and dementia typically are accompanied by multiple comorbidities as well as impaired mobility, the physician should focus not only on treating the orthopedic problem but also on the patient. Further research on this specific topic is needed.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Author information

Authors and Affiliations

  1. Division of Geriatrics & Aging, Department of Medicine, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA

    Vikrant Tambe, Ciandra D’Souza & Daniel Ari Mendelson

  2. Department of Medicine, Highland Hospital, Box 58, 1000 South Avenue, Rochester, NY, 14620, USA

    Daniel Ari Mendelson

  3. AGS CoCare: Ortho, American Geriatrics Society, New York, NY, USA

    Daniel Ari Mendelson

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  1. Vikrant Tambe
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Correspondence to Daniel Ari Mendelson.

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The authors whose names are listed immediately below certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

Vikrant Tambe, Ciandra D’souza, Daniel Ari Mendelson

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This article is part of the Topical Collection on Geriatric Orthopedics

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Tambe, V., D’Souza, C. & Mendelson, D.A. Geriatric Orthopedics and Challenges with Mild Cognitive Impairment. Curr Geri Rep 9, 296–299 (2020). https://doi.org/10.1007/s13670-020-00346-2

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