Recent Advances in the Treatment of Hip Fractures in the Elderly

Overview

Journal F1000Res

Specialties Biomedical Engineering
Science

Date 2016 Aug 23

PMID 27547384

Citations 11

Authors

Joshua C Rozell

Mark Hasenauer

Derek J Donegan

Mark Neuman

Affiliations

Soon will be listed here.

Abstract

The treatment of hip fractures in the elderly represents a major public health priority and a source of ongoing debate among orthopaedic surgeons and anesthesiologists. Most of these injuries are treated with surgery in an expedient fashion. From the surgical perspective, there are certain special considerations in this population including osteoporosis, pre-existing arthritis, age, activity level, and overall health that contribute to the type of surgical fixation performed. Open reduction and internal fixation versus arthroplasty remain the two major categories of treatment. While the indications and treatment algorithms still remain controversial, the overall goal for these patients is early mobilization and prevention of morbidity and mortality. The use of preoperative, regional anesthesia has aided in this effort. The purpose of this review article is to examine the various treatment modalities for hip fractures in the elderly and discuss the most recent evidence in the face of a rapidly aging population.

Citing Articles

Evaluation of the Surgical Treatment of Patients over 90 Years Old with Hip Fractures and Their Morbidity and Mortality.

Burguez D, Menegatti R, Susin F, Dornelles L, Serafini O Rev Bras Ortop (Sao Paulo). 2024; 59(1):e88-e92.

PMID: 38524716 PMC: 10957275. DOI: 10.1055/s-0044-1779684.

Proximal Femoral Fractures in the Elderly: A Few Things to Know, and Some to Forget.

Maffulli N, Aicale R Medicina (Kaunas). 2022; 58(10).

PMID: 36295475 PMC: 9612001. DOI: 10.3390/medicina58101314.

Intramedullary Nail or Primary Arthroplasty? A System Review and Meta-Analysis on the Prognosis of Intertrochanteric Femoral Fractures Based on Randomized Controlled Trials.

Wang Z, Gu F, Xu S, Yue Y, Sun K, Nie W Geriatr Orthop Surg Rehabil. 2022; 13:21514593221118212.

PMID: 35967750 PMC: 9364206. DOI: 10.1177/21514593221118212.

Surgical interventions for treating intracapsular hip fractures in older adults: a network meta-analysis.

Lewis S, Macey R, Stokes J, Cook J, Eardley W, Griffin X Cochrane Database Syst Rev. 2022; 2:CD013404.

PMID: 35156192 PMC: 8841980. DOI: 10.1002/14651858.CD013404.pub2.

Management of proximal femur fractures in the elderly: current concepts and treatment options.

Fischer H, Maleitzke T, Eder C, Ahmad S, Stockle U, Braun K Eur J Med Res. 2021; 26(1):86.

PMID: 34348796 PMC: 8335457. DOI: 10.1186/s40001-021-00556-0.

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