Management of hip fracture.

Publisher: Oxford University Press Country of Publication: England NLM ID: 0376542 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1471-8391 (Electronic) Linking ISSN: 00071420 NLM ISO Abbreviation: Br Med Bull Subsets: MEDLINE

Publication: 2001- : London : Oxford University Press
Original Publication: London.

Fracture Fixation, Internal/*methods ; Hip Fractures/*surgery ; Osteoporotic Fractures/*surgery; Analgesia/methods ; Anesthesia/methods ; Fracture Fixation, Internal/adverse effects ; Hip Fractures/diagnosis ; Hip Fractures/prevention & control ; Humans ; Osteoporotic Fractures/diagnosis ; Osteoporotic Fractures/prevention & control ; Patient Care Team ; Thrombosis/prevention & control

Introduction: Hip fracture poses a significant global challenge both to healthcare systems and to patients themselves. We outline the management of this injury, highlight areas where the evidence is deficient and discuss research efforts towards improving the quality of the evidence base.
Sources of Data: We searched MEDLINE, PubMed and the Cochrane Library, using the core search terms 'hip fracture' and 'proximal femoral fracture'. In addition we reviewed national treatment guidelines for hip fracture care and references from relevant articles. Only articles published in English from inception to March 2015 were included.
Areas of Agreement: Modern hip fracture management should consist of a coordinated multidisciplinary approach with orthogeriatrician input, early surgery, adequate analgesia and liaison with related services to facilitate safe supported discharge.
Areas of Controversy: The optimum thromboprophylaxis to reduce venous thromboembolism remains a topic for debate. The use of bone cement has received much attention recently with concerns about its safety in the frailest of hip fracture patients.
Growing Points: An increasing understanding of the severity and impact of sustaining a hip fracture upon quality of life.
Areas Timely for Developing Research: Strategies to improve postoperative mobility, postoperative nutrition and the role of home-based rehabilitation. There is a need to identify the optimum analgesic regimes and assessment tools for hip fracture patients with cognitive impairment.
(© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

RP-DG-1210-10022 United Kingdom DH_ Department of Health

Keywords: hip fracture; orthogeriatrician; proximal femoral fracture

Date Created: 20150828 Date Completed: 20161109 Latest Revision: 20220129

20221213

10.1093/bmb/ldv036

26311503