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Management of hip fractures in the elderly
Authors:Tim ChesserMichael Kelly
Institution:Tim Chesser MBBS FRCS (Tr and Orth) is a Consultant Trauma and Orthopaedic Surgeon at Frenchay Hospital, North Bristol NHS Trust, Bristol, UK. Conflicts of interest: none declared; Michael Kelly MBBS MD FRCS (T&O) is a Consultant Trauma and Orthopaedic Surgeon at Frenchay Hospital, North Bristol NHS Trust, Bristol, UK. Conflicts of interest: none declared
Abstract:A fracture of the proximal femur (or hip fracture) is a devastating injury to an elderly patient. Nearly all patients require surgery as part of their treatment but their care necessitates complex multidisciplinary involvement. In the last few years there have been a number of initiatives to help improve care for this challenging patient group, as well as establishment of National Hip Fracture Databases, to allow us to audit the care provided. With this focus we have seen both mortality and length of stay decrease. The aim of this article is to summarize the current recommendations for patients who suffer a hip fracture.
Keywords:Hip fracture  intracapsular fracture  proximal femoral fracture  subcapital fracture  subtrochanteric fracture  trochanteric fracture
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