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Management of hip fractures in the elderly
Affiliation:1. INSERM, CIC1408, Saint-Etienne F-42055, France;2. INSERM, UMR1059, Equipe Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, Saint-Etienne F-42055, France;3. CHU Saint-Etienne, Service de Médecine Vasculaire et Thérapeutique, Saint-Etienne F-42055, France;4. GIRC-Thrombose–INNOVTE network, Hôpital Nord, CHU de Saint-Etienne, Saint-Etienne F-42055, France;5. Department of Internal Medicine, Tel Aviv Soursky Medical Center, Tel Aviv, Israel;6. Department of Pneumonology, Hospital San Pedro, Logroño, La Rioja, Spain;7. Department of Internal Medicine, Hospital General de Granollers, Barcelona, Spain;8. Department of Internal Medicine, Hospital Clinic, Barcelona, Spain;9. Department of Vascular Medicine, Azienda U.S.L. Di Ravenna–O.C. Di Faenza, Ravenna, Italy;10. Department of Internal Medicine, Hospital Universitario Germans Trias i Pujol de Badalona, Universidad Católica de Murcia, Spain
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 ten years there have been a number of initiatives to help improve care for this challenging patient group, as well as establishment of The National Hip Fracture Database, 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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