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Archives of Orthopaedic and Trauma Surgery

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01-11-2010 | Orthopaedic Surgery

Medical problems in hip fracture patients

Authors: Carol Pei Wei Chong, Judith A. Savige, Wen Kwang Lim

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2010

Abstract

Increasing number of older patients are admitted to hospital with hip fractures. This review evaluates the common medical problems that arise as a consequence of having a hip fracture. Older patients with fractures commonly have co-morbidities that require evaluation prior to and after surgery. Joint acute orthopaedic–geriatric units have been established to provide comprehensive orthopaedic and medical care with some studies showing a reduction in postoperative complications and mortality. Recommendations surrounding the care of the older orthopaedic patient include early surgical fixation, the use of prophylactic antibiotics and thromboembolic prophylaxis, good perioperative pain control to improve ambulation, delirium detection and management to decrease the risk complications, such as institutionalisation, the avoidance of malnutrition, urinary tract management, osteoporosis management and the promotion of early mobilisation to improve functional recovery. Physicians are well placed to manage these patients with orthopaedic surgeons during the perioperative period. Sufficient evidence exists for most recommendations for fracture patients, but further research is needed in most areas.

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Title: Medical problems in hip fracture patients
Authors: Carol Pei Wei Chong
Judith A. Savige
Wen Kwang Lim
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-1038-y

ACC 2024 Congress

Springer Medicine

Medical problems in hip fracture patients

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

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