Managing hip fractures in older patients: perioperative decision making.

Autor: Wasserman BR, Egol KA, Zuckerman JD
Zdroj: Journal of Musculoskeletal Medicine; Jul2008, Vol. 25 Issue 7, p326-334, 7p
Abstrakt: Hip fractures in older patients are projected to increase in frequency as the US population continues to age. A thorough history and physical examination is essential. The initial workup should include radiographic imaging. Operative stabilization is the treatment of choice for most femoral neck or intertrochanteric hip fractures. The goals should be to achieve a stable reduction to allow for early patient mobilization, restore the patient's preinjury level of function, and minimize the risk of medical complications. Postoperative complications are associated with mortality and diminished return of function. All patients with hip fractures should receive perioperative deep venous thrombosis chemoprophylaxis, unless it is contraindicated. A multidisciplinary approach to postoperative rehabilitation can short-en the inpatient stay and decrease the mortality rate. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index