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Review
. 2016 Aug 11:5:F1000 Faculty Rev-1953.
doi: 10.12688/f1000research.8172.1. eCollection 2016.

Recent advances in the treatment of hip fractures in the elderly

Joshua C Rozell  1 , Mark Hasenauer  1 , Derek J Donegan  1 , Mark Neuman  2
Affiliations
Review

Recent advances in the treatment of hip fractures in the elderly

Joshua C Rozell et al. F1000Res. .

Abstract

The treatment of hip fractures in the elderly represents a major public health priority and a source of ongoing debate among orthopaedic surgeons and anesthesiologists. Most of these injuries are treated with surgery in an expedient fashion. From the surgical perspective, there are certain special considerations in this population including osteoporosis, pre-existing arthritis, age, activity level, and overall health that contribute to the type of surgical fixation performed. Open reduction and internal fixation versus arthroplasty remain the two major categories of treatment. While the indications and treatment algorithms still remain controversial, the overall goal for these patients is early mobilization and prevention of morbidity and mortality. The use of preoperative, regional anesthesia has aided in this effort. The purpose of this review article is to examine the various treatment modalities for hip fractures in the elderly and discuss the most recent evidence in the face of a rapidly aging population.

Keywords: Hip fracture; arthroplasty; elderly; hemiarthroplasty; open reduction internal fixation; total hip.

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Conflict of interest statement

Competing interests: The authors declare that they have no competing interests.

No competing interests were disclosed.

Figures

Figure 1.
Figure 1.
Pre-operative anteroposterior ( A) and post-operative anteroposterior ( B) and lateral ( C) radiographs of a 94-year-old male who underwent long intramedullary fixation for a left unstable intertrochanteric hip fracture.
Figure 2.
Figure 2.
Pre-operative anteroposterior ( A) and post-operative anteroposterior ( B) and lateral ( C) radiographs of an 87-year-old female who underwent sliding hip screw fixation for a left stable intertrochanteric hip fracture.
Figure 3.
Figure 3.
Pre-operative anteroposterior ( A) and post-operative anteroposterior ( B) and lateral ( C) radiographs of a 91-year-old female who underwent an uncemented HA for a displaced, right subcapital femoral neck fracture.
Figure 4.
Figure 4.
Pre-operative ( A) and post-operative ( B) anteroposterior radiographs of an 81-year-old male who underwent a total hip arthroplasty for a displaced, left subcapital femoral neck fracture.
Figure 5.
Figure 5.
Pre-operative anteroposterior ( A) and post-operative anteroposterior ( B) and lateral ( C) radiographs of a 79-year-old male with metastatic prostate cancer who underwent a right cemented hip hemiarthroplasty for a pathologic femoral neck fracture.
See this image and copyright information in PMC

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