Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Jun 15;31(12):620-626.
doi: 10.5435/JAAOS-D-22-00815.

Current Strategies in Medical Management of the Geriatric Hip Fracture Patient

Affiliations
Review

Current Strategies in Medical Management of the Geriatric Hip Fracture Patient

David A Zuelzer et al. J Am Acad Orthop Surg. .

Abstract

Orthogeriatric hip fractures have high morbidity and mortality rates. Modern management focuses on multidisciplinary collaboration for prompt surgical stabilization, early mobilization with multimodal pain control to avoid opioid consumption, and an enhanced recovery pathway. Despite these advances, postoperative complications and mortality rates remain higher than age-matched control subjects. The authors of this article represent the orthopaedic, anesthesia, and hospitalist medicine members of a multidisciplinary team at a single, Level 1 trauma center. Our goal was to provide an up-to-date comprehensive review of orthogeriatric hip fracture perioperative management from a multidisciplinary perspective that every orthopaedic surgeon should know.

PubMed Disclaimer

References

    1. Colquhoun AD, Zuelzer W, Butterworth JF: Improving the management of hip fractures in the elderly. Anesthesiology 2014;121:1144-1146.
    1. Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C: Excess mortality following hip fracture: A systematic epidemiological review. Osteoporos Int 2009;20:1633-1650.
    1. Weycker D, Li X, Barron R, Bornheimer R, Chandler D: Hospitalizations for osteoporosis-related fractures: Economic costs and clinical outcomes. Bone Rep 2016;5:186-191.
    1. Vrahas MS, Sax HC: Timing of operations and outcomes for patients with hip fracture-it's probably not worth the wait. JAMA 2017;318:1981-1982.
    1. Shiga T, Wajima Z, Ohe Y: Is operative delay associated with increased mortality of hip fracture patients? Systematic review, meta-analysis, and meta-regression. Can J Anesthesia 2008;55:146-154.