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Review
. 2024 Oct 23;14(6):2256-2266.
doi: 10.3390/clinpract14060177.

Key Considerations for Frail Patients Undergoing Hip Fracture Surgery

Ana-Maria Dumitriu  1   2 , Rǎzvan Ene  1   3 , Liliana Mirea  1   2
Affiliations
Review

Key Considerations for Frail Patients Undergoing Hip Fracture Surgery

Ana-Maria Dumitriu et al. Clin Pract. .

Abstract

Improving preoperative care for elderly patients with hip fractures is crucial for achieving the best outcomes. A multidisciplinary team that can improve overall care quality by addressing patient's medical conditions, analgesia, timely surgery, and early postoperative mobilization is required. This narrative review provides insights regarding the extent of preoperative optimization needed for hip fracture surgery.

Keywords: co-morbidities; elderly; frailty; hip fracture; multidisciplinary team; optimization; preoperative; risk stratification; timely surgery.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
US image of femoral nerve: (A) Normal finding. (B) Patient with a hip fracture and hypovolemia: due to local edema, the femoral nerve tends to dive underneath the femoral artery. (Authors personal archive).
Figure 2
Figure 2
(A). US image of PENG block. (B) US image of supra-inguinal fascia iliaca block. (Authors personal archive). AIIS: anterior inferior iliac spine, FA: Femoral artery, IOM: internal oblique muscle.
See this image and copyright information in PMC

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