Hip fracture: Surgical decisions that affect medical management

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Primary care physicians can provide optimal care for their older patients with hip fracture when they are familiar with the repair techniques used by the orthopedic surgeon. For medically stable patients, surgical repair is now recommended 24 to 72 hours after the fracture. The type of surgery depends on the type of fracture and the degree of the patient's prefracture mobility; options range from simple percutaneous pinning to total hip replacement. Surgery is not advisable for bed-ridden or moribund patients, nor for those with very osteoporosis bones and extensively comminuted fractures. Complications of a hip fracture and its surgical repair that require medical management include anemia, phlebitis, pulmonary embolism, decubitus ulcer, fluid or electrolyte imbalance, and pneumonia.

Original languageEnglish
Pages (from-to)50-56
Number of pages7
JournalGeriatrics
Volume55
Issue number4
StatePublished - Apr 2000

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