Press Release: Management of Acute Hip Fracture
We are pleased to share with you a recent publication in The New England Journal of Medicine. This publication is entitled "Management of Acute Hip Fracture".
Please find access to the full-version of the article click here.
Bhandari M and Swiontkowski M. Management of Acute Hip Fracture. N Engl J Med 2017; 377:2053-2062 November 23, 2017 DOI: 10.1056/NEJMcp1611090
Key Clinical Points
Acute Hip Fracture
• Hip fractures (categorized according to anatomical location as a femoral-neck fracture or an inter trochanteric or sub tro chanteric fracture) can have a devastating effect on quality of life and function, with a high risk of death at 1 year.
• Femoral-neck fractures, if nondisplaced or in a young patient, are typically treated with internal fixation.
• For fractures at the base of the femoral neck (sometimes called basicervical fractures), displaced fractures, and those with a more vertically oriented fracture line, reoperation rates are lower when a sliding hip screw is used than when multiple cancellous screws are used.
• Approaches to displaced femoral-neck fractures remain controversial, but evidence currently favors arthroplasty over internal fixation, especially in persons 65 years of age or older.
• Unstable intertrochanteric and subtrochanteric fractures of the femur are treated with the use of intra medullary nails, whereas stable fractures of these types are typically treated with the use of a sliding hip screw.
• Perioperative multidisciplinary care is important in regard to osteoporosis assessment and treatment as well as to post operative functional mobility.