Hip Fracture Open Access Articles
Most hip
fractures occur in one of two locations on the long bone that extends from your pelvis to your knee (femur): The femoral neck. This area is situated in the upper portion of your femur, just below the ball part (femoral head) of the ball-and-socket joint. The intertrochanteric region. This region is a little farther down from the hip joint, in the portion of your upper femur that juts outward. The type of
surgery you have generally depends on the where and how severe the fracture is, whether the broken bones aren't properly aligned (displaced), and your age and underlying
health conditions. The options include: Internal repair using screws, Total hip replacement and Partial hip replacement. Older patients presenting with hip
fractures are some of the frailest and sickest patients in hospital. In addition to complex medical problems and comorbidities, they have to overcome the additional physiological challenges posed by the hip fracture itself, and subsequent surgery. Hip fracture associated
morbidity and mortality at one year remains high. Published guidelines
stress the need for a multidisciplinary approach and the importance of the care
environment for good outcomes. A combined management approach identifies and addresses not only the surgical but also the complex analgesic, medical, cognitive, nutritional, social and rehabilitation needs of our patients, thereby improving outcome for our patients.
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