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Ortho-geriatric Care

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Advanced Age Geriatric Care

Abstract

Hip fractures are life-changing events that can potentially have devastating effects particularly in the geriatric population. The incidence of death and major disability is substantially increased after a hip fracture in this vulnerable population. Collaborative care with the orthopaedic surgical team and geriatricians called the ortho-geriatric model of care has been widely implemented in an effort to improve outcomes. This has led to evidence-based recommendations amounting to expected standard care for patients with hip fractures. This encompasses understanding the nature of hip fractures and its risk factors, expedited preoperative assessment and time to surgery, perioperative management and strategies to early mobilization. All these efforts are focused on the ultimate goal of bringing back patients to their baseline functional level and minimizing associated disability.

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Author information

Authors and Affiliations

  1. Blacktown Hospital, Hornsby Ku-ring-gai Hospital, The Hills Private, Norwest Private and the Macquarie University Hospital, Sydney, NSW, Australia

    Dino Benito

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  1. Dino Benito
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Editor information

Editors and Affiliations

  1. Sydney Medical School, The University of Sydney, Sydney, NSW, Australia

    Nages Nagaratnam

  2. Sydney Medical School, The University of Sydney, Sydney, NSW, Australia

    Kujan Nagaratnam

  3. Rehabilitation and Aged Care Service, Blacktown-Mt Druitt Hospital, Blacktown, NSW, Australia

    Gary Cheuk

Multiple Choice Questions (MCQs)

Multiple Choice Questions (MCQs)

  1. 1.

    What is the optimal time to operate on a patient with a hip fracture?

    1. A.

      Immediately upon presentation after a fall

    2. B.

      Early surgery within the window of 48 h

    3. C.

      Electively 48–96 h post fall

    4. D.

      After failing a trial of immobilization of 96 h

  2. 2.

    What is the primary aim of surgery?

    1. A.

      Pain control

    2. B.

      Full weight bearing without restriction post operatively

    3. C.

      Haemostasis

    4. D.

      Full range of motion of the hip

Answers to MCQs

  1. 1.

    B

  2. 2.

    B

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Benito, D. (2019). Ortho-geriatric Care. In: Nagaratnam, N., Nagaratnam, K., Cheuk, G. (eds) Advanced Age Geriatric Care. Springer, Cham. https://doi.org/10.1007/978-3-319-96998-5_8

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  • DOI: https://doi.org/10.1007/978-3-319-96998-5_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96997-8

  • Online ISBN: 978-3-319-96998-5

  • eBook Packages: MedicineMedicine (R0)

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