Initial Management of Hip Fractures Prior to Surgical Intervention
Initial deliberate management of hip fractures is imperative to set the stage for a successful hospital course and surgical treatment. The hip fracture population can be separated into two groups: elderly patients that sustained low energy osteoporotic fractures and young patients following high-energy trauma. Low energy hip fracture patients require a focus on medical comorbidities with consultation of the appropriate services for perioperative optimization. The primary goal is early operative intervention in order to mobilize patients as quickly as possible. Regional nerve blocks may be beneficial, but traction is not. High-energy hip fracture management differs with a focus on resuscitation, identification of concomitant injuries, and emergent reduction. In both groups, attention should be paid to appropriate anticoagulation.
KeywordsHip fracture Emergency Initial management Preoperative Low energy High energy
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