Hip fractures in the elderly are critical ailments, with possible life-endangering complications. Surgeries to fix breaks are common and consistently effective, while healing can take an entire year. And once a senior suffers from a broken hip, his or her health can take a downward spiral as the break can trigger other problems and affect the elderly immune system.
Hip protectors probably reduce the risk of hip fractures if made available to older people in nursing care or residential care settings, without increasing the frequency of falls. However, hip protectors may slightly increase the small risk of pelvic fractures. Poor acceptance and adherence by older people offered hip protectors is a barrier to their use. Better understanding is needed of the personal and design factors that may influence acceptance and adherence.
Immediate admission of patients aged 70 years or more with a hip fracture to comprehensive geriatric care in a dedicated ward improved mobility at 4 months, compared with the usual orthopaedic care. The results suggest that the treatment of older patients with hip fractures should be organised as orthogeriatric care.
Ninety percent of all hip fractures -- another of the dreaded events that can transform a life in the blink of an eye -- happen during a fall, and about a quarter of all hip fracture patients over age 50 die within a year.
Mortality does not appear to differ by device class, or by devices within a class. Nor, on the whole, do pain, functioning, and QoL. Some internal fixation devices may confer earlier return to functioning over others for some patients, but such gains are very short lived.
Better recoveries, lower mortality rates and fewer complications with faster surgery.
Hip fractures kill tens of thousands every year. Here's how to survive one. But what makes a hip fracture so deadly — and so debilitating? And how can a seemingly healthy person experience such a dramatic decline from what is essentially a broken bone? The answers have less to do with the break itself than with the response to the break, not just in the hours immediately following but also in the weeks and months post-injury.
- surgical work up
- sliding screw insertion technique
- intramedullary nail fixation
- hip arthroplasty
Hip fractures account for an estimated £1.1 billion in hospital costs annually; costs expected to increase dramatically with aging of the population
Hip fractures rank worldwide in the top 10 impairments in terms of loss of mobility and long-term impairments. Part of the reason? Hip fractures are not easy to bounce back from. The plain and simple truth is that hip fractures can often lead to long-term complications, which can end up forcing you into assisted or nursing home living for an extended stay.
Worldwide, there is a large care gap that is leaving millions of fracture patients at serious risk of future fractures. Capture the Fracture hopes to close this gap and make secondary fracture prevention a reality.
A fracture of the hip in an aging adult is not simply a broken bone. It is a life-threatening illness. The hip fracture itself is rarely a difficult problem to solve. But once the fracture occurs, it brings with it all the potential medical complications that can arise when aging patients are confined to bed. The complications are what can turn a simple break into a life-threatening illness.
•A large proportion of fall deaths are due to complications following a hip fracture. One out of five hip fracture patients dies within a year of their injury.
•Treatment typically includes surgery and hospitalization, usually for about one week, and is frequently followed by admission to a nursing home and extensive rehabilitation.
•One in three adults who lived independently before their hip fracture remains in a nursing home for at least a year after their injury.
A hip fracture almost always requires surgical repair or replacement, followed by months of physical therapy. Taking steps to maintain bone density and avoid falls can help prevent hip fracture.
Evidence suggests that prompt surgery and a tailored rehabilitation programme that starts as soon as possible after surgery can significantly improve a person's life, reduce the length of their hospital stay and help them recover their mobility faster.
The management of hip fracture in adults...
Once the diagnosis of the hip fracture has been made, the patient's overall health and medical condition will be evaluated. In very rare cases, the patient may be so ill that surgery would not be recommended. In these cases, the patient's overall comfort and level of pain must be weighed against the risks of anesthesia and surgery.
Most surgeons agree that patients do better if they are operated on fairly quickly.
Hip fracture is a very common injury mainly affecting older people. It is one of the most common reasons for being admitted to a bone (orthopaedic) treatment ward in a hospital...About 8 in 10 people who fracture a hip are women. The average age of someone who fractures their hip is 80 years.