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Medical management of hip fractures and the role of the orthogeriatrician

Published online by Cambridge University Press:  03 October 2012

Abhaya Gupta
Abhaya Gupta*
Affiliation:
Department of Elderly Care, Glangwili Hospital, Carmarthen, UK
*
Address for correspondence: Dr Abhaya Gupta, Consultant in Elderly Care, Glangwili Hospital, Carmarthen SA31 2AF. Email: [email protected]
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Summary

Published literature shows that evidence-based medical care can improve hip fracture outcomes. The orthogeriatrician plays a key role in providing this care, in collaboration with surgical and multidisciplinary professionals, managing pre-operative conditions and post-operative complications that may affect functional recovery, and ensuring co-ordinated effective management of hip fractures right from admission to discharge. Several management guidelines are available for this vulnerable group of elderly patients. Recent UK guidelines recommend that, from time of admission, hip fracture patients should be offered a formal acute orthogeriatric or orthopaedic ward-based ‘Hip Fracture Programme’, which includes orthogeriatric assessment as an essential key component.

Keywords

orthogeriatricship fracturecollaborative care
Type
Intermediate care and rehabilitation
Information
Reviews in Clinical Gerontology , Volume 22 , Issue 4 , November 2012 , pp. 261 - 273
Copyright
Copyright © Cambridge University Press 2012

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