Fractures in the elderly: when is hip replacement a necessity?

Prasad Antapur, Nizar Mahomed, Rajiv GandhiToronto Western Hospital, Toronto, Ontario, CanadaAbstract: As the world’s population ages, hip fractures pose a significant health care problem. Hip fractures in the elderly are associated with impaired mobility, and increased morbidity and morta...

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Autores principales:	Prasad Antapur, Nizar Mahomed, Rajiv Gandhi
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Hip Fractures Elderly Hip Replacement Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ed1e79edb78549a9b6ddb3318543fd9d
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spelling	oai:doaj.org-article:ed1e79edb78549a9b6ddb3318543fd9d2021-12-02T01:02:55ZFractures in the elderly: when is hip replacement a necessity?1178-1998https://doaj.org/article/ed1e79edb78549a9b6ddb3318543fd9d2010-12-01T00:00:00Zhttps://www.dovepress.com/fractures-in-the-elderly-when-is-hip-replacement-a-necessity-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Prasad Antapur, Nizar Mahomed, Rajiv GandhiToronto Western Hospital, Toronto, Ontario, CanadaAbstract: As the world’s population ages, hip fractures pose a significant health care problem. Hip fractures in the elderly are associated with impaired mobility, and increased morbidity and mortality. Associated conditions, such as osteoporosis, medical comorbidity, and dementia, pose a significant concern and determine optimal treatment. One-year mortality rates currently range from 14% to 36%, and care for these patients represents a major global economic burden. The incidence of hip fractures is bimodal in its distribution. Young adult hip fractures are the result of high energy trauma, and the larger peak seen in the elderly population is secondary to low-energy injuries. The predilection for the site of fracture at the neck of femur falls into two major subgroups. Pertrochanteric fractures occur when the injury is extracapsular and the blood supply to the head of femur is unaffected. The management of this group involves internal fixation through a sliding hip screw device or intramedullary fixation device, both of which have good results. The other group of patients who sustain an intracapsular fracture at the femoral neck are at increased risk of nonunion and osteonecrosis. Recent papers in the literature have shown better functional outcomes with a primary hip replacement over other treatment modalities. This article reviews the current literature and indications for a primary total hip replacement in these patients.Keywords: hip fractures, elderly, hip replacementPrasad AntapurNizar MahomedRajiv GandhiDove Medical PressarticleHip FracturesElderlyHip ReplacementGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 6, Pp 1-7 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Hip Fractures Elderly Hip Replacement Geriatrics RC952-954.6
spellingShingle	Hip Fractures Elderly Hip Replacement Geriatrics RC952-954.6 Prasad Antapur Nizar Mahomed Rajiv Gandhi Fractures in the elderly: when is hip replacement a necessity?
description	Prasad Antapur, Nizar Mahomed, Rajiv GandhiToronto Western Hospital, Toronto, Ontario, CanadaAbstract: As the world’s population ages, hip fractures pose a significant health care problem. Hip fractures in the elderly are associated with impaired mobility, and increased morbidity and mortality. Associated conditions, such as osteoporosis, medical comorbidity, and dementia, pose a significant concern and determine optimal treatment. One-year mortality rates currently range from 14% to 36%, and care for these patients represents a major global economic burden. The incidence of hip fractures is bimodal in its distribution. Young adult hip fractures are the result of high energy trauma, and the larger peak seen in the elderly population is secondary to low-energy injuries. The predilection for the site of fracture at the neck of femur falls into two major subgroups. Pertrochanteric fractures occur when the injury is extracapsular and the blood supply to the head of femur is unaffected. The management of this group involves internal fixation through a sliding hip screw device or intramedullary fixation device, both of which have good results. The other group of patients who sustain an intracapsular fracture at the femoral neck are at increased risk of nonunion and osteonecrosis. Recent papers in the literature have shown better functional outcomes with a primary hip replacement over other treatment modalities. This article reviews the current literature and indications for a primary total hip replacement in these patients.Keywords: hip fractures, elderly, hip replacement
format	article
author	Prasad Antapur Nizar Mahomed Rajiv Gandhi
author_facet	Prasad Antapur Nizar Mahomed Rajiv Gandhi
author_sort	Prasad Antapur
title	Fractures in the elderly: when is hip replacement a necessity?
title_short	Fractures in the elderly: when is hip replacement a necessity?
title_full	Fractures in the elderly: when is hip replacement a necessity?
title_fullStr	Fractures in the elderly: when is hip replacement a necessity?
title_full_unstemmed	Fractures in the elderly: when is hip replacement a necessity?
title_sort	fractures in the elderly: when is hip replacement a necessity?
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/ed1e79edb78549a9b6ddb3318543fd9d
work_keys_str_mv	AT prasadantapur fracturesintheelderlywhenishipreplacementanecessity AT nizarmahomed fracturesintheelderlywhenishipreplacementanecessity AT rajivgandhi fracturesintheelderlywhenishipreplacementanecessity
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Fractures in the elderly: when is hip replacement a necessity?

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