Operative Treatment of Hip Fractures in Osteoporotic Patients

Charles P. Hannon, Evan G. Buettmann

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

As the prevalence of osteoporosis rises, the number of osteoporotic hip fractures is expected to rise exponentially. These devastating injuries are associated with significant morbidity and mortality. A majority of hip fractures are treated operatively to allow for early mobilization and minimize complications and morbidity postoperatively. There are several operative treatment options that are based on patient demographics, fracture characteristics, as well as bone quality and the presence or absence of pre-existing arthritis. For femoral neck fractures treatment options include open reduction internal fixation or replacement with a hemiarthroplasty or total hip arthroplasty. For intertrochanteric femur fractures, the stability of the fracture plays a major role in the treatment decision with sliding hip screws indicated for stable fractures and intramedullary nails an option for both stable and unstable fractures. After surgery for a hip fracture, all patients should be evaluated and treated for osteoporosis.

Original languageEnglish
Title of host publicationOsteoporotic Fracture and Systemic Skeletal Disorders
Subtitle of host publicationMechanism, Assessment, and Treatment
PublisherSpringer Nature
Pages517-525
Number of pages9
ISBN (Electronic)9789811656132
ISBN (Print)9789811656125
DOIs
StatePublished - Jan 1 2021

Keywords

  • Femoral neck fracture
  • Hemiarthroplasty
  • Hip fracture
  • Intertrochanteric femur fracture
  • Intramedullary nail
  • Osteoporosis
  • Sliding hip screw
  • Total hip arthroplasty

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