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May 1, 1994Journal of the American Academy of Orthopaedic Surgeons

Hip Fractures: I. Overview and Evaluation and Treatment of Femoral-Neck Fractures

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Population

Elderly patients with hip fractures, specifically femoral-neck fractures

Design

Review

Authors

KKKenneth J. KovalDartmouth CollegeJZJoseph D. ZuckermanSupélec

Discussion

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Overview

May inform initial hip fracture pathways; extends prior reviews but leaves open need for prospective trials.

Structured PICO

P
Population
Elderly patients with hip fractures, specifically femoral-neck fractures
I
Intervention
Surgical management (multiple parallel lag screws or pins for nondisplaced fractures; open reduction and internal fixation for young active patients; hemiarthroplasty for older, less active patients) followed by early mobilization
O
Outcome
Return to prefracture level of function

Surgical management followed by early mobilization is the treatment of choice for most patients with hip fractures, with specific techniques tailored to fracture displacement, patient age, and activity level.

Cite This Study

Koval et al. (1994) studied this question.

synapsesocial.com/papers/6a6f930022b3175134db45fdhttps://doi.org/10.5435/00124635-199405000-00002
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors Affecting Hip Fracture Mortality1987 · 219 citations
  2. 2PREDICTABILITY OF BONY UNION IN DISPLACED INTRACAP-SULAR FRACTURES OF THE HIP1963 · 15 citations
  3. 3THE BATEMAN UPF PROSTHESIS: A 48-MONTH EXPERIENCE1979 · 14 citations
  4. 4Garden's classification of femoral neck fractures. An assessment of inter-observer variation1988 · 204 citations