Why the study?
Despite advances in multidisciplinary management, postoperative complications and mortality rates for orthogeriatric hip fractures remain higher than age-matched controls.
Highlights the importance of a multidisciplinary approach, including prompt surgery and multimodal pain control, to manage the high morbidity and mortality in geriatric hip fracture patients.
May guide orthogeriatric hip fracture protocols; leaves open need for prospective trials to confirm outcome benefits.
Orthogeriatric hip fractures have high morbidity and mortality rates. Modern management focuses on multidisciplinary collaboration for prompt surgical stabilization, early mobilization with multimodal pain control to avoid opioid consumption, and an enhanced recovery pathway. Despite these advances, postoperative complications and mortality rates remain higher than age-matched control subjects. The authors of this article represent the orthopaedic, anesthesia, and hospitalist medicine members of a multidisciplinary team at a single, Level 1 trauma center. Our goal was to provide an up-to-date comprehensive review of orthogeriatric hip fracture perioperative management from a multidisciplinary perspective that every orthopaedic surgeon should know.
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Zuelzer et al. (2023) studied this question.
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