Timing of Hip-fracture Surgery in Elderly Patients: Literature Review and Recommendations

Hip & Pelvis
Yoon Jae SeongKuen Tak Suh

Abstract

The incidence of hip fractures is rapidly increasing with an aging population and is now one of the most important health concerns worldwide due to a high mortality rate. The effect of delayed surgery on postoperative outcomes has been widely discussed. Although various treatment guidelines for hip fractures in the elderly exist, most institutions recommend that operations are conducted as soon as possible to help achieve the most favorable outcomes. While opinions differ on the relationship between delayed surgery and postoperative mortality, a strong association between earlier surgery and improvement in postoperative outcomes (e.g., length of hospital stay, bedsore occurrence, return to an independent lifestyle), has been reported. Taken together, performing operations for hip fractures in the elderly within 48 hours of admission appears to be best practice. Importantly, however, existing evidence is based primarily on observational studies which are susceptible to inherent bias. Here, we share the results of a literature search to summarize data that helps inform the most appropriate surgical timing for hip fractures in the elderly and the effects of delayed surgery on postoperative outcome. In addition, we expect to be abl...Continue Reading

References

Mar 1, 1992·The Journal of Bone and Joint Surgery. British Volume·M J Parker, G A Pryor
Jun 25, 2002·The American Journal of Medicine·Julia P GrimesJeffrey L Carson
Apr 15, 2004·JAMA : the Journal of the American Medical Association·Gretchen M OroszAlbert L Siu
Jul 14, 2004·Archives of Gerontology and Geriatrics·Hüseyin DorukVecihi Kýrdemir
Nov 10, 2004·Clinical Orthopaedics and Related Research·Kevin J McGuireJeffrey H Silber
Jul 29, 2005·The Journal of Bone and Joint Surgery. British Volume·A W SiegmethM J Parker
Feb 21, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Victor NovackAvi Porath
Jan 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Tiffany A RadcliffEvelyn Hutt
Mar 4, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Toshiya ShigaYoko Ohe
Jul 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Amer N Al-AniMargareta Hedström
Dec 31, 2008·BMC Musculoskeletal Disorders·Rüdiger SmektalaLudger Pientka
Jul 2, 2009·The Journal of Bone and Joint Surgery. British Volume·K A LefaivreH M Broekhuyse
Sep 15, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Nicole SimunovicMohit Bhandari
Aug 17, 2011·Annals of Internal Medicine·María T VidánJosé A Serra
Sep 27, 2012·Injury·Chika Edward UzoigweRory George Middleton
Jul 19, 2013·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·K S HapuarachchiM G Bowditch
Oct 24, 2013·Archives of Osteoporosis·Byung-Ho YoonKyung-Hoi Koo
Sep 19, 2014·World Journal of Orthopedics·Pedro CarpinteroManuel Mesa
May 20, 2015·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A MarquesUNKNOWN Portuguese Working Group for the Study of the Burden of Hip Fractures in Portugal
Aug 20, 2015·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J LealUNKNOWN REFReSH study group
Apr 9, 2016·Singapore Medical Journal·Lester Teong Jin TanErnest Beng Kee Kwek
Nov 29, 2017·JAMA : the Journal of the American Medical Association·Daniel PincusWalter P Wodchis

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