Recent Advances in Management of Hip Fracture
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".
Deadline for manuscript submissions: closed (15 February 2024) | Viewed by 12194
Special Issue Editor
Interests: hip fractures; femoral fractures; arthroplasty; orthopedic surgery
Special Issues, Collections and Topics in MDPI journals
Special Issue Information
Dear Colleagues,
Throughout my career, the management of hip fractures has gone through major revolution and evolution. At the beginning of my residency in orthopaedic surgery in the early 80s, we were instructed: “do not operate on patients with hip fractures over the age of 80 years old, since they are too old/weak/malfunctioning to sustain ‘complicated hip fracture surgery’”. We also knew little about DVT risks and the advantages of early surgery and rehabilitation. Thus, early mortality and morbidity rates were extremely high, over 50–70%.
This changed dramatically in the late 90s with the understanding that with comprehensive, multidisciplinary approaches utilizing modern, usually regional anaesthesis and early surgery within 24–48 hours of the fracture event, lives and quality of life could be saved. This approach has also resulted in better pain management, early ambulation and rehabilitation, and newer fracture fixation devices. Accordingly, early mortality and morbidity rates have dropped to only 10–18%.
Concomitantly, with life expectancy continuing to increase, along with higher activity levels and expectations of the elderly population, preventive measures against osteoporosis have improved.
It is the aim of this Special Issue to assemble knowledge and data that look toward the future of hip fracture treatment to improve current results. This might include, e.g., better preventive measures in housing, improved medical treatment of osteoporosis, better and less invasive fixation devices, or the addition of percutaneous injectable "cements". Knowing that approximately 20% of patients might suffer from contra lateral fracture within 2 years, we should also consider prophylactic treatment to the contra lateral hip in the same treatment setting as the broken hip using MIS devices and/or injectable "cements".
These and other issues related to the treatment of hip fractures are presented and discussed in this Special Issue.
Prof. Dr. Moshe Salai
Guest Editor
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Keywords
- hip fractures
- reducing mortality
- preventive measures
- contra lateral prophylactic surgery
- orthopaedic surgery
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