Current Strategies in Medical Management of the Geriatric Hip Fracture Patient.

J Am Acad Orthop Surg · Jun 15 2023 · Review

Zuelzer DA, Weaver D, Zuelzer AP, Hessel EA

From the Department of Orthopaedic and Sports Medicine (Zuelzer), Department of Internal Medicine (Weaver), Department…

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis multidisciplinary review outlines current best practices for geriatric hip fracture care, emphasizing rapid surgery, multimodal pain control, early mobilization, and enhanced recovery to address persistently high morbidity and mortality.
Abstract, as published

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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