Dementia and Hip Fractures: A Comprehensive Review of Management Approaches.

JBJS Rev · Dec 01 2023 · Review

Zabawa L, Choubey AS, Drake B, Mayo J, Mejia A

Department of Orthopaedics, University of Illinois at Chicago, Chicago

Orthopaedic Trauma

SUMMARY — THE REDUCTIONReview outlines that dementia patients face higher hip fracture risk and worse outcomes, and benefit from early analgesia, prompt surgery, intensive rehab, and coordinated orthogeriatric care.
Abstract, as published

» The elderly population is the fastest growing demographic, and the number of dementia cases in the United States is expected to double to 10 million by 2050.» Patients with dementia are at 3× higher risk of hip fractures and have higher morbidity and mortality after hip fractures.» Hip fracture patients with dementia benefit from early analgesia and timely surgical fixation of fracture.» Early and intensive inpatient rehabilitation is associated with improved postoperative outcomes in patients with dementia.» Coordination of care within a "orthogeriatric" team decreases mortality, and fracture liaison services show potential for improving long-term outcomes in hip fracture patients with dementia.

Featured in the 2026-09-28 issue.

← Damage Control Orthopaedics in Spinal Trauma.Emergency treatment of pelvic ring injuries: state of the art. →

The Reduction is a free email digest of newly published orthopaedic literature — a handful of new papers in the subspecialties you choose, each summarized like this one. Subscribe free or browse the archive.