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Review ArticleClinical Review

Medical Consultation for the Elderly Patient With Hip Fracture

Richard J. Ackermann
The Journal of the American Board of Family Practice September 1998, 11 (5) 366-377; DOI: https://doi.org/10.3122/15572625-11-5-366
Richard J. Ackermann
From the Department of Family and Community Medicine, Mercer University School of Medicine, and the Medical Center of Central Georgia, Macon.
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Abstract

Background: This article describes a family physician geriatrician's perspective on the comprehensive management of hip fracture in frail elderly patients. Primary care physicians might be called upon to provide medical consultation for these patients.

Methods: Guidelines were developed by a combination of personal experience in consulting for several hundred elderly patients with hip fracture at a large community hospital, literature review using the key words “hip fractures,” “aged,” and “aged, 80 and over,” and educational presentations for family practice residents.

Results and Conclusions: Elderly patients with hip fracture offer a prime opportunity for comprehensive geriatric assessment. Intertrochanteric fractures are almost always treated with internal fixation, whereas femoral neck fractures can be treated by either fixation or by hemiarthroplasty. Hip fracture should be regarded as a surgical urgency, and generally operation should not be delayed, even if patients have serious comorbidity. The family physician can be instrumental in preparing the patient for surgery, preventing and treating complications, and assisting in the placement and rehabilitation of patients after hospital discharge.

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The Journal of the American Board of Family     Practice: 11 (5)
The Journal of the American Board of Family Practice
Vol. 11, Issue 5
1 Sep 1998
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Medical Consultation for the Elderly Patient With Hip Fracture
Richard J. Ackermann
The Journal of the American Board of Family Practice Sep 1998, 11 (5) 366-377; DOI: 10.3122/15572625-11-5-366

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Medical Consultation for the Elderly Patient With Hip Fracture
Richard J. Ackermann
The Journal of the American Board of Family Practice Sep 1998, 11 (5) 366-377; DOI: 10.3122/15572625-11-5-366
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