Research progress of rapid surgery for hip fracture in elderly patients.
10.7507/1002-1892.202308038
- Author:
Chao HAN
1
;
Xiaodan LI
2
;
Xiang SUN
1
;
Zhe HAN
1
;
Jianan LIU
1
;
Weiwei HE
1
;
Qiang DONG
1
Author Information
1. Department of Hip Traumatology, Division Ⅱ, Tianjin Hospital, Tianjin University (Tianjin Hospital), Tianjin, 300211, P. R. China.
2. Department of Anesthesiology, Tianjin First Center Hospital, Tianjin, 300192, P. R. China.
- Publication Type:Journal Article
- Keywords:
Hip fracture;
elderly patient;
impact factor;
surgery timing
- MeSH:
Humans;
Aged;
Hip Fractures/epidemiology*;
Hospitalization;
Length of Stay;
Incidence;
Anemia;
Retrospective Studies
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(12):1556-1561
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To review the research progress of rapid surgery for hip fracture in elderly patients.
METHODS:The published studies, expert consensus, and guidelines at home and abroad were systematically summarized from the aspects of the characteristics of aging population, the benefits of rapid surgery, the disadvantages of delayed surgery, and the recommendations of current guidelines, so as to further guide clinical practice.
RESULTS:Hip fracture is a common fracture type in the elderly population. As elderly patients generally have poor physique and often have a variety of underlying diseases, such as hypostatic pneumonia, bedsore, lower limb vein thrombosis, and other complications in conservative treatment, its disability rate and mortality are high, so surgical treatment is the first choice. At present, most relevant studies and expert consensus and guidelines at home and abroad support rapid surgery, that is, preoperative examination should be started immediately after admission, and adverse factors such as taking anticoagulant drugs, serious cardiovascular diseases, and severe anemia should be clearly and actively corrected, and surgery should be completed within 48 hours after admission as far as possible. Rapid surgery can not only significantly reduce the mortality of patients, but also reduce the length of hospital stay and the incidence of perioperative cognitive impairment, which is conducive to the recovery of patients with pain during hospitalization and postoperative function, and improve the prognosis of patients.
CONCLUSION:In order to avoid many problems caused by delayed surgery, the elderly patients with hip fracture should be operated as soon as possible under the condition of actively correcting the adverse factors. Comprehensive evaluation and preparation, the development of an individualized surgical plan, and the formation of a multidisciplinary medical team can reduce surgical risks and improve effectiveness.
