Hip Fractures in the Elderly: Perioperative Management and Prevention of Medical Complications
10.12671/jkfs.2023.36.1.39
- Author:
Keong-Hwan KIM
1
Author Information
1. Department of Orthopaedic Surgery, Kangwon National University College of Medicine, Chuncheon, Korea
- Publication Type:REVIEW ARTICLE
- From:Journal of the Korean Fracture Society
2023;36(1):39-44
- CountryRepublic of Korea
- Language:English
-
Abstract:
Elderly patients with hip fractures are at an increased risk of developing medical complications with higher mortality rates. Most patients require surgical treatment, and an early surgical intervention can reduce complications and lower mortality risk. A restrictive red blood cell transfusion strategy is usually applied, and the amount of transfusion can be reduced through medications such as tranexamic acid. Delirium can be prevented using non-pharmacological methods. In addition, it is necessary to prevent venous thromboembolism through mechanical or chemical prophylaxis. A multidisciplinary approach using the ERAS (Enhanced Recovery After Surgery) protocol and orthogeriatric care can help to reduce medical complications and mortality.
