Interpretations of Management of Hip Fractures in Older Adults:Evidence-Based Clinical Practice Guideline dopted by AAOS 2021.
10.12200/j.issn.1003-0034.2023.03.017
- Author:
You-Shui GAO
1
Author Information
1. Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200233, China.
- Publication Type:Journal Article
- Keywords:
Guideline;
Hip fractures;
Older adults
- MeSH:
Aged;
Humans;
Arthroplasty, Replacement, Hip;
Femoral Neck Fractures/surgery*;
Fracture Fixation, Internal;
Hip Fractures/surgery*;
Orthopedic Surgeons;
Treatment Outcome;
United States;
Practice Guidelines as Topic
- From:
China Journal of Orthopaedics and Traumatology
2023;36(3):279-283
- CountryChina
- Language:Chinese
-
Abstract:
American Academy of Orthopaedic Surgeons (AAOS) just released the up-to-date , which has become the principles to care hip fractures in the elderly. In comparison to the Guideline 2014, considerable changes are made in terms of guideline composition and focused items. The interval of 7 years yielded dramatic progress in the care of geriatric hip fractures, including the recommendation of cemented femoral stems in hip arthroplasty due to displaced femoral neck fractures, cephalomedullary device for unstable intertrochanteric fractures and tranexamic acid to reduce blood loss and blood transfusion. Additionally, the individualized properties of the elderly with hip fractures should be noted to balance an early operation within 24 and 48 hours and patient safety. The interpretation of is helpful to comprehensively understand the progress of the care of geriatric hip fractures, thus to make orthopaedic surgeons master the key points of clinical practice, and to improve the quality of operations and decrease perioperative complications.
