Overview
Periprosthetic fractures of the hip are a growing concern, with increasing incidence reported in national databases 1. These fractures are associated with significant morbidity, mortality, and economic burden 1.Diagnosis
Management
Treatment options for hip fractures include osteosynthesis, hemiarthroplasty, and total hip arthroplasty (THA) 1.
The implementation of THA as a primary treatment modality varies 1.
Peri-operative management is a key component of care, with recommendations for standardization of anesthetic practice 2.
Areas of ongoing discussion include the mode of anesthesia, surgical delay, blood management, and transfusion thresholds 2.Special Populations
Key Recommendations
Peri-operative management of hip fractures should be standardized as part of multidisciplinary care 2. (Evidence: Expert opinion)
Consider total hip arthroplasty (THA) as a treatment option for hip fractures, acknowledging that its implementation varies 1. (Evidence: Expert opinion)
Guidelines exist for the surgical management of hip fractures, though specific recommendations on treatment modalities are not detailed in the provided abstracts 1. (Evidence: Expert opinion)References
1 Ridha M, Al-Jabri T, Stelzhammer T, Shah Z, Oragui E, Giannoudis PV. Osteosynthesis, hemiarthroplasty, total hip arthroplasty in hip fractures: All I need to know. Injury 2024. link
2 Griffiths R, Babu S, Dixon P, Freeman N, Hurford D, Kelleher E et al.. Guideline for the management of hip fractures 2020: Guideline by the Association of Anaesthetists. Anaesthesia 2021. link