Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients
Joint Authors
Babcock, Sharon
Kellam, James F.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-25
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
In the United States, more than 300,000 hip fractures occur annually in the elderly population with associated significant morbidity and mortality.
Both intracapsular and extracapsular hip fractures have inherent treatment challenges and therefore are at risk of nonunion complications.
A systematic assessment including radiographic, metabolic, and infectious evaluations should be completed for all patients suspected of nonunion.
Failed internal fixation of intracapsular hip fractures is typically treated with arthroplasty, while extracapsular proximal femur nonunions may be amenable to revision internal fixation or arthroplasty.
While not a classic hip fracture, bisphosphate associated subtrochanteric femur fractures affect a similar patient population and are historically difficult to treat.
Atypical subtrochanteric femur fractures are at increased risk of nonunion given the altered biologic environment secondary to bisphosphonate use; therefore adjuvant therapies may be beneficial in setting of revision fixation.
Having a thorough understanding of nonunion risks, recognition, evaluation, and treatment is necessary for appropriate patient care.
American Psychological Association (APA)
Babcock, Sharon& Kellam, James F.. 2018. Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients. Advances in Orthopedics،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1122595
Modern Language Association (MLA)
Babcock, Sharon& Kellam, James F.. Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients. Advances in Orthopedics No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1122595
American Medical Association (AMA)
Babcock, Sharon& Kellam, James F.. Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients. Advances in Orthopedics. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1122595
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1122595