Management of hip fracture: The family physician's role

Shobha S. Rao, Manjula Cherukuri

Research output: Contribution to journalReview article

21 Scopus citations

Abstract

The incidence of hip fracture is expected to increase as the population ages. One in five persons dies in the first year after sustaining a hip fracture, and those who survive past one year may have significant functional limitation. Although surgery is the main treatment for hip fracture, family physicians play a key role as patients' medical consultants. Surgical repair is recommended for stable patients within 24 to 48 hours of hospitalization. Antibiotic prophylaxis is indicated to prevent infection after surgery. Thromboprophylaxis has become the standard of care for management of hip fracture. Effective agents include unfractionated heparin, low-molecular-weight heparin, fondaparinux, and warfarin. Optimal pain control, usually with narcotic analgesics, is essential to ensure patient comfort and to facilitate rehabilitation. Rehabilitation after hip fracture surgery ideally should start on the first postoperative day with progression to ambulation as tolerated. Indwelling urinary catheters should be removed within 24 hours of surgery. Prevention, early recognition, and treatment of contributing factors for delirium also are crucial. Interventions to help prevent future falls, exercise and balance training in ambulatory patients, and the treatment of osteoporosis are important strategies for the secondary prevention of hip fracture.

Original languageEnglish (US)
Pages (from-to)2195-2200
Number of pages6
JournalAmerican family physician
Volume73
Issue number12
StatePublished - Jun 15 2006

ASJC Scopus subject areas

  • Family Practice

Fingerprint Dive into the research topics of 'Management of hip fracture: The family physician's role'. Together they form a unique fingerprint.

  • Cite this

    Rao, S. S., & Cherukuri, M. (2006). Management of hip fracture: The family physician's role. American family physician, 73(12), 2195-2200.