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Initial Management of Hip Fractures Prior to Surgical Intervention

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Fractures of the Hip

Part of the book series: Fracture Management Joint by Joint ((FMJJ))

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Abstract

Initial deliberate management of hip fractures is imperative to set the stage for a successful hospital course and surgical treatment. The hip fracture population can be separated into two groups: elderly patients that sustained low energy osteoporotic fractures and young patients following high-energy trauma. Low energy hip fracture patients require a focus on medical comorbidities with consultation of the appropriate services for perioperative optimization. The primary goal is early operative intervention in order to mobilize patients as quickly as possible. Regional nerve blocks may be beneficial, but traction is not. High-energy hip fracture management differs with a focus on resuscitation, identification of concomitant injuries, and emergent reduction. In both groups, attention should be paid to appropriate anticoagulation.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Vermont Medical Center, Burlington, VT, USA

    Mark Haimes & Michael Blankstein

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  1. Mark Haimes
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  2. Michael Blankstein
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Correspondence to Mark Haimes .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery, Kantonsspital Aarau, Aarau, Switzerland

    Lorenz Büchler

  2. Trauma Center Hirslanden, Clinic Hirslanden, Zürich, Switzerland

    Marius J.B. Keel

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Haimes, M., Blankstein, M. (2019). Initial Management of Hip Fractures Prior to Surgical Intervention. In: Büchler, L., Keel, M. (eds) Fractures of the Hip. Fracture Management Joint by Joint. Springer, Cham. https://doi.org/10.1007/978-3-030-18838-2_3

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  • DOI: https://doi.org/10.1007/978-3-030-18838-2_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18837-5

  • Online ISBN: 978-3-030-18838-2

  • eBook Packages: MedicineMedicine (R0)

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