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The most common cause for hip fractures in the elderly is osteoporosis; if this is the case, treatment of the osteoporosis can well reduce the risk of further fracture. Only young patients tend to consider having it removed; the implant may function as a stress riser , increasing the risk of a break if another accident occurs.
The procedure is recommended only for elderly/frail patients, due to their lower life expectancy and activity level. This is because over time the prosthesis tends to loosen or to erode the acetabulum. [100] Independently mobile older adults with hip fractures may benefit from a total hip replacement instead of hemiarthroplasty. [101]
The US National Osteoporosis Foundation recommends pharmacologic treatment for patients with hip or spine fracture thought to be related to osteoporosis, those with BMD 2.5 SD or more below the young normal mean (T-score -2.5 or below), and those with BMD between 1 and 2.5 SD below normal mean whose 10-year risk, using FRAX, for hip fracture is ...
Falls are also a common factor in hip fractures and traumatic brain injuries in older adults. Injuries from falls can limit an older person’s ability to perform daily activities and live ...
Hip protectors are most commonly used in elderly individuals who have a high risk of falls and hip fractures (for example, due to history of a previous fall and underlying osteoporosis). [1] Most hip fractures follow an impact due to a lateral fall. [2] The pads are located over the trochanters, the bony extrusions of the hip region.
Hip protectors may decrease risk of hip fractures slightly, although they may slightly increase the risk of a pelvic fracture in older adults living in nursing care facilities. Little or no effect reported on other fractures or falls. [26] Treatment for osteoporosis
Hip avascular necrosis, cell death of bone tissue in the hip joint brought on by vascular occlusion or coagulation which is the result of old age, alcoholism, trauma, decompression sickness, or several other possible causes; the treatment is often total hip replacement; Occult hip fracture, a fine crack somewhere in the hip socket, common in ...
Femoral shaft fractures occur in a bimodal distribution, whereby they are most commonly seen in males age 15-24 (due to high energy trauma) and females aged 75 or older (pathologic fractures due to osteoporosis, low-energy falls). [20] [14] In Germany, femoral fractures are the most common type of fracture seen and treated in hospitals. [9] [21]
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