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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]
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.
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 ...
The U.S. Preventive Services Task Force say vitamin D supplements do not reduce the risk of falls or bone fractures in healthy older adults. The draft recommendation notes vitamin D can be helpful ...
Visual impairments, glaucoma, macular degeneration and retinopathy increase the risk of falling and of hip fractures. [ 14 ] Bifocals and trifocals can increase the risk of falling as the lower portion of corrective lenses are optimized for distances approximately 18 in (46 cm), thus precluding clear vision of one's feet/floor, approximately 4. ...
WASHINGTON — House Speaker Emerita Nancy Pelosi (D-Calif.) reportedly fractured her hip while traveling in Luxembourg and is currently in the hospital.
Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter; those are conventionally called hip fractures (because they involve the hip joint region). Thus, mentions of femoral fracture in medicine usually refer implicitly to femoral fractures at the shaft or distally.