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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 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 ...
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 ...
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
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.
Dynamic hip screw [ citation needed ] It is the most commonly used implant for extracapsular fractures of the hip, [ 1 ] which are common in older osteoporotic patients. There are 3 components of a dynamic hip screw, including a lag screw (inserted into the neck of the femur), a sideplate and several cortical screws (fixated into the proximal ...