alexa Hip fracture | United States| PDF | PPT| Case Reports | Symptoms | Treatment

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Hip Fracture

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  • Hip fracture

     A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is primarily based on the bones and soft tissues affected or on the level of the fracture.

  • Hip fracture

    The patient with a hip fracture will have pain over the outer upper thigh or in the groin. There will be significant discomfort with any attempt to flex or rotate the hip.Nonsurgical Treatment-Patients who might be considered for nonsurgical treatment include those who are too ill to undergo any form of anesthesia and people who were unable to walk before their injury and may have been confined to a bed or a wheelchair.

  • Hip fracture

    Initial care of the patient with a hip fracture consists primarily of providing adequate analgesia and consulting an orthopedic surgeon. Pain is often undertreated in the elderly, which is inhumane and increases the risk of delirium. Intravenous opioids provide faster relief, but intramuscular or oral medications may be used. If resources are available, regional nerve blocks are effective at reducing pain and minimizing the sedation caused by opioids.In patients at higher risk for hemorrhage, it is prudent to obtain blood for type and screen or type and crossmatch at the time of presentation. According to retrospective studies, patients at higher risk have at least two of the following features.

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