BMJ  2006;333:27-30 (1 July), doi:10.1136/bmj.333.7557.27

Clinical review

Hip fracture

¹ Orthopaedic Department, Peterborough and Stamford NHS Foundation Trust, Peterborough PE3 6DA, ² Trauma Unit, Cardiff and Vale NHS Trust, Cardiff CF14 4XW

The first 150 words of the full text of this article appear below.

Introduction

A proximal femoral or hip fracture is the most common reason for admission to an acute orthopaedic ward. About 86 000 such fractures occur each year in the United Kingdom.^w1 Global numbers were reported as 1.3 million in 1990, and depending on secular trends could be 7-21 million by 2050.¹

In developed countries, the treatment of a hip fracture requires a wide range of disciplines, as the patient will present to the ambulance service and the accident and emergency unit, then pass through departments of radiology, anaesthetics, orthopaedic surgery, medicine, and rehabilitation. Medical and social services in the community may be needed when the patient leaves hospital.

Mortality associated with a hip fracture is about 5-10% after one month. One year after fracture about a third of patients will have died, compared with an expected annual mortality of about 10% in this age group.^{2 3 w2} Thus, only a third of deaths . . . [Full text of this article]

Search strategy

Who fractures their hip?

How is the fracture diagnosed and classified?

Treatment

Perioperative care

Rehabilitation

Can further fractures be prevented?

Conclusions

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