The three-grade prevention and its progress of hip fracture in the elderly / 中华骨科杂志

ABSTRACT

The life safety and quality of life of elderly patients with hip fractures face great threat due to the particularity of fracture site. Elderly patients with hip fracture are often complicated with a variety of basic medical diseases, thus the perioperative management and comprehensive treatment are relatively complex and diverse, and surgical treatment is only one of the links. With the deepening understanding of senile hip fractures, we increasingly realized that the comprehensive management of senile hip fractures should focus on prevention. Combined with the conception and connotation of tertiary-prevention in preventive medicine, this review summarize the common etiology and preventive measures of senile hip fractures, the application of intelligent devices for fall prevention and monitoring, the green channel for hip fracture patient admission, the management mode of the comprehensive geriatric ward based on multi-disciplinary team, the evolution of surgical methods, and the perioperative comprehensive treatments, which in order to provide reference for medical and health workers to reduce the incidence and improve the treatment effects and prognosis of the senile hip fracture via multifaceted and systematic prevention and treatment measures.