Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients
In the United States, more than 300,000 hip fractures occur annually in the elderly population with associated significant morbidity and mortality. Both intracapsular and extracapsular hip fractures have inherent treatment challenges and therefore are at risk of nonunion complications. A systematic...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/1912762 |
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| _version_ | 1849306330675806208 |
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| author | Sharon Babcock James F. Kellam |
| author_facet | Sharon Babcock James F. Kellam |
| author_sort | Sharon Babcock |
| collection | DOAJ |
| description | In the United States, more than 300,000 hip fractures occur annually in the elderly population with associated significant morbidity and mortality. Both intracapsular and extracapsular hip fractures have inherent treatment challenges and therefore are at risk of nonunion complications. A systematic assessment including radiographic, metabolic, and infectious evaluations should be completed for all patients suspected of nonunion. Failed internal fixation of intracapsular hip fractures is typically treated with arthroplasty, while extracapsular proximal femur nonunions may be amenable to revision internal fixation or arthroplasty. While not a classic hip fracture, bisphosphate associated subtrochanteric femur fractures affect a similar patient population and are historically difficult to treat. Atypical subtrochanteric femur fractures are at increased risk of nonunion given the altered biologic environment secondary to bisphosphonate use; therefore adjuvant therapies may be beneficial in setting of revision fixation. Having a thorough understanding of nonunion risks, recognition, evaluation, and treatment is necessary for appropriate patient care. |
| format | Article |
| id | doaj-art-2e7e11b91ea8423db0628472fa0b3a0f |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-2e7e11b91ea8423db0628472fa0b3a0f2025-08-20T03:55:07ZengWileyAdvances in Orthopedics2090-34642090-34722018-01-01201810.1155/2018/19127621912762Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly PatientsSharon Babcock0James F. Kellam1Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston Salem, NC, USADepartment of Orthopaedic Surgery, UT Health Science Center at Houston, Houston, TX, USAIn the United States, more than 300,000 hip fractures occur annually in the elderly population with associated significant morbidity and mortality. Both intracapsular and extracapsular hip fractures have inherent treatment challenges and therefore are at risk of nonunion complications. A systematic assessment including radiographic, metabolic, and infectious evaluations should be completed for all patients suspected of nonunion. Failed internal fixation of intracapsular hip fractures is typically treated with arthroplasty, while extracapsular proximal femur nonunions may be amenable to revision internal fixation or arthroplasty. While not a classic hip fracture, bisphosphate associated subtrochanteric femur fractures affect a similar patient population and are historically difficult to treat. Atypical subtrochanteric femur fractures are at increased risk of nonunion given the altered biologic environment secondary to bisphosphonate use; therefore adjuvant therapies may be beneficial in setting of revision fixation. Having a thorough understanding of nonunion risks, recognition, evaluation, and treatment is necessary for appropriate patient care.http://dx.doi.org/10.1155/2018/1912762 |
| spellingShingle | Sharon Babcock James F. Kellam Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients Advances in Orthopedics |
| title | Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients |
| title_full | Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients |
| title_fullStr | Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients |
| title_full_unstemmed | Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients |
| title_short | Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients |
| title_sort | hip fracture nonunions diagnosis treatment and special considerations in elderly patients |
| url | http://dx.doi.org/10.1155/2018/1912762 |
| work_keys_str_mv | AT sharonbabcock hipfracturenonunionsdiagnosistreatmentandspecialconsiderationsinelderlypatients AT jamesfkellam hipfracturenonunionsdiagnosistreatmentandspecialconsiderationsinelderlypatients |