A Brief Note On Proximal Femoral Fracture And The Elderly Population

1696 Words Mar 22nd, 2016 7 Pages
Proximal femoral fracture (PFF) is a major cause of morbidity and mortality in the elderly population (Khasragi, Christmas, Meers, & Wenz, 2005). Referred to as a ‘hip fracture’ in laypersons terms, PFF occurs in the “region between the femoral head and 5 centrimeters below the lesser trochanter” (National Clinical Guideline Center [NCGC], 2011, p. 6). In industrialised countries, the mean age of people sustaining hip fracture is 80 years old, demonstrating hip fracture is predominantly a phenomenon of later life, and 80% are female (Handoll, Camerson, Mak, & Finnegan, 2009). An estimated 1.26 million hip fractures occurred in adults in 1990. With the projected increase in population over 65 years of age, predictions range from 7.3, to 21.3 million yearly fractures by 2050 (Handoll et al., 2009). 1 in 4 of these patients are admitted from institutionalised care and the most common mechanism of injury is a ‘fragility fracture’, caused by a fall from standing height or less, affecting an older person with osteoporosis or osteopenia (NCGC, 2011). The majority of hip fractures are diagnosed using plain radiographs and are subsequently categorized as intra or extra-capsular. This is an important anatomical distinction, as it reflects the likelihood with which blood supply to the femoral head is disrupted. Other fracture characteristics such as displacement and communition are then investigated to determine the course of surgical procedure. “The majority of PFF patients will…

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