“Ideally the time to surgery should be as soon as safely possible based on variation in resources at the facility and the given surgical team,” added Dr. The committee provided strong evidence to recommend surgery within 24 to 48 hours to recognize differences in resources available to support surgical care at various facilities. While moderate evidence in 2014 supported the recommendation that hip fracture surgery occurring within 48 hours of admission is associated with better outcomes, recent data from high volume centers with high performance hip fracture programs showed improved outcomes with surgery within 24 hours. The time to surgery following a hip fracture and implementing a multidisciplinary approach to patient care are two significant updates to the recommendations in this guideline.
FEMORAL NECK FRACTURE SURGERY UPDATE
adults, I commend the AAOS for recognizing the importance of funding this CPG to update guidance based on the latest research and best available evidence to improve patient care.” Due to the increased prevalence of hip fractures in older U.S. “For this patient population, a hip fracture can become a life-altering event that requires surgery and may result in a decreased quality of life, increased morbidities and a higher rate of mortality within one year after surgery. “Hip fractures are a very serious public health issue, specifically for our seniors,” said Mary O’Connor, MD, FAAOS, co-chair of the clinical practice guideline development group. Notably, the CPG highlights the important role an interdisciplinary care program plays in decreasing complications and improving outcomes for all hip fracture patients and how this approach to care is an integral component to support many of the recommendations included in this CPG. This edition of the guideline updates over 80% of the evidence-based recommendations included in the previous guideline to refine and improve treatment recommendations for hip fracture patients. (December 15, 2021)-The American Academy of Orthopaedic Surgeons (AAOS) issued an update to the Clinical Practice Guideline (CPG) for Management of Hip Fractures in Older Adults (age 55 years and older), replacing the 1st edition released in 2014, which initially covered a patient population of 65 years and older.
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