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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Anticoagulation therapy and proximal femoral fracture treatment: An update

Ioannis Ktistakis1, Vasileios Giannoudis1, Peter V Giannoudis2

  • 1School of Medicine, University of Leeds, UK.

EFORT Open Reviews
|May 3, 2017
PubMed

Insights

Elderly hip fractures are rising, often with comorbidities. Managing anticoagulation therapy in these high-risk patients remains debated, with no universal protocol for thromboprophylaxis.

Area of Science:

  • Orthopaedic surgery
  • Geriatric medicine
  • Hematology

Background:

  • Increasing incidence of hip fractures in the elderly population.
  • Elderly patients frequently present with multiple comorbidities.
  • Coagulopathies pose significant challenges in managing hip fracture patients.

Purpose of the Study:

  • To review current literature on anticoagulation therapy in elderly patients with proximal femoral fractures.
  • To discuss the ongoing debate and lack of consensus on thromboprophylaxis protocols for this high-risk group.

Main Methods:

  • Literature review of studies concerning anticoagulation and hip fracture management.
  • Analysis of existing guidelines and published protocols for thromboprophylaxis.

Main Results:

  • No universal consensus exists for managing thromboprophylaxis in elderly hip fracture patients.
  • Multiple attempts to establish widely accepted protocols have been published but lack universal adoption.

Conclusions:

  • Effective management of anticoagulation in elderly patients with hip fractures requires further research and consensus.
  • Development of standardized thromboprophylaxis protocols is crucial for this vulnerable population.

Keywords:
anticoagulation therapyhip fracture treatmentproximal femoral fracture

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