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Updated: Jun 11, 2025

Imaging of the Microstructural Failure Mechanism in the Human Hip
Published on: September 29, 2023
The Patient with Hip Fracture.
Michael D Rudy1, Paul J Grant1
1Division of Hospital Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Hip fractures are common in older adults, increasing hospitalization and mortality. Effective management by internists/hospitalists involves perioperative care, including risk assessment, VTE prevention, and osteoporosis treatment.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Internal Medicine
Background:
- Hip fractures are a leading cause of hospitalization and mortality in the elderly.
- Aging global population will increase hip fracture incidence.
- Elderly patients often present with multiple comorbidities.
Purpose of the Study:
- To highlight the critical role of internists/hospitalists in managing elderly hip fracture patients.
- To outline key perioperative considerations for fragility hip fracture care.
Main Methods:
- Review of perioperative management strategies for hip fractures.
- Emphasis on multidisciplinary care involving internists, surgeons, and physical therapists.
Main Results:
- Comprehensive perioperative management is essential for reducing morbidity and mortality.
- Multifaceted approach includes risk assessment, surgical timing, VTE prophylaxis, and postoperative rehabilitation.
Conclusions:
- Optimal care for fragility hip fractures requires a thorough understanding of perioperative issues.
- Internist/hospitalist involvement is crucial for coordinating complex care and improving patient outcomes.
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