title: Management of hip fracture.
abstract: BACKGROUND
  Hip fracture poses a significant global challenge both to healthcare systems and to patients themselves. We outline the management of this injury, highlight areas where the evidence is deficient and discuss research efforts towards improving the quality of the evidence base.
  
  
  METHODS
  We searched MEDLINE, PubMed and the Cochrane Library, using the core search terms 'hip fracture' and 'proximal femoral fracture'. In addition we reviewed national treatment guidelines for hip fracture care and references from relevant articles. Only articles published in English from inception to March 2015 were included.
  
  
  RESULTS
  Modern hip fracture management should consist of a coordinated multidisciplinary approach with orthogeriatrician input, early surgery, adequate analgesia and liaison with related services to facilitate safe supported discharge.
  
  
  RESULTS
  The optimum thromboprophylaxis to reduce venous thromboembolism remains a topic for debate. The use of bone cement has received much attention recently with concerns about its safety in the frailest of hip fracture patients.
  
  
  CONCLUSIONS
  An increasing understanding of the severity and impact of sustaining a hip fracture upon quality of life.
  
  
  CONCLUSIONS
  Strategies to improve postoperative mobility, postoperative nutrition and the role of home-based rehabilitation. There is a need to identify the optimum analgesic regimes and assessment tools for hip fracture patients with cognitive impairment.
authors: University Hospitals Coventry & Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, UK fernandezm@doctors.org.uk.
authors: M A
authors: MA
authors: Fernandez
authors: Clinical Trials Unit, University of Warwick, Gibbet Hill Road, Coventry CV4 7AL, UK.
authors: X L
authors: XL
authors: Griffin
authors: University of Oxford, Kadoorie Centre, John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, UK.
authors: M L
authors: ML
authors: Costa
mesh_terms: D000698:Analgesia / Q000379:methods; D000758:Anesthesia / Q000379:methods; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D006620:Hip Fractures / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery*; D006801:Humans; D058866:Osteoporotic Fractures / Q000175:diagnosis / Q000517:prevention & control / Q000601:surgery*; D010348:Patient Care Team; D013927:Thrombosis / Q000517:prevention & control
keywords: hip fracture; orthogeriatrician; proximal femoral fracture