ReviewEuropean journal of medical research2021
Management of proximal femur fractures in the elderly: current concepts and treatment options.
Review in European journal of medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
123 citing papers in PubMed, 1 synthesis or guideline pooled it, 179 citations in OpenAlex.
- The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis.European journal of medical research · 2025Pooled it
- Femoral neck locking plate versus multiple cannulated screws for femoral neck fractures in young adults: a randomized controlled trial.BMC musculoskeletal disorders · 2025Trial
- Application of 3D-printed navigation templates in intertrochanteric femoral fractures: technical optimization and prospective randomized controlled study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Trial
- Perioperative Administration of Tranexamic Acid and Low Molecular Weight Heparin for Enhanced Blood Management in Intertrochanteric Fractures: A Randomized Controlled Study.Medical science monitor : international medical journal of experimental and clinical research · 2024Trial
- Comparison of dynamic hip screw with anti-rotation screw and femoral neck system internal fixation for the treatment of garden II-IV type femoral neck fractures.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024Trial
- Evaluation of impact of epidural volume extension on the quality of spinal anaesthesia in patients undergoing proximal femoral nailing surgeries - randomized controlled study.Anaesthesiology intensive therapy · 2023Trial
- Association between preoperative prognostic nutritional index and postoperative delirium in older adults with hip fractures: a real-world study.Annals of medicine · 2026Article
- [Perioperative management of trochanteric femoral fractures : Fasting, fluid therapy and multimodal pain management as underappreciated factors].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- When demography challenges policy: the rising burden of proximal femur fractures as a role model and driver for geriatric trauma care in Germany.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- [Trochanteric fixation nail advanced for trochanteric femoral fractures : Central cut-out as a new problem?]Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Review
- Exploring the Effectiveness of "Four-Point" Configuration Cannulated Compression Screw Implantation Protocol for the Fixation of Pauwels Type III Femoral Neck Fractures in Adults.Orthopaedic surgery · 2026Article
- Risk factors for bipolar hemiarthroplasty dislocation: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Factors associated with implant- and bone-related complications and fixation-failure-related readmissions after internal fixation for femoral neck fractures in young and middle-aged adults: a population-based study.International orthopaedics · 2026Article
- Article
- Severity of Cognitive Impairment and Mortality After Hip Fracture: Implications for Risk Stratification and Care Allocation.Journal of clinical medicine · 2026Article
- ChatGPT in Orthopedic Trauma: Consistency, Accuracy, and Agreement With Textbook and Expert Opinion.Cureus · 2026Article
- Functional outcomes of salvage hip arthroplasty in failed proximal femoral nails: a retrospective cohort study.Journal of trauma and injury · 2026Article
- Dexmedetomidine mitigates postoperative delirium after hip fracture surgery in elderly patients by modulating miR-107 expression.Journal of orthopaedic surgery and research · 2026Article
- Biomechanical efficacy of a medial buttress plate in the management of concomitant ipsilateral subcapital and intertrochanteric femoral fractures: a finite element analysis.BMC musculoskeletal disorders · 2026Article
63 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As one of the leading causes of elderly patients' hospitalisation, proximal femur fractures (PFFs) will present an increasing socioeconomic problem in the near future. This is a result of the demographic change that is expressed by the increasing proportion of elderly people in society. Peri-operative management must be handled attentively to avoid complications and decrease mortality rates. To deal with the exceptional needs of the elderly, the development of orthogeriatric centres to support orthogeriatric co-management is mandatory. Adequate pain medication, balanced fluid management, delirium prevention and the operative treatment choice based on comorbidities, individual demands and biological rather than chronological age, all deserve particular attention to improve patients' outcomes. The operative management of intertrochanteric and subtrochanteric fractures favours intramedullary nailing. For femoral neck fractures, the Garden classification is used to differentiate between non-displaced and displaced fractures. Osteosynthesis is suitable for biologically young patients with non-dislocated fractures, whereas total hip arthroplasty and hemiarthroplasty are the main options for biologically old patients and displaced fractures. In bedridden patients, osteosynthesis might be an option to establish transferability from bed to chair and the restroom. Postoperatively, the patients benefit from early mobilisation and early geriatric care. During the COVID-19 pandemic, prolonged time until surgery and thus an increased rate of complications took a toll on frail patients with PFFs. This review aims to offer surgical guidelines for the treatment of PFFs in the elderly with a focus on pitfalls and challenges particularly relevant to frail patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.