This is a consensus document produced by expert members of a Working Party established by the Association of Anaesthetists of Great Britain and Ireland (AAGBI). It has been seen and approved by the AAGBI Council.
Management of proximal femoral fractures 2011
Association of Anaesthetists of Great Britain and Ireland
Article first published online: 12 DEC 2011
Anaesthesia © 2011 The Association of Anaesthetists of Great Britain and Ireland
Volume 67, Issue 1, pages 85–98, January 2012
How to Cite
Membership of the Working Party, Griffiths, R., Alper, J., Beckingsale, A., Goldhill, D., Heyburn, G., Holloway, J., Leaper, E., Parker, M., Ridgway, S., White, S., Wiese, M. and Wilson, I. (2012), Management of proximal femoral fractures 2011. Anaesthesia, 67: 85–98. doi: 10.1111/j.1365-2044.2011.06957.x
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- Issue published online: 12 DEC 2011
- Article first published online: 12 DEC 2011
- Accepted: 11 September 2011
1. There should be protocol-driven, fast-track admission of patients with hip fractures through the emergency department.
2. Patients with hip fractures require multidisciplinary care, led by orthogeriatricians.
3. Surgery is the best analgesic for hip fractures.
4. Surgical repair of hip fractures should occur within 48 hours of hospital admission.
5. Surgery and anaesthesia must be undertaken by appropriately experienced surgeons and anaesthetists.
6. There must be high-quality communication between clinicians and allied health professionals.
7. Early mobilisation is a key part of the management of patients with hip fractures.
8. Pre-operative management should include consideration of planning for discharge from hospital.
9. Measures should be taken to prevent secondary falls.
10. Continuous audit and targeted research is required in order to inform and improve the management of patients with hip fracture.