Management of proximal femoral fractures 2011

Association of Anaesthetists of Great Britain and Ireland


  • 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.

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 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.