Fractured neck of femur: prevention and treatment

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Fractured neck of femur is a common and important cause of death. Its management demands major uses of resources, both directly and indirectly through occupancy of a large number of beds that are in short supply. The incidence of fractured neck of femur in many Western countries is high but there remains some uncertainty in it's cause, prevention and treatment.

This report, published in 1989, looks at the causes, prevention and management of fractured neck of femur and makes recommendations for future research.


  • Introduction and definition
  • Epidemiology
  • Aetiology
  • Osteoporosis
  • Oestrogen lack
  • Immobility and physical activity
  • Calcium
  • Alcohol and medicine
  • Smoking
  • Osteomalacia and other bone disorders
  • Falls
  • Who falls?
  • Risk factors for falls
  • Patient related risks
  • Environmental risks
  • Protective mechanisms
  • Reason for the epidemic
  • Prevention
  • Screening
  • Prevention of falls
  • Primary medical care
  • Home environment
  • Planning and design
  • Management of hip fracture
  • Pre-operative care
  • Operative management
  • Non-operative management
  • Post-operative care and rehabilitation
  • Orthopaedic considerations
  • Medical considerations
  • Psychiatry of old age
  • Nursing
  • Physiotherapy
  • Occupational therapy
  • Social services
  • Models of organisation
  • Geriatric orthopaedic units
  • Other schemes
  • Conclusions
  • Recommendations
  • Prevention of hip fracture
  • Management of hip fracture

Copies available on request.

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