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AAOS releases new hip fracture guidelines

The American Academy of Orthopaedic Surgeons (AAOS) Board of Directors recently approved Appropriate Use Criteria, entitled Appropriate Use Criteria for the Treatment of Hip Fractures in the Elderly, is intended for for treatment and rehabilitation of elderly patients with hip fractures, in addition to postoperative direction to help prevent fractures from recurring, reports the AAOS. The criteria use different patient scenarios and treatments, labeling them “appropriate,” “may be appropriate,” and “rarely appropriate.”

  • limiting preoperative traction
  • managing Warfarin, a blood-thinning medication
  • discussing the patient’s home environment prior to discharge

The second AUC, Appropriate Use Criteria for Postoperative Rehabilitation for Low Energy Hip Fractures in the Elderly, provides universal recommendations for recovery across elderly patient populations including:

  • Interdisciplinary care to prevent deep vein thrombosis
  • Prevention or management of postoperative delirium
  • Multi-modal perioperative pain management
  • Interdisciplinary management of recovery at rehabilitation and skilled-nursing facilities
  • Home care therapy following discharge
  • Osteoporosis assessment and management.