Guideline summary · Musculoskeletal · 7 min read
Hip fracture in adults
Early surgery, the right implant, and orthogeriatric care.
Key points
- Operate on the day of admission or the day after.
- Displaced intracapsular fractures: arthroplasty (hemiarthroplasty or total hip replacement).
- Total hip replacement suits selected patients who were independently mobile and are fit for the procedure.
- Trochanteric fractures above and including the lesser trochanter: sliding hip screw; subtrochanteric fractures: intramedullary nail.
- Allow full weight-bearing immediately after surgery and start mobilisation the next day.
Summary based on NICE guideline CG124, Hip fracture: management (2011, last updated 2023). A study aid, not a substitute for the current guideline or local protocols.
Sign in free to read the full textRelated
AtlasImage guideSupracondylar fractures in children
Classification, neurovascular checks and when to operate.
AtlasImage guideBrachial plexus and peripheral nerve injuries
Roots to branches, and the injuries that each fracture puts at risk.
Video8-min outlineKnee examination in 8 minutes
Look, feel, move and the special tests that discriminate.