Published online Sep 18, 2014. doi: 10.5312/wjo.v5.i4.402
Revised: May 14, 2014
Accepted: May 28, 2014
Published online: September 18, 2014
Core tip: Over 90% of hip fracture patients are older than 65-year-old and have preexisting medical comorbidities. Both factors have an important influence in its prognosis and treatment. Even with optimal care, elderly trauma patients suffer a higher morbidity and mortality rate when compared with the general population, and often demand for expensive hospital aftercare. Because of that, surgical treatment of hip fracture in these patients has exceptional clinical challenges, and needs strategies to optimize patient care. Acute orthogeriatric units, with medical co-management of these patients, offer the best chance for a successful outcome.