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World J Orthop. Sep 18, 2014; 5(4): 402-411
Published online Sep 18, 2014. doi: 10.5312/wjo.v5.i4.402
Complications of hip fractures: A review
Pedro Carpintero, Jose Ramón Caeiro, Rocío Carpintero, Angela Morales, Samuel Silva, Manuel Mesa
Pedro Carpintero, Rocío Carpintero, Samuel Silva, Department of Orthopaedic, University Hospital Reina Sofía, 14004 Córdoba, Spain
Jose Ramón Caeiro, Department of Orthopaedic, University Hospital Santiago de Compostela, 15006 La Coruña, Spain
Angela Morales, Department of Anesthesia, University Hospital Reina Sofia, 14004 Córdoba, Spain
Manuel Mesa, Orthopaedic Department, Hospital Valle de los Pedroches, 14400 Pozoblanco, Spain
Author contributions: All the authors contributed to the conception and design of the work, revised carefully the content and approved the final version of the manuscript.
Correspondence to: Pedro Carpintero, MD, PhD, Department of Orthopaedic, University Hospital Reina Sofia, Menendez Pidal Avenue, 14004, Córdoba, Spain.
Telephone: +34-957-218248 Fax: +34-957-218248
Received: December 24, 2013
Revised: May 14, 2014
Accepted: May 28, 2014
Published online: September 18, 2014
Core Tip

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.