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Team Approach: Multidisciplinary Treatment of Hip Fractures in Elderly Patients

Orthogeriatric Care

Figved, Wender MD, PhD1; Myrstad, Marius MD, PhD1; Saltvedt, Ingvild MD, PhD2,3; Finjarn, Merete RN1; Flaten Odland, Liv Marie RPT, MSc1; Frihagen, Frede MD, PhD4,5

doi: 10.2106/JBJS.RVW.18.00136
Team Approach Review Articles
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  • » Patients with hip fractures are best managed by a multidisciplinary team.
  • » The multidisciplinary team consists of an orthogeriatrician, orthopaedic surgeon, aanesthesiologist, orthopaedic and/or geriatric nurse, occupational therapist, physical therapist, and clinical pharmacologist and may also include other professions, such as endocrinologist, nutritional therapist, and social worker.
  • » Key factors include perioperative assessment and minimal delay to surgery; comprehensive geriatric assessment; multidisciplinary in-ward assessment including discharge planning, treatment, and rehabilitation; and secondary fracture prevention.
  • » Current evidence shows that older people receiving multidisciplinary treatment for a hip fracture, comprehensive geriatric assessment, and systematic secondary fracture prevention have reduced morbidity and mortality and a lower risk of subsequent fractures and are more likely to return to the same location in which they lived before hospital admission.

1Departments of Orthopaedic Surgery (W.F. and M.F.) and Internal Medicine (M.M. and L.M.F.O.), Baerum Hospital, Vestre Viken Hospital Trust, Baerum, Norway

2Department of Geriatrics, St. Olav Hospital, University Hospital of Trondheim, Trondheim, Norway

3Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

4Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway

5Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway

E-mail address for W. Figved: wender.figved@vestreviken.no

Investigation performed at the Departments of Orthopaedic Surgery and Internal Medicine, Baerum Hospital, Vestre Viken Hospital Trust, Baerum, Norway

Disclosure: There was no source of external funding for this study. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (http://links.lww.com/JBJSREV/A453).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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