Hip fracture

Current Care Summary
Working group appointed by the Finnish Medical Society Duodecim and the Finnish Orthopaedic Association

Current Care Guideline «Lonkkamurtuma»1 and Summary «Lonkkamurtuma»2 in Finnish

Hip fractures often lead to disability and need for long-term care. To prevent fractures, the risk of falls should be assessed regularly and modifiable risk factors should be eliminated. Hip fracture patients’ care should be seamless and based on comprehensive geriatric assessment. Surgical treatment should enable early mobilization. Cemented fixation is preferred for hip replacements. Multidisciplinary geriatric care and rehabilitation improve outcomes and help to prevent complications, including delirium. Rehabilitation is tailored individually, should include strength training and should continue after discharge. Identifying reasons for fracture is essential for preventing future fractures.

Tiina Huusko (Chair)

Esa Jämsen

Hannu Kokki

Minna Laitinen

Pia Laukkanen

Antti Malmivaara

Maarit Piirtola

Ville-Valtteri Välimäki

Ville Mattila