As the demographic profile of our nation shifts towards an aging population, the incidence of fragility fractures, particularly hip fractures, has seen a significant upsurge. This special edition “Hip Fracture in Adults” of the Nepal Orthopedic Association Journal (NOAJ) is dedicated to unraveling the complexities associated with these injuries, focusing on ...

Hip fractures demand urgent attention in low- and middle-income regions as much as in the West. Their global burden is enormous: over 10 million hip fractures occurred worldwide in people ≥55 years in 2019, and projections suggest they will nearly double by 2050. Hip fracture projections in Nepal estimate ~6,900 ...

Fractures around the hip are common injuries seen in orthopedic practice, particularly in the elderly population. These fractures include femoral neck, intertrochanteric, and subtrochanteric fractures. These fractures are often associated with significant morbidity, mortality, and socioeconomic burden due to prolonged immobilization and loss of independence in physiologically and biologically compromised ...

Successful treatment of a patient with a hip fracture requires thorough preoperative assessment and resuscitation, and timely surgery. A multidisciplinary approach is worthwhile with early involvement of an orthogeriatric team and preoperative anesthetic assessment where possible. The fundamentals of assessment of these patients are the fundamentals of medical assessment of ...

Advancement in medical technology has increased the life expectancy of people, leading to a significant rise in geriatric fractures. Hip fracture in particular is in rise with associated high morbidity and mortality. Venous thromboembolism and perioperative anemia due to blood loss or chronic conditions are major complications influencing patient outcomes. ...

Fractures of the proximal femur, particularly intertrochanteric and subtrochanteric fractures, remain a major orthopaedic challenge due to their high incidence in the elderly, complex biomechanics, and frequent association with osteoporosis. Management of these injuries has evolved significantly over the past century, shifting from conservative treatment and rigid extramedullary constructs toward ...

Femoral neck fractures in young adults below the age of 65 most often result from high-energy trauma, in contrast to the low-energy mechanisms more common in elderly patients. As a result, treatment goals in younger patients focus on preserving the femoral head’s blood supply, achieving anatomic reduction, and maintaining stable ...

As the population continues to live longer and be in better health low energy neck of femur fractures continue to rise annually in incidence. Such injuries are common enough that many orthopedic surgeons doubtlessly feel confident in their management. Despite this the topic retains importance to the practicing surgeon and ...

Intertrochanteric femur fractures remain an important global health concern with rising numbers with an aging population. Determining the stability of the fracture is essential to choosing the appropriate implant for fixation of these fractures. To achieve a successful outcome, surgeons must consider the fracture pattern and choose a technique to ...

Subtrochanteric fractures involve the proximal femur just below the lesser trochanter and are uniquely challenging due to the dense cortical bone and powerful muscle forces acting across the region, which produce predictable deformity patterns. These injuries typically result from high-energy trauma in younger individuals or low-energy falls in elderly patients ...

Hip fractures in the elderly are a major public health concern, associated with high rates of morbidity and mortality. This review synthesizes the extensive spectrum of complications following hip fracture surgery, categorizing them into medical, anesthetic, and surgical types. Medical complications are prevalent and multifactorial; cardiac events, including myocardial injury, ...

Hip fractures represent a significant healthcare challenge globally, particularly affecting older adults aged 65 years and above. This comprehensive review examines evidence-based physiotherapy interventions for hip fracture rehabilitation across acute, subacute, and chronic phases of recovery. The article synthesizes current research findings and established clinical guidelines, with particular emphasis on ...

Pathological fractures due to metastatic disease are common around the hip (proximal femur and acetabulum) and represent an escalating concern in musculoskeletal oncology. These fractures should not be fixed straight away and management should focus on comprehensive clinical, laboratory, imaging workup and biopsy, and treatment plan should be tailored and ...

Hip fractures are often the consequence of low energy trauma, especially in the elderly with osteoporosis. The incidence is rising globally because of secular increase in the prevalence of osteoporosis. This article explores the key risk factors and stratification tools for hip fractures, aiming to equip clinicians with evidence-based insights ...