Management of Hip Fractures in the Elderly

These Egyptian Guidelines provide evidence-based recommendations for the multidisciplinary management of adults with hip fractures, from initial presentation through definitive treatment, rehabilitation, and secondary fracture prevention. The guideline covers the assessment and management of intracapsular and extracapsular hip fractures, including recommendations for surgical decision-making, perioperative optimization, anaesthesia, pain management, blood transfusion, thromboprophylaxis, postoperative rehabilitation, orthogeriatric care, osteoporosis management, and discharge planning.

The primary objectives of these guidelines are to:

·       Standardize evidence-based hip fracture care across healthcare institutions in Egypt.

·       Support appropriate surgical decision-making, including indications for internal fixation and arthroplasty in patients with femoral neck fractures.

·       Promote timely surgery and optimization of physiological status before surgery.

·       Provide recommendations for perioperative management, including pain control, regional anaesthesia, blood management, and thromboprophylaxis.

·       Facilitate early mobilization, multidisciplinary rehabilitation, and restoration of functional independence.

·       Reduce complications, mortality, hospital length of stay, and unnecessary healthcare costs.

These guidelines are designed to provide practical, evidence-informed recommendations that can be implemented across a wide range of healthcare settings while allowing clinicians to individualize management according to patient characteristics, comorbidities, available resources, and clinical judgment.