Hip Fracture

Sign/Symptoms
Hip: Inability to Move Joint Limp Or Limping Pain Hip Pain Joint (Arthralgia) Pain Pelvic

Drugs

Our Records are Incomplete for Drugs

Treatments
Surgery Arthroplasty or Hemiarthroplasty Total Joint Replacement Internal Fixation Vitamins Vitamin D3 Strongly in Favour High Evidence Lifestyle Changes Physiotherapy Weakly in Favour Low Evidence Medical Therapy Arthroplasty or Hemiarthroplasty Weakly in Favour Low Evidence Total Joint Replacement Weakly in Favour Low Evidence

Attributes
Incidence is approximately 1 in 833 people

Further Tests
Aspartate Aminotransferase (AST) Concentration Aspartate Aminotransferase (AST) (Increased) Fibrin Degradation Products (FDPs, Fibrin Split Products, FSPs, Fibrin Breakdown Products, Fbps) Fibrin Split Products (Increased) Lactate Dehydrogenase Concentration Lactate Dehydrogenase (LDH) (Increased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Vitamin D [1, 2, 3, 4, 5, 6, 7, 8, 9, 10]:

Please note, this management does NOT treat the condition itself. It may mildly help in preventing some of the symptoms, and even then has insufficient evidence to back up this claim at present. Please note, this acts as a PREVENTATIVE treatment, and not necessarily symptomatic relief.

Recommendation: strongly in favor (Studies have shown that a higher intake of vitamin D can reduce the risk of hip fractures among older people following falls. However these studies have had conflicting results, and more studies are needed.)

Grade of Evidence: high quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/vitamin-d

2. http://onlinelibrary.wiley.com/o/cochrane/clsysrev/articles/CD006164/frame.html

3. http://www.ncbi.nlm.nih.gov/pubmed/10824056

4. http://onlinelibrary.wiley.com/doi/10.1002/jcb.10338/abstract

5. http://pain-topics.org/pdf/vitamind-report.pdf

6. http://informahealthcare.com/doi/abs/10.1185/030079908X253519

7. http://www.theglobeandmail.com/life/article756975.ece

8. http://www.ncbi.nlm.nih.gov/pubmed/17556697

9. http://www.ncbi.nlm.nih.gov/pubmed/18065602

10. http://www.nlm.nih.gov/medlineplus/vitamind.html

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