Hence, there is often a dilemma faced by the health care workers as how much optimization is needed for hip fracture click here surgery. Therefore, an orthopedic surgeon sometimes stands on one’s own, with little more than the basic medical knowledge, to cope with a system that is very unlikely to satisfy an ever growing number of patients. In general, orthopedic surgeons cannot accept sole responsibility for all these very complex problems. Involving multidisciplinary members in the treatment is a clear direction. Geriatricians, cardiologists, and anesthetists

all become stakeholders. Clinical pathways or geriatric fracture programs involving a team of health care professionals from different disciplines have been developed in some centers to ensure prompt and safe management of hip fracture patients. There have also been efforts in establishing a conjoint orthogeriatric service to provide a comprehensive care to these patients in a comanaged manner. Besides comorbidities of the geriatric patients, there are problems

related to the selleck process or the system that delay surgery to these patients. Despite the increasing demand in the treatment of fragility hip fractures, hospital administration and government health organizations in much of the world still turn a blind eye to this trend. Scarce resources are not to be blamed. Better use of existing resources is clearly necessary. The availability of a dedicated operating theater for hip fracture surgery has been shown to be effective [9]. Recently, there have been also encouraging attempts to establish national guidelines for the management of elderly hip fractures, such as the SIGN guidelines [10] and the British Orthopaedic Association guidelines [11]. Monitoring of the process of management of these hip fracture patients by the government or health administration organizations

will no doubt also play a significant Chloroambucil role in ensuring early surgical treatment of these patients. One may argue that this is due to the Hawthorne effect whereby a short-lived increase in productivity is seen when the performance is being measured [12]. On the other hand, as long as early surgery does not conflict with their well-being, elderly hip fracture patients would clearly benefit from such clear directions. Management of osteoporotic fractures has been a priority of the AO Foundation. The initial focus was on concept development of surgical techniques to enable better fixation in osteoporotic bone. What started as a strategic initiative in 2003 has become an integral part of AO’s Clinical Priority Program ‘Fracture Fixation in Osteoporotic Bone’. It provided an opportunity for orthopedic and traumatological experts to meet and work with specialists from internal medicine, anesthesiology, and radiology.