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Approach to patients with hip fracture and concurrent stroke
  1. Jing Wei Lim and
  2. Guat Cheng Ang
  1. Geriatric Medicine, Changi General Hospital, Singapore
  1. Correspondence to Dr Jing Wei Lim; jingwei.lim{at}mohh.com.sg

Abstract

We report a case of a 70-year-old man who presented with concomitant hip fracture and stroke. Our patient underwent surgical correction of a hip fracture despite the increased perioperative and postoperative risks associated with an acute stroke. He achieved good functional outcome after surgery and subsequent rehabilitation. There are no clear guidelines on the factors to determine whether a patient with concomitant stroke and hip fracture is a good candidate for surgical hip repair. Furthermore, there is also no consensus on the appropriate timing of surgical repair for such patients. We postulate that factors such as functional status, comorbidities, type and severity of stroke will affect the decision to proceed with surgical repair, and that there is a benefit in advocating for surgery in appropriate patients by a multidisciplinary orthogeriatric care team.

  • geriatric medicine
  • stroke
  • orthopaedics
  • orthopaedic and trauma surgery

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Footnotes

  • Contributors GCA, the guarantor, had the idea for the article, and identified and managed the cases as the primary physician. JWL was involved in management of the cases, performed the literature search and wrote the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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