Experience with hip denervation in non-operative hip fracture care for frail older patients
Hip fractures in frail elderly: Non-op care gains ground as end-of-life option—shared decisions key.
Due to the ageing population, hip fractures in frail older patients pose a growing healthcare concern.1 2 Frailty in hip fracture patients changes the balance between the burden of operative management (OM) and revalidation versus expected postoperative recovery.3–5 Non-operative management (NOM) for hip fractures is considered a viable alternative for selected frail older patients in end-of-life (EOL) care.6 NOM involves consideration of prognosis and patient preferences in shared decision-making with patients and their proxies.7–9 Proxies are closely involved due to the high prevalence of cognitive impairment in this population.10-13
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