Orthogeriatric Hip Fracture (Combined Approach)

Joint orthopedic-geriatric management of the elderly hip-fracture patient

Written by: Saygı Hospital Health Guide Editorial Board

Last updated: June 17, 2026

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Orthogeriatric Hip Fracture (Combined Approach)?

The orthogeriatric model provides early surgery, comorbidity management, delirium prevention, fluid and electrolyte optimization, and pain control through joint daily care by orthopedic and geriatric teams in elderly hip-fracture patients.

Surgery within 48 hours is the target; even a 24-hour delay increases mortality. Daily geriatric assessment is performed for each patient.

For secondary fracture prevention, osteoporosis evaluation, calcium and vitamin D optimization, and antiresorptive therapy are initiated. Falls-prevention programs and rehabilitation goals are defined.

Symptoms

Pain after a fall

Leg shortening with external rotation

Inability to bear weight

Trochanteric tenderness

Restricted range of motion

Risk Factors

Advanced age

Osteoporosis

Sarcopenia

History of falls

Polypharmacy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

Hip pain after a fall
Inability to bear weight
Suspected occult fracture
Decompensation of comorbid conditions
Onset of delirium

Treatment Methods

Surgical planning within 48 hours

Geriatric assessment and comorbidity optimization

Delirium prevention protocol

Nutritional support

Early mobilization and physiotherapy

Secondary fracture prevention program

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.