95-year-old woman living in a nursing home, independent for basic activities of daily living, goes out to the garden for walks. She has a history of hypertension, dyslipidemia, osteoporosis and mild cognitive impairment. She suffers a fall when getting up at night to go to the bathroom. X-ray shows a displaced subcapital fracture of the right hip. What is the recommended treatment?
Displaced hip fracture, Garden III-IV. Surgical treatment. Hip hemiarthroplasty. Option 2 treatment for pertrochanteric fractures. Option 3. Non-displaced fractures. Option 4. Non ambulatory patients with minimal pain and high surgical risk.
Hip hemiarthroplasty.
Trochanteric nail fixation.
Fixation with cannulated screws.
Conservative: bed-chair life.
Displaced hip fracture, Garden III-IV. Surgical treatment. Hip hemiarthroplasty.
Option 2 treatment for pertrochanteric fractures.
Option 3. Non-displaced fractures.
Option 4. Non ambulatory patients with minimal pain and high surgical risk.