Orthopaedic Surgery Hip Fractures in the Elderly: Review Questions Jonathan B. Ticker, MD Dr. Ticker is an assistant clinical professor of orthopaedic surgery, College of Physicians and Surgeons of Columbia University, New York, NY. Choose the single best answer for each question.
	1. An 83-year-old ambulatory woman has a simple fall at home. She cannot walk or bear weight on her right lower extremity and is immediately brought by ambulance to the emergency department. Radiographs reveal that the patient has a displaced right femoral neck fracture, without other radiographic findings. Compared with a similar patient with a displaced intertrochanteric hip fracture, what is this patient at greater risk for? Decubitus ulcer Deep vein thrombosis (DVT) Fracture malunion Osteonecrosis Urinary tract infection Click here to compare your answer. 2. The above patient, who has had no prior history of right hip complaints, is now admitted to the hospital following orthopaedic evaluation and medical consultation. Following medical stabilization, what is the optimal treatment for her displaced femoral neck fracture? Closed reduction and bed rest Hemiarthroplasty Nonsurgical management Open reduction and internal fixation Traction Click here to compare your answer. 3. A 73-year-old ambulatory man has a simple fall at home. He cannot walk or bear weight on his left lower extremity and is immediately brought by ambulance to the emergency department. Radiographs reveal that the patient has a displaced intertrochanteric hip fracture, without other radiographic findings. Following medical stabilization, what is the optimal treatment for this patient’s displaced intertrochanteric hip fracture? Closed reduction and bed rest Hemiarthroplasty Nonsurgical management Open reduction and internal fixation Traction Click here to compare your answer.		4. Compared with geriatric patients with hip fracture who are treated surgically the first day after hospitalization, what is the approximate increase in the 1-year mortality rate for geriatric patients with hip fracture who are treated surgically more than 2 calendar days after hospitalization? 20% 40% 60% 80% 100% Click here to compare your answer. 5. Patients who sustain a hip fracture and present to the hospital without delay have a 6% risk of DVT. What is the risk of DVT for patients who have a more than 2-day delay from the time of hip fracture to hospital presentation? 15% 35% 55% 75% 95% Click here to compare your answer.
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