Abstract
Fractures of the proximal femur are common in elderly individuals, who have decreased bone mass and a higher frequency of falls. Women are more likely than men to sustain femoral neck or intertrochanteric fractures because of their higher incidence of osteoporosis. The vast majority of patients with hip fractures require operative treatment, and the clinician’s knowledge of the patient’s medical condition and preinjury functional level is essential in making decisions regarding surgery. Fractures of the femoral shaft and distal femur are relatively uncommon and are usually the result of significant trauma from automobile accidents in younger patients and falls in elderly people. Pelvic fractures are a leading cause of traumatic morbidity and mortality. The clinician involved in trauma care plays an important role in the recognition and stabilization of patients with pelvic fractures.
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