Hip Fracture

NICE Clinical guideline [CG124] Hip fracture: management. Last updated: Jan 2023.

Guidelines

  • Displaced intracapsular fracture → hip replacement (arthroplasty) with cemented implants
    • Total hip replacement preferred for fit patients
    • Partial hip replacement for unfit patients
 
  • Undisplaced intracapsular fracture → internal fixation (cannulated screws or sliding hip screw)
    • This it not explicitly stated by NICE, but is standard practice

  • Subtrochanteric fracture → intramedullary nail
  • Intertrochanteric fracture → sliding hip screw

References

Author: Adams Lau
Reviewer:
Last edited: 22/07/25