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Hip Fracture Board

Medical services and treatment policy
Because of increase in prevalence of both osteoporosis and falls along with the
super-aged society, hip fractures became very common in older generations.
Despite undergoing surgery, gait disturbance, exacerbation of comorbid
conditions, or mental deterioration greatly affects the patients’ prognosis.
Accordingly, urgent surgery, appropriate management of comorbidity, and consistent rehabilitation is essential for patients with hip fracture. Orthogeriatrics
is less developed in Japan, thus hip fracture board, established in 2018, staffs
orthopedist, geriatrician, emergency physician, rehabilitation doctor and
therapist, nurses, psychiatrist, and MSW, and practices multidisciplinary team
approach for these patients to enable better care which include geriatric
assessment, delirium prevention and discharge planning. Also, proper
management for osteoporosis is provided to prevent from recurrent fracture by
cooperating with the Osteoporosis Center in the hospital.
The board will encourage creating strong relationship with hospitals with
rehabilitation wards and support patients to live long in their home community.
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