Clinical framework and management of coxo femoral fractures according to Italian Society of Orthopedics and Traumatology guidelines

Proximal femoral fractures represent a serious and debilitating event, especially in the elderly population, and constitute an important public health problem. The prognosis of untreated proximal femoral fractures is often poor. Therefore, prompt surgery remains the primary choice of treatment. Patients should be surgically treated as soon as possible (within 48 hours), following the rapid stabilization of any associated pathologies in the acute imbalance phase. It is important to conform to orthopedic and multidisciplinary treatments as much as possible, in agreement with national and international guidelines. The type of surgical treatment is chosen based on classification of the fracture using precise guidelines. Any treatment must include an adequate rehabilitation plan, starting from the day after the operation in which weight load is possible. In conclusion, in order to manage a coxofemoral fracture, the following is necessary: an accurate study of the fracture, meticulous classification of the fractured patient, evaluation of the various therapeutic possibilities based on given guidelines, best practice, and consolidated principles.