Hip Fracture in Elderly Asian Patients: Epidemiology, Surgical Outcomes, and Strategies for Optimizing Perioperative Management
Keywords:
hip fracture, elderly, Asia, osteoporosis, surgical management, perioperative care, orthopedic outcomesAbstract
Background: Hip fracture among the elderly represents a major public health challenge across Asia, where rapid population aging and growing osteoporosis burden are converging to produce alarming incidence rates. Objective: To review the epidemiology of hip fractures in elderly Asian patients, compare surgical treatment approaches, analyze perioperative outcomes, and identify evidence-based strategies for improving management. Methods: A narrative synthesis was conducted integrating published literature from 2019 to 2025. Results: Significant heterogeneity was found across Asian countries in surgical timing, mortality rates, and rehabilitation practices. One-year mortality ranged from 16.5% to 23.1%, while surgery within 48 hours varied from 28.4% to 71.3%. Conclusion: Standardized care pathways, early surgical intervention, and multidisciplinary geriatric co-management represent the most impactful strategies for reducing hip fracture burden in Asia.
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