Management of proximal femoral fractures | Association of Anaesthetists

Management of proximal femoral fractures

This document has been withdrawn and remains available as a reference document only.


Proximal femoral fractures present unique challenges for anaesthetic departments, involving the peri-operative care of large numbers of older patients with significant co-morbidities. Despite guidance since the early 1990s concerning best practice management for these vulnerable patients, there remains considerable variation in models of peri-operative care, rehabilitation and orthogeriatric input.  

These guidelines cover the management of proximal femoral fractures, including: 

  • Facilities and services required 
  • Pre-operative management 
  • Intra-operative management 
  • Postoperative management 
  • Outcomes, audit and research