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Int J Orthop Trauma Nurs. 2018 Aug;30:23-30. doi: 10.1016/j.ijotn.2018.02.006. Epub 2018 Feb 24.

Silent slips, trips and broken hips in the under 60s: A review of the literature.

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NIHR Yorkshire and Humber Patient Safety Translational Research Centre, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, BD9 6RJ, UK. Electronic address:
Faculty of Health and Wellbeing, Robert Winston Building, Collegiate Crescent Campus, Sheffield Hallam University, Sheffield, S10 2BP, UK. Electronic address:
The Royal Wolverhampton NHS Trust and Faculty of Education, Health and Wellbeing, University of Wolverhampton, WV1 1DT, UK. Electronic address:


This critical review of the literature regarding the recovery experiences and healthcare needs of people under 60 following a fragility hip fracture seeks to identify the associated implications for nursing practice and inform care delivery. Forty papers were included following a structured database, citation and grey literature search and filtering of results in line with specified inclusion criteria. Hip fracture is a common, serious and complex injury and an important cause of morbidity, mortality and rising healthcare costs worldwide. This review indicates that although commonly associated with the elderly, incidence and impact in the under 60s has been under-explored. Current health policy, professional and social norms almost exclusively focus on the elderly, surgical interventions and short-term outcomes, rendering the under 60s an inadvertently marginalised, relatively 'silent' sub-set of the hip fracture population. Nurses must be aware, however, of the different recovery needs of this younger group. The limited evidence available indicates these include work related needs and long term physical and psychosocial limitations in this socially and economically active group. Priorities are identified for research to inform policy and practice. Meanwhile, nurses can address the needs of this group by listening to and involving them and their families as healthcare partners.

[Indexed for MEDLINE]

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