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hip protector

Padded protective shields that cover the proximal femur & shunt the energy of impact away from the greater trochanter. These are worn in specially designed undergarments. Clinical significance: Incidence of hip fractures reduced by hip protectors [2], {although NOT reaching statitical significance}. - 4.6% in group with 67% of patients wearing hip protectors - 8.1% in group with 15% of patients wearing hip protectors Little benefit [4,5] - no benefit to elderly in the community - little benefit to high-risk institutionalized elderly - unclear whether the simply don't work or compliance with wearing them is poor [4] - no benefit to nursing home residents - recommended for long-term care residents [7]

Related

hip fracture

General

device (medical device)

References

  1. Journal Watch 20(24):189, 2000 Kannus et al N Engl J Med 343:1506, 2000
  2. Journal Watch 23(5):39, 2003 Meyer G et al, BMJ 326:76, 2003 http://bmj.com/cgi/content/full/326/7380/76
  3. Journal Watch 23(11):90, 2003 van Schoor NM, Smit JH, Twisk JW, Bouter LM, Lips P. Prevention of hip fractures by external hip protectors: a randomized controlled trial. JAMA. 2003 Apr 16;289(15):1957-62. PMID: 12697798
  4. Parker MJ, Gillespie WJ, Gillespie LD. Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic review. BMJ. 2006 Mar 11;332(7541):571-4. Epub 2006 Mar 2. Review. PMID: 16513687 - de Rooij SE. Hip protectors to prevent femoral fracture. BMJ. 2006 Mar 11;332(7541):559-60. No abstract available. PMID: 16528058
  5. Kiel DP, Magaziner J, Zimmerman S, Ball L, Barton BA, Brown KM, Stone JP, Dewkett D, Birge SJ. Efficacy of a hip protector to prevent hip fracture in nursing home residents: the HIP PRO randomized controlled trial. JAMA. 2007 Jul 25;298(4):413-22. PMID: 17652295 - Kannus P, Parkkari J. Hip protectors for preventing hip fracture. JAMA. 2007 Jul 25;298(4):454-5. No abstract available. PMID: 17652300
  6. Gillespie WJ, Gillespie LD, Parker MJ. Hip protectors for preventing hip fractures in older people. Cochrane Database Syst Rev. 2010 Oct 6;(10):CD001255. Review. PMID: 20927724
  7. Papaioannou A et al Recommendations for preventing fracture in long-term care. CMAJ. September 14, 2015 PMID: 26370055 http://www.cmaj.ca/content/early/2015/09/14/cmaj.141331