Hip Protector Devises to Prevent Hip Fractures of Older Adults pp. 415-422
Authors: (Pekka Kannus, Jari Parkkari, Injury and Osteoporosis Research Center UKK Institute for Health Promotion Research, Tampere, Finland, and others
Abstract: Prevention of elderly people‘s fractures consists of prevention and treatment of osteoporosis, prevention of falling, and prevention of fractures using injury-site protection. Since great majority of hip fractures are caused by a sideways fall with direct impact on the greater trochanter of the proximal femur, one alternative to prevent the fracture is a padded, firm-shield external hip protector. With this type of two-part design the impacting force and energy are, at the time of the fall-impact, first weakened by the padding part of the protector and then shunted away from the greater trochanter by the shield part of the same. Following this line, a series of consecutive studies by the Injury and Osteoporosis Research Center at the UKK Institute, Tampere, Finland, have shown that a padded, strong-shield KPH Hip Protector is effective in preventing hip fractures. The results have been encouraging to recommend the protector for high-risk frail elderly people, especially those who have fallen before, had fractures, poor balance and impaired mobility. The most usual general problem with hip protectors is related to user compliance. Not all elderly people with a high risk of hip fracture will start to use hip protectors. Also, long-term adherence to use the protector can decrease. Therefore, in maintaining the compliance, caregivers‘ motivation and interest on fracture prevention is of great importance.