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Leonard J. Lyon, MD; Michael A. Nevins, MD

JAMA. 1977;238(11):1175-1176.

Abstract
Five elderly patients with hip fractures were deemed unsuited for surgical repair because of severe organic mental syndromes. All survived the postfracture period without the morbidity of decubitus ulcers and pulmonary complications, or the pain, mental anguish, and expense of hospitalization and surgery. Surgical repair of a hip fracture is not necessarily a mandatory or life-saving procedure. For patients unlikely to walk again, nonoperative management is a reasonable alternative—provided good nursing care is available.

(JAMA 238:1175-1176, 1977)

Author Affiliations
From the Department of Medical Education (Drs Lyon and Nevins), Division of Medicine, Bergen Pines County Hospital, Paramus, NJ, and the Woodcliff Lake Manor Nursing Home, Woodcliff Lake, NJ (Drs Lyon and Nevins). Drs Lyon and Nevins are now with the Department of Medicine, College of Medicine and Dentistry of New Jersey, Newark.

Footnotes
Reprint requests to Department of Medical Education, Bergen Pines County Hospital, Paramus, NJ 07652 (Dr Lyon).

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