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The operation comes with risks and can reduce life expectancy in these patients and result in prolonged hospital admission, delirium, and postoperative complications. This case highlights a novel approach to managing the frailest end-of-life patients that does not require them to undergo a conventional operation. The case resulted in a quick discharge from hospital and for the patient and family to maximise the time out of hospital, with a reduced analgesic burden and a peaceful passing away. We feel that this could be an alternative, more humane option for such patients.<\/jats:p>","DOI":"10.1155\/2020\/8847080","type":"journal-article","created":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T23:33:45Z","timestamp":1592955225000},"page":"1-3","source":"Crossref","is-referenced-by-count":2,"title":["Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures"],"prefix":"10.1155","volume":"2020","author":[{"given":"Alexander","family":"Koizia","sequence":"first","affiliation":[{"name":"East Suffolk and North Essex NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ala","family":"Abuown","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Vowles","sequence":"additional","affiliation":[{"name":"The Hillingdon Hospitals NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damien","family":"Smith","sequence":"additional","affiliation":[{"name":"The Hillingdon Hospitals NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4074-6926","authenticated-orcid":true,"given":"Louis J.","family":"Koizia","sequence":"additional","affiliation":[{"name":"Cutrale Perioperative and Ageing Research Group, Department of Bioengineering, Imperial College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2016071"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2019.05.022"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000337"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-002-0404-y"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.06.009"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1177\/2151458517713821"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1177\/2151459319827470"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(55)93213-X"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2017.09.006"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2239"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.12217"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1111\/pme.12176"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2006.00228.x"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2020\/8847080.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2020\/8847080.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crior\/2020\/8847080.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T23:33:46Z","timestamp":1592955226000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crior\/2020\/8847080\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,23]]},"references-count":13,"alternative-id":["8847080","8847080"],"URL":"https:\/\/doi.org\/10.1155\/2020\/8847080","relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,23]]}}}