Tag Archive for: Surgical Timing

Oral Anticouagulants in Hip Fracture. Is it Actually Worth the Wait?

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Review Article | Vol 12 | Issue 1 | January-June 2026 | page: 12-14 | Prannoy Paul, Sujit Jos, Shalini Miriam Ipe, Ashna Manoj, Muhammad Ebadur Rahman Siddiqui

DOI: https://doi.org/10.13107/ti.2026.v12.i01.076

Submitted: 11/01/2026; Reviewed: 10/01/2026; Accepted: 26/03/2026; Published: 10/04/2026

Authors: Prannoy Paul [1], Sujit Jos [1], Shalini Miriam Ipe [2], Ashna Manoj [3], Muhammad Ebadur Rahman Siddiqui [4]

[1] Institute of Advanced Orthopedics, M.O.S.C Medical College Hospital, Kolenchery, Ernakulam, Kerala, India.
[2] Department of Anesthesia, M.O.S.C Medical College Hospital, Kolenchery, Kerala, India. Ernakulam, Kerala.
[3] Department of Anesthesia, Lakeshore hospital, Kochi, Ernakulam, Kerala, India.
[4] Adamjee Government Science College, Karachi, Pakistan

Address of Correspondence

Dr. Prannoy Paul, Institute of Advanced Orthopedics, M.O.S.C Medical College Hospital, Kolenchery, Ernakulam, Kerala.
Email prannoypaul@gmail.com

Abstract

Hip fractures in the elderly are an orthopedic emergency. Timely surgical intervention—ideally within 24 to 48 hours—has been strongly associated with reduced morbidity, mortality, and length of hospital stay. However, with the increasing prevalence of cardiovascular and cerebrovascular comorbidities, many of these patients present on oral antiplatelet agents or anticoagulants such as clopidogrel, aspirin, warfarin, or newer direct oral anticoagulants (DOACs). The critical question facing orthopedic teams worldwide is whether surgery should be delayed to mitigate bleeding risks or whether early surgery should proceed despite pharmacologic anticoagulation. This article aims to explore the evidence and practical considerations surrounding this dilemma. Keywords: Hip Fracture, Antiplatelet Therapy, Clopidogrel, Surgical Timing, Perioperative Bleeding

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How to Cite this article: Paul P, Jos S, Ipe SM, Manoj A | Oral Anticouagulants in Hip Fracture. Is it Actually Worth the Wait? | January-June 2026; 12(1): 12-14 | https://doi.org/10.13107/ti.2026.v12.i01.76

 

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