Overall , moderate evidence suggests that nerve blockades are effective for relieving acute pain and reducing delirium .
Low-level evidence suggests that preoperative traction does not reduce acute pain .
Nerve blockade seems to be effective in reducing acute pain after hip fracture .
Sparse data preclude firm conclusions about the relative benefits or harms of many other pain management interventions for patients with hip fracture .
BACKGROUND  Pain management  is integral to the management of hip fracture .
PURPOSE To review the benefits and harms of pharmacologic and nonpharmacologic interventions for managing pain  after hip fracture .
Preoperative Skin Traction in Patients With Hip Fractures Is Not Useful
One hundred twenty patients with cervical or trochanteric hip fractures were allocated r and omly to groups receiving either skin traction or no special treatment while awaiting surgery .  No differences were found between the groups in terms of pain experienced , the need for supplementary analgesics , or complications during the hospital stay . In addition , the repositioning and percentage of united fractures after 4 months did not differ significantly between the groups . The application of skin traction offered no benefits , and thus routine use of preoperative skin traction in patients with hip fractures is not recommended
Overall , moderate evidence suggests that nerve blockades are effective for relieving acute pain and reducing delirium .
Low-level evidence suggests that preoperative traction does not reduce acute pain .
Nerve blockade seems to be effective in reducing acute pain after hip fracture .
Sparse data preclude firm conclusions about the relative benefits or harms of many other pain management interventions for patients with hip fracture .
BACKGROUND  Pain management  is integral to the management of hip fracture .
PURPOSE To review the benefits and harms of pharmacologic and nonpharmacologic interventions for managing pain  after hip fracture .