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 .
Hip fracture in the elderly: the effect of anesthetic technique.
Seven hundred forty-nine community-dwelling , previously ambulatory , elderly patients who sustained a femoral neck or intertrochanteric fracture underwent prospect i ve follow-up to determine whether anesthetic technique ( spinal or general ) had an effect on inpatient morbidity and mortality , or 1-year mortality .  One hundred seven patients were excluded from the study as the anesthetic technique was " predetermined " based on a underlying medical condition . Of the remaining 642 patients , 362 ( 56.4 % ) received general and 280 ( 43.6 % ) received spinal anesthesia . Twenty ( 3.1 % ) patients died during hospitalization ; 73 ( 11.4 % ) patients developed one or more postoperative medical complications . The 1-year mortality rate was 12.1 % . There was no difference in inpatient morbidity and mortality , or 1-year mortality rates between patients receiving general or spinal anesthesia
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 .