Hip protectors and prevention of hip fractures in older persons.

Hip fractures are a worldwide problem with consequences for the health care system as well as for the individual patient. Falls in the presence of osteoporosis are the main reason for these fractures. The effectiveness of hip protectors in preventing hip fractures has been proven in several biomechanical studies; however, adherence is low. Therefore clinical studies reveal conflicting results. In order to increase adherence, it is necessary to educate older persons who are at risk on the dangers of hip fractures and the value of hip protectors as a preventive device. The design and wearing comfort of hip protectors are also important factors in adherence. Hip protectors with a more patient-friendly design are now available, and new studies should help clarify relevant issues.