Bommireddy L, Leow TW, Gogna R, et al. - This study was intended to examine outcomes of femoral shaft fractures in patients age 60 years and over at our institution and compare them to that of the hip fracture population. Clinical records of a consecutive cohort of patients aged 60 years and over, who sustained a femoral shaft fracture, over a five-year period at the institution were retrospectively examined. Researchers distinguished 53 individuals with a mean age of 78.7 years. The study found poor medical outcomes and prolonged length of admission in patients age 60 years and over with femoral shaft fractures. The results indicated that medical complication rates are at least twice the 13-20% reported for hip fractures in comparison with patients with hip fractures. In patients with femoral shaft fractures, the 30-day mortality rate was also more than double the 6.1% reported for hip fracture patients by The National Hip Fracture Database in 2018. It was shown that femoral shaft fractures are correlated with high medical morbidity and mortality. The outcomes suggested that the hip fracture pathway is encompassed in the British Orthopaedic Association guidelines and emphasizes early medical input and a multidisciplinary approach to patient management.