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Abstract
Purpose
The purpose of this study was to report on the mortality, follow-up rate and some factors related to mortality for elderly patients with hip fractures.
Materials and Methods
The subjects of the study were one hundred and eighteen (40 males and 78 females) patients older than 65 years and who underwent surgery for hip fracture between June 2003 and October 2005. The mortality and follow-up rates were determined retrospectively. We analyzed the relationship between postoperative mortality and such variables as age, gender, the type of fracture, the operative methods, operative delay, comorbidity, the ASA score, BMD (Bone mineral density) and the ambulatory capability.
Results
At three months, the follow-up rate and mortality rate were 58.4% and 11.8%, respectively. At six months, they were 40.7% and 18.6%, respectively; at 1 year, they were 28.8% and 28.8%, respectively. There was no relationship between postoperative mortality and age, gender, the type of fracture, the operative methods, operative delay and the BMD. However, there were significant relationships between postoperative mortality and comorbidity, the ASA score and the ambulatory capability.
Figures and Tables
References
1. Alffram PA. An epidemiologic study of cervical and trochanteric fractures of the femur in an urban population. Analysis of 1,664 cases with special reference to etiologic factors. Acta Orthop Scand. 1964. 65:Suppl 65. S1–S109.
2. Ceder L, Thorngren KG, Wallden B. Prognostic indicators and early home rehabilitation in elderly patients with hip fractures. Clin Orthop Relat Res. 1980. 152:173–184.
3. Dahl E. Mortality and life expectancy after hip fractures. Acta Orthop Scand. 1980. 51:163–170.
4. Davis TR, Sher JL, Porter BB, Checketts RG. The timing of surgery for intert rochanteric femoral fractures. Injury. 1988. 19:244–246.
5. Dolk T. Influence of treatment factors on the outcome after hip fractures. Ups J Med Sci. 1989. 94:209–221.
6. Emery RJ, Broughton NS, Desai K, Bulstrode CJ, Thomas TL. Bipolar hemia rthroplasty for subcapital fracture of the femoral neck. A prospective randomised trial of cemented thompson and uncemented moore stems. J Bone Joint Surg Br. 1991. 73:322–324.
7. Garden RS. Selective surgery in medial fractures of the femoral neck. Injury. 1977. 9:5–7.
8. Ihn JC, Kim PT, Park IH, Kim SY, Oh CW, Kim JH. Mortality rate in older patients who have a hip fracture. J Korean Fracture Soc. 1997. 10:1–7.
9. Jang JD, Kang ST, Lee EJ, Choi SJ, Chang HK, Lee CJ. A study of the factors which influence on the one-year mortality rate after hemiarthroplasty in older patients with hip fracture. J Korean Hip Soc. 1998. 10:225–232.
10. Jensen JS, Tøndevolt E. Mortality after hip fractures. Acta Orthop Scan. 1979. 50:161–167.
11. Kenzora JE, McCarthy RE, Lowell JD, Sledge CB. Hip fracture mortality. Rela tion to age, treatment, preoperative illness, time of surgery, and complications. Clin orthop Relat Res. 1984. 186:45–56.
12. Kho DH, Kim KH, Shin JY, Lee JH, Kim DH. Postoperative mortality rate o f hip fracture in elderly patients. J Korean Fracture Soc. 2006. 19:117–121.
13. Kim SK, Hong JS, Park JH, Park JW, Kim JH. Mortality and functional recovery after bipolar hemiarthroplasty of femoral neck fractures in elderly patients. J Korean Hip Soc. 2002. 14:49–55.
14. Lennox IA, McLauchlan J. Comparing the mortallity and morbidity of cemented and uncemented hemiarthroplasties. Injury. 1993. 24:185–186.
15. Longnecker DE, Murphy FL. Introduction to anesthesia. 1997. 9th ed. Philadelphia: WB Saunders Co;18–19.
16. Miller CW. Survival and ambulation following hip fracture. J Bone Joint Surg Am. 1978. 60:930–934.
17. Owens WD, Felts JA, Spitznagel EL Jr. ASA physical status classifications: a study of consistency of ratings. Anesthesiology. 1978. 49:239–243.
18. Sikorski JM, Barrington R. Internal Fixation versus hemiarthroplasty for the displaced subcapital fracture of the femur. A prospective randomised study. J Bone Joint Surg Br. 1981. 63:357–361.
19. Søreide O, Lillelestrøl J. Survival patterns following primary prosthetic replac ement for acute femoral neck fractures in the elderly. Scand J Soc Med. 1980. 8:73–80.
20. Wedeen R, Rosenthal H, Miller P. Twenty year mortality statistics on fractured hips (1935-1956). Bull Hosp Joint Dis. 1957. 18:86–97.
21. White BL, Fisher WD, Laurin CA. Rate of mortality for elderly patients after fracture of the hip in the 1980's. J Bone Joint Surg Am. 1987. 69:1335–1340.
22. Zuckerman JD, Skovron ML, Koval KJ, Aharonoff G, Frankel VH. Postoperative complications and mortality associated with operative delay in older patients who have a fracture of the hip. J Bone Joint Surg Am. 1995. 77:1551–1556.
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