Abstract
The incidence of femoral neck and intertrochanteric fractures has steadily increased with
lengthening of the life span. It is well known that anatomical characteristics of femoral neck
may evoke complications such as nonunion and avascular necrosis. And there are many
problems in the treatment of femoral intertrochanteric fractures due to osteoporosis, unstable
pattern of fracture and poor general condition in elderly patients. The author analyzed 56
cases(56 patients) of femoral neck fractures and 63 cases(61 patients) of femoral
intertrochanteric fractures which we have been able to follow up more than 1 year from March
1991 to March 1997. The purpose of this study is 1) to analyze results of treatment, predisposing
factors, complications and mortality rates, and so 2) to reduce the mortality rate and
complication in these fractures.
The results were as follows ,
1. The difference in union time between both type of fractures was not significant.
2. The mortality rate during admission was 1.8% in femoral neck fractures and 6.3% in
intertrochanteric fractures.
3. The mortality rate during 1 years was 3.6% in femoral neck fractures and 9.5% in femoral
intertrochanteric fractures.
4. The predisposing factors associated with postoperative mortality rate were malnutrition.
chronic obstructive pulmonary disease, previous contralateral hip fracture, and operation within
3 days.