Mortality and morbidity in elderly patients who underwent partial prosthesis replacement for proximal femoral fractures
Muhittin Şener, Volkan Onar, Cemal Kazımoğlu, Serhan Yağdı
Atatürk Eğitim ve Araştırma Hastanesi 1. Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye
Keywords: Hemi-arthroplasty; co-morbid factors; mortality.
Abstract
Objectives: The purpose of this study was to evaluate mortality and morbidity correlation in elderly patients who underwent partial prosthesis replacement for proximal femoral fractures.
Patients and methods: The study was conducted in patients over 65 years of age who were admitted to the İzmir Atatürk Training and Research Hospital from 2002 to 2007 for the surgical treatment of proximal femoral fracture. All the patients were treated with hemi-arthroplasty. Among 1275 patients 280 patients (115 males, 165 females; mean age 75.2; range 65 to 99 years) followed up for at least one year were included in the study. A regression analysis was performed to investigate the effects of preoperative and postoperative walking capacity, duration of hospitalization, co-morbidities, age and the time of the operation on mortality.
Results: Mortality was significantly higher among patients who had more co-morbid factors, long delay between the time of the fracture and the operation, advanced age and poor walking ability after operation.
Conclusion: Special attention should be given to the associated co-morbid factors, walking capacity and operation time during treatment planning of hip fractures in elderly patients.