AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
Hemiarthroplasty femoral neck fracture2/28/2024 National Osteoporosis Foundation estimates that over 53 million individuals have or are at a high risk of osteoporosis in the United States, and by 2040, the total yearly expenses of caring for fragility fractures will increase to over $95 billion. Furthermore, the use of a proximal femoral plate was a significant risk factor for mortality and lower mHHS scores.ĭue to the aging population, the worldwide prevalence of osteoporosis is rising, and correspondingly, the incidene of fragility fractures are increasing. We found several risk factors of mortality, including age ≥ 80 years, a > 48-hour delay to surgery, and pre-operative ASA scores of 3–4 in patients with proximal femoral fracture. The overall mean mHHS score was 53.80 ± 20.78. Surgical delay of > 48 h, ASA scores of 3–4, and treatment by proximal femoral plate were associated with shorter survival. One-year mortality data showed that the mortality rate in femoral neck fractures was lower compared to other types of fracture. Analysis of 1-month mortality showed a significant mortality difference in patients operated after 48 h of fracture (p = 0.01) and in patients with American Society of Anesthesiologists (ASA) scores of 3–4 compared to ASA scores of 1–2 (p = 0.001). With a mean follow-up of 33.31 months, overall mortality rate was 33.1%, and 5.7% one-month and 20.2% 12-months rates. Among patients, 573 (72.7%) had an intertrochanteric fracture, while 215 (27.3%) had a femoral neck fracture, and 97.1% of all received surgical treatment. ResultsĪ total of 788 patients including 412 females (52.3%) and 376 males (47.7%) with a mean age of 76.05 ± 10.01 years were included in this study. Modified Harris Hip Scores (mHHS) was the measure of functional outcome. In-hospital and post-discharge mortalities due to included types of fractures at one and 12 months were the primary outcome. Demographic and clinical features of patients alongside the details of fracture and patient management were recorded and analyzed. Exclusion criteria included patients with pathological fractures, cancer under active treatment, follow-up loss, and patient access loss. Medical records were reviewed to include patients over 60 years of age who had a proximal femoral fracture and had a complete medical record and radiographs. In a retrospective cohort study, all patients admitted with a femoral neck or intertrochanteric fracture between 2016 and the end of 2018 were enrolled in this study. Here, we aimed to evaluate the mortality rates and risk factors, besides the functional outcomes after these injuries. Proximal femoral fractures are among the most common orthopedic conditions in elderly that significantly cause health deterioration and mortality. Global prevalence of osteoporosis and fragility fractures is increasing due to the aging population.
0 Comments
Read More
Leave a Reply. |