One Year Mortality in Elderly Patients with Fracture Proximal Femur Managed Surgically in District Headquarter Hospital Rawalpindi
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2020, Vol 32, Issue 02
Abstract
Objective: To determine one year mortality rate in elderly patients who were operated for fracture proximal femur in District Headquarter Hospital Rawalpindi. Methods: This descriptive study was conducted in Orthopaedic Department District Headquarter Hospital Rawalpindi from 3rd January 2017 to 25th December 2019. All patients with proximal femur fracture (neck of femur, per trochanteric and sub trochanteric fractures) fulfilling the inclusion criteria and who were operated were included in our study. Post operatively all these patients were followed up at regular intervals up to one year to document mortality. Chi square test for independence was used to calculate P values of important variables and P value of <0.05 was considered statistically significant. Results: A total of 161 patients with mean age was 71.1± 10.0 years were included in our study. There were 90(55.9%) males and 71(44%) females. Majority(62.1%,n=100) of fractures were pertrochanteric followed by neck of femur(34.8%,n=56) and subtrochanteric fractures(3.1%,n=5).Dynamic Hip screw(DHS) was used to fix fractures in 105(65.2%),Austion Moore Prosthesis(AMP)in 31(19.3%),Total Hip Replacement(THR) in 17(10.6%) and Dynamic Condylar Screw(DCS) in 3(1.9%) patients. At one year the overall mortality rate was 20.5% (n=33). Patients of 80 years and above had significantly higher mortality (34.8%, n=15) rate than others (P= 0.006337).The mortality was also significantly greater in females (28.2%,n=20) than male patients (14.4%,n=13) with P value of 0.032201. Patients operated for neck of femur fractures had significantly higher mortality rate (30.4%, n=17) than those operated for pertrochanteric fractures (16%, n=16) with P value of 0 .02361. Conclusion: Elderly female patients age 80 years and above operated for neck of femur fractures exhibited a higher mortality rate at one year follow up than others.
Authors and Affiliations
Shahzad Anjum1,Obaid Ur Rahman2,Saad Riaz3,Muhammad Ali Bashir4,Nayyar Qayyum5
Keywords
Related Articles
- EP ID EP741554
- DOI -
- Views 34
- Downloads 0
Reamer-Irrigation-Aspiration (RIA) system: The Game Changer.
Intramedullary nailing of long bone fractures have been associated with fat embolism and thermal necrosis due to reaming.1,2 An attempt to reduce the incidence of these complications Reamer-Irrigation-Aspiration(RIA) sys...
Efficacy of Steroids Injection for The Treatment of Plantar Fasciitis
To evaluated the effect of the steroid injection in the management of pain with plantar fasciitis patients. Methods: This descriptive case series study enrolled 56 patients with symptomatic plantar fasciitis to treat...
Short-term Outcome of Oral Prednisolone in the Management of Primary Adhesive Capsulitis.
Objective: To determine the short term outcome of oral Prednisolone in the management of primary adhesive capsulitis in terms of pain relief and improvement in shoulder range of motion. Methods: This descriptive study...
A Comparison of Radiological Outcome of Open Reduction in Unilateral VS Bilateral DDH
Objective: The purpose of current study is the comparison of the radiological outcome of open reduction in children with unilateral vs bilateral DDH following staged surgery. Methods: In current study, the medical rec...
Pattern of Injuries in Motorbike Accidents
Objective: To determine the different pattern of injuries and their frequency in motor bike accidents Methods: This Case series study was conducted at Department of Orthopedics, Jinnah Post Graduate Medical Centre(JPM...