Orthopaedic Surgery in the Elderly Experience in a Metropolitan Tertiary Hospital in Enugu, Nigeria
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 7
Abstract
Background: Surgical services for people over 65years of age are on the increase both in terms of the number and the complexity. One reason is due to increase in the general population and increase in the number of people surviving up to 65years and over as life expectancy in several climes increase. Advances in perioperative management have also made major surgery available for an increasing number of persons 65years and older. Documentation of the orthopedic pathologies and the peculiarities of presentation and management of these elderly people are the focus of this paper as there is paucity of information on geriatric orthopedic surgery in our environment. Method: This is a retrospective study covering January 2014 to December 2017 conducted in ESUT Teaching Hospital. It covered patients 65years of age and above who presented and were admitted due to orthopedic pathology. Result: The study recorded 193 patients who met the study criteria. There was 106 (55%) males and 87(45%) females between 65-95years. Mean age was 75.2yeas ±2.4years. Out of the 193 patients, 8(4.1%) signed against medical advice (SAMA). Common orthopedic pathologies seen were diabetic foot complications and femoral neck fractures. Hypertension was the commonest co-morbidity recorded while bed sore and delayed wound healing were the commonest complications noted. 5 (2.5%) deaths were recorded. Conclusion: Orthopedic surgical interventions were tolerated well by the geriatric patients in this study and this improved their quality of life and possibly their life expectancy. Optimizing and controlling risk factors are key to successful surgical intervention.
Authors and Affiliations
Okenwa Wilfred dOkwudili
Keywords
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