scholarly journals A Comparison of Mortality following Distal Femoral Fractures and Hip Fractures in an Elderly Population

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
R. W. Jordan ◽  
G. S. Chahal ◽  
M. Davies ◽  
K. Srinivas
Keyword(s):  
Mortality Rate ◽  
Hip Fractures ◽  
Femoral Fracture ◽  
Elderly Population ◽  
Surgical Intervention ◽  
Femoral Fractures ◽  
Mortality Rates ◽  
Distal Femoral Fracture ◽  
Distal Femoral Fractures ◽  
One Year

Introduction. Patients suffering a distal femoral fracture are at a high risk of morbidity and mortality. Currently this cohort is not afforded the same resources as those with hip fractures. This study aims to compare their mortality rates and assess whether surgical intervention improves either outcome or mortality following distal femoral fractures. Methods. Patients over sixty-five admitted with a distal femoral fracture between June 2007 and 2012 were retrospectively identified. Patients mobility was categorised as unaided, walking aid, zimmer frame, or immobile. The 30-day, six-month, and one-year mortality rates were recorded for this group as well as for hip fractures during the same period. Results. 68 patients were included in the study. The mortality rate for all patients with distal femoral fractures was 7% at 30 days, 26% at six months, and 38% at one year, higher than hip fractures during the same period by 8%, 13%, and 18%, respectively. Patients managed surgically had lower mortality rates and higher mobility levels. Conclusion. Patients suffering a distal femoral fracture have a high mortality rate and surgical intervention seems to improve both mobility and mortality.

scholarly journals One-year postoperative mortality rate among the elderly with hip fractures at a single tertiary care center

2020 ◽  
Vol 40 (4) ◽  
pp. 298-304
Author(s):  
Khalid A. Alsheikh ◽  
Firas M. Alsebayel ◽  
Faisal Abdulmohsen Alsudairy ◽  
Abdullah Alzahrani ◽  
Ali Alshehri ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Mortality Rate ◽  
Hip Fractures ◽  
Surgical Intervention ◽  
Care Center ◽  
Tertiary Care ◽  
The Elderly ◽  
Tertiary Care Center ◽  
Factors Associated ◽  
One Year

ABSTRACT BACKGROUND: Hip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications. OBJECTIVES: Assess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality. DESIGN: Medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: All patients 60 years of age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files. MAIN OUTCOME MEASURES: The 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality. SAMPLE SIZE: 802 patients. RESULTS: The majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications ( P =.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures. LIMITATION: Single-centered study. CONFLICT OF INTEREST: None.

scholarly journals SOCIO-DEMOGRAPHIC AND CLINICAL CHARACTERISTICS OF THE PATIENTS SUFFERING FROM DISTAL FEMORAL FRACTURE

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Amit Kumar ◽  
Sanjeev Gupta ◽  
Rameshwar Singh Manhas
Keyword(s):  
Femoral Fracture ◽  
Clinical Characteristics ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Femoral Fractures ◽  
General Information ◽  
Age Group ◽  
Distal Femoral Fracture ◽  
Distal Femoral Fractures ◽  
Medical College

Background: Distal femoral fractures are the fractures which occurs in distal femur involving the intercondylar and supracondylar region. Currently they account for less than 1% of all fractures whereas among femoral fractures they account for 3% to 6%.These fractures are difficult to treat and notorious for the complications. Aim: To find the socio-demographic and clinical characteristics of the patients suffering from distal femoral fracture. Methodology: The present observational and prospective study was conducted in theDepartment of Orthopaedic, Govt. Medical College, Jammu, J&K for period of 1 year on 27 patients. General information including age, sex, residence, religion, marital status, side of fracture etc. were noted on separate sheet. All fractures were classified as per AO/Müller’s classification. Results: Majority of patients i.e. 40.8% were between 18-30 years age group. 66.6% patients were males and only 33.4% were females. 63% patients were from rural area and 37% patients from urban area. Maximum percentage of patients i.e. 59.3% from Hindu community and 66.7% were married. RTA was the most common mode of injury involving 74.1% patients whereas, right limb fractures were most commonly involving 66.7% patients. As per AO/Muller’s classification B3 and C1 were most common fractures affecting 18.6% patients each. Conclusion: From present study we conclude that the distal femoral fractures were more common in young age group and RTA is the most common cause. Hence it is recommended to the authorities to implement strict traffic rules so that over speeding of vehicle can be prevented which may lead to decrease in incidence of high velocity trauma. Key words: Fractures, Road traffic accidents, Injury.

scholarly journals Mortality incidence and its determinants after fragility hip fractures: a prospective cohort study from an Egyptian level one trauma center

2021 ◽  
Vol 21 (2) ◽  
pp. 806-816
Author(s):  
Mohammad K Abdelnasser ◽  
Ahmed A Khalifa ◽  
Khaled G Amir ◽  
Mohammad A Hassan ◽  
Amr A Eisa ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hip Fracture ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Hip Fractures ◽  
Prospective Cohort ◽  
Mortality Rates ◽  
Trochanteric Fractures ◽  
Fragility Hip Fracture ◽  
One Year

Background: Fragility hip fracture is a common condition with serious consequences. Most outcomes data come from Western and Asian populations. There are few data from African and Middle Eastern countries. Objective: The primary objective was to describe mortality rates after fragility hip fracture in a Level-1 trauma centre in Egypt. The secondary objective was to study the causes of re-admissions, complications, and mortality. Methods: A prospective cohort study of 301 patients, aged > 65 years, with fragility hip fractures. Data collected included sociodemographic, co-morbidities, timing of admission, and intraoperative,ostoperative, and post-discharge data as mortal- ity, complications, hospital stay, reoperation, and re-admission. Cox regression analysis was conducted to investigate factors associated with 1-year mortality. Results: In-hospital mortality was 8.3% (25 patients) which increased to 52.8% (159 patients) after one year; 58.5% of the deaths occurred in the first 3-months. One-year mortality was independently associated with increasing age, ASA 3-4, cardiac or hepatic co-morbidities, trochanteric fractures, total hospital stay, and postoperative ifection and metal failure. Conclusion: Our in-hospital mortality rate resembles developed countries reports, reflecting good initial geriatric health- care. However, our 3- and 12-months mortality rates are unexpectedly high. The implementation of orthogeriatric care after discharge is mandatory to decrease mortality rates. Keywords: Fragility hip fractures; trochanteric fractures; mortality rate.

scholarly journals Outcome of Distal Femoral Fracture Treated with Locking Plate

2021 ◽  
Vol 15 (6) ◽  
pp. 2142-2144
Author(s):  
Muhammad Shoaib Zardad ◽  
Abdus S. Awan ◽  
Muhammad Younas ◽  
Shahkeel A. Shah ◽  
S. Sohail Akhtar ◽  
...  
Keyword(s):  
Femoral Fracture ◽  
Traffic Accidents ◽  
Locking Plate ◽  
Road Traffic ◽  
Femoral Fractures ◽  
Delayed Union ◽  
Distal Femoral Fracture ◽  
Non Union ◽  
One Year

Objective: The aim of this study is to determine the outcome of distal femoral fracture treated with locking plate. Study Design:Prospective study Place and Duration: Conducted at Orthopaedic Unit Ayub Medical Teaching Institute, Abbottabad for one year duration from 1stJanuary 2020 to 31st December 2020. Methods: Total 90 patients of both genders were presented in this study.Patients were aged between 18-80 years of age. Patients’ detailed demographics including age, sex and body mass index were recorded after taking informed written consent. All the patients had distal femoral fracture treated with locking plate. Radiological assessment was done. Mean union time and complications associated to procedure were examined.Functional outcomes were analyzed according to the Flyn’s criteria. Follow-up was taken at 6 months postoperatively. Complete data was analyzed by SPSS 24.0 version. Results:There were 58 (64.4%) patients were males and 32 (35.6%) were females. Mean age of the patients were 42.61±12.88 years with mean BMI 27.65±9.56 kg/m2. According AO/OTA classification 55 (61.1%) had A1, A2 fracture was among 18 (20%) cases and the rest were 17 (18.9%) had A3. 62 (68.9%) fractures were caused due road traffic accidents, falling from height were among 17 (18.9%) cases and 11 (12.2%) cases were due to sports. Right side fracture was the most common side of fracture among 54 (60%). Mean union time among patients was 5.16±1.27 months.According to Flyn’s criteria, 38 (42.2%) cases had excellent results, 32 (35.6%) patients had good, fair results were among 16 (17.8%) cases and poor results were among 4 (4.4%) cases. Complications were delayed union, stiffness, varus deformityand non union observed among all cases. Conclusion: We concluded in this study that the locking plate for the treatment of distal femoral fractures was effective in terms of good results with fewer complications. Keywords:Distal femoral fracture, Locking plate, RTA, Complications

scholarly journals Hip fractures in centenarians: a multicentre review of outcomes

2021 ◽  
Vol 103 (1) ◽  
pp. 59-63
Author(s):  
J Barrett-Lee ◽  
S Barbur ◽  
J Johns ◽  
J Pearce ◽  
RR Elliot
Keyword(s):  
Heart Disease ◽  
Hip Fractures ◽  
Elderly Population ◽  
The Elderly ◽  
Mortality Rates ◽  
Sheltered Housing ◽  
Electronic Records ◽  
Elderly Individuals ◽  
District Hospitals ◽  
One Year

Introduction Advances in healthcare have resulted in an increasing UK population, with the proportion of elderly individuals expanding significantly, including centenarians. Hospitals can expect to see growing numbers of so-called ‘super-elderly’ patients with trauma, a majority of whom will have hip fractures. We performed a multicentre review of hip fracture outcomes in centenarians to assess whether being an outlier in age correlates with poorer prognosis. Methods Centenarians admitted to Basingstoke, Southampton, Dorset, and Salisbury district hospitals with hip fractures between January 2014 and June 2019 were included. Electronic records were searched to obtain demographics, functional status, and admission details. Results A total of 60 centenarians were included, with a median age of 101 years (range 100–108 years), 85% of whom were female; 29 were admitted from their own home or sheltered housing and 31 from nursing or residential care; 33 had some outdoor mobility, 26 only mobilised indoors, and 1 had no mobility. Common comorbidities were renal and heart disease and dementia. Of the total, 56 underwent surgery, 51 within 36 hours. In terms of accommodation, 63.4% returned to their pre-injury level of independence. At 30 days, three months, and one year, mortality rates were 27% (n = 16), 40% (n = 24) and 55% (n = 33), respectively. Conclusion Trauma in the elderly population is an area of growing interest, yet few studies address centenarians with hip fractures. This work demonstrates that mortality rates within one year of injury were high, but almost half survived beyond a year. Two-thirds of patients regained their pre-injury level of independence, suggesting that functional recovery may not be as poor as previously reported.

scholarly journals Dedicated Hip Fracture Lists: Improving the Service Received by Orthopaedic Trauma Patients

2013 ◽  
Vol 95 (3) ◽  
pp. 1-3 ◽  
Author(s):  
SZ Basheer ◽  
DI Wood ◽  
K Shepherd ◽  
JC McGregor-Riley
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Hip Fractures ◽  
Femoral Fractures ◽  
Mortality Rates ◽  
Trauma Patients ◽  
Orthopaedic Trauma ◽  
Proximal Femoral Fractures ◽  
One Year ◽  
The Uk

Proximal femoral fractures are the most common injury resulting in acute admission to an orthopaedic trauma ward. Up to 75,000 hip fractures occur per year in the UK and this is projected to rise to around 100,000 per year by 2020. These fractures occur most frequently in frail, elderly patients who have significant co-morbidities and they are consequently associated with high mortality rates of 5–10% at one month and up to 30% at one year following injury.

“FUNCTIONAL OUTCOME OF RETROGRADE NAILING IN THE MANAGEMENT OF SUPRACONDYLAR AND DISTAL FEMORAL FRACTURE”

2021 ◽  
pp. 107-109
Author(s):  
Avinash Kumar Choudhary ◽  
M.K Aseri ◽  
Sumit Machra ◽  
Devendra Singh
Keyword(s):  
Femoral Fracture ◽  
Distal Femur ◽  
Femoral Fractures ◽  
High Energy ◽  
Valgus Deformity ◽  
Minor Trauma ◽  
Rating Score ◽  
Joint Congruency ◽  
Distal Femoral Fractures

INTRODUCTION: Fractures of the Distal femur are complex injuries that pose a challenge to the orthopaedic surgeon. It constitutes about 6 % of all femoral fractures. It usually occurs during high energy trauma in younger patients and frequently are associated with concomitant injuries. In contrast, elderly patients with severe osteopenia might sustain solitary distal femoral fractures from minor trauma such as a simple fall. Proper diagnosis and treatment leads to early mobilization and rehabilitation of patients. MATERIAL AND METHODS :This prospective study was conducted in Department of Orthopedics at Dr. S. N. Medical College and Associated group of Hospital, Jodhpur ,Rajasthan ,India on 30 patients who underwent the surgery with retrograde intramedullary interlocking nail in the management of extra-articular supracondylar femoral fracture from August 2019 to November 2020. On follow up axial alignment was assessed and functional analysis was quantied using NEERS RATING SYSTEM, Radiographs was analyzed for correction, maintenance of position or loss of reduction. function around knee was accessed according to Schatzker and Lambert Criteria, measures the exion/extension , varus/valgus deformity , joint congruency and pain in operated patients. RESULTS: In our study 30 patients with supracondylar & distal femoral fractures based on AO Classication on MULLER ET AL underwent retrograde supracondylar nail, long term nal result were rated using NEER'S RATING SCORE , which gives point for pain, function, working, joint movement ,gross and radiological appearance. NEER'S RATING SCORE assigned for each patient after 24 weeks of follow up. After accessing this score out of total 30 patients, 10 have excellent score, 10 have good score, 8 have fair score and next 2 have poor score. Function around knee was accessed according to Schatzker and Lambert Criteria, measures the exion/extension , varus/valgus deformity , joint congruency and pain in operated patients,out of 30 patients 9 patients have an excellent result , 8 have good ,12 have fair and only 1 patient have poor result CONCLUSION:The retrograde intramedullary locked nail provides the surgeon with a different option in treatment of specic supracondylar fracture patterns. It offers a practical advantages of simple and efcient technique for patients with polytrauma, oating knee injuries and in elderly. this technique is very useful in distal femur fracture where antegrade nailing does not provide stability and also where plate xation is not suitable due to soft tissue condition.

scholarly journals A csípőtáji törések hazai ellátásának elemzése a 2004–2009 közötti időszakban

2016 ◽  
Vol 157 (41) ◽  
pp. 1642-1648
Author(s):  
István Flóris ◽  
Éva Belicza
Keyword(s):  
Mortality Rate ◽  
Femoral Neck ◽  
Hospital Admissions ◽  
Femoral Fractures ◽  
Mortality Rates ◽  
Hospital Treatment ◽  
Proximal Femoral Fractures ◽  
Treatment Protocols ◽  
Fracture Group ◽  
Annual Mortality

Introduction: Proximal femoral fractures with severe outcome are most common in the increasing group of elderly patients. Aim: Based on the regular data gathered by the EuroHOPE research, the most important aspects and results of the treatment of proximal femoral fractures were studied. Method: Data of hospital admissions due to proximal femoral fractures were analyzed. Results: There was a slight increase in the number of hospitalized patients between 2004 and 2009 in Hungary. 88% of the patients received operative treatment, 41% suffered femoral neck fractures. Mortality rates did not change significantly in the analyzed period. Standardized annual mortality rates for patients who had suffered a femoral neck fracture were 28% when prosthesis was implanted; this result was somewhat more favorable than in case of other surgical procedures. Annual mortality rates were higher in the peritrochanteric fracture group where intramedullary nailing was performed (36%). The ratio of operated patients did not differ significantly from international results. Mortality rates in Hungary were significantly less favorable. 30 day standardized mortality rate was 13.6% in 2008, twice as high as the rate in Finland, The Netherlands, Norway, Scotland and Sweden. The 40% mortality rate calculated for 365 days was significantly higher than international results. Conclusion: To define the measures needed to improve results, systematic analysis of both in-hospital treatment protocols, and follow-up treatment is necessary. Orv. Hetil., 2016, 157(41), 1642–1648.

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