HIP FRACTURES IN THE ELDERLY PATIENT

  • Franci Koglot Splošna bolnišnica dr. Franca Derganca Nova Gorica Ulica padlih borcev 13a 5290 Šempeter pri Gorici
  • Marija Štrbenc Mozetič Splošna bolnišnica dr. Franca Derganca Nova Gorica Ulica padlih borcev 13a 5290 Šempeter pri Gorici
  • Matej Beltram Splošna bolnišnica dr. Franca Derganca Nova Gorica Ulica padlih borcev 13a 5290 Šempeter pri Gorici
Keywords: fractures of the proximal femur, surgical therapy, osteoporosis

Abstract

Background. Hip fractures are typical of the ageing

population. They represent a severe trauma for the elderly

patient due to significant impact on life quality and morbidity.

We analyzed the characteristics of patients with hip fractures,

the methods and success of treatment. In conclusion, the

importance of continuous team approach and surgical treatment

within 24 hours are stressed.

 

Methods. We retrospectively evaluated patients admitted for

femoral neck and intertrochanteric fractures between 1994–

1999. The incidence of these fractures, patient age and sex, comorbidity,

methods of treatment, hospital stay and success of

treatment with regard to ambulatory status were established.


Results. 662 patients were treated in the above mentioned period,

yielding a 1‰ annual incidence for the choosen population.

The mean patient age was 76 years; there were 426 female

(64%) and 236 male patients (36%). 336 patients (51%)

had a history of accompanying disease, in 73 patients (11%)

additional fractures were diagnosed. 30 patients (4.5%) were

treated conservatively, 632 (95.5%) underwent surgery. The

mean hospital stay length was 17 days. Success of treatment

was evaluated as good in 441 patients (67%), satisfactory in

112 patients (17%) and poor in 78 patients (12%). 31 patients

(5%) died during hospital admission.

 

Conclusions. Patients with hip fractures represent 10% of all

in-hospital trauma patients; with hospital stays twice as long

as average trauma patients and considering the financial demands

of surgical treatment they are a challenge in trauma

wards organization and management in the Slovenian environment.

Here as well as abroad the number of these patients

is increasing, along with their mean age and co-morbidity. It

is evident that hip fractures, regardless the way of treatment,

implicate a partial or complete loss of ambulancy and hence

loss of life-quality in one-third of patients. We advise early as

possible surgery –within 24 h– where not absolutely contraindicated

because of its significant influence on decreasing morbidity.

Good team-work between trauma-surgeons and anesthesiologists

is essential. Let us bear in mind that a hip fracture

in an elderly patient with coexisting disease is as lifethreatening

as multiple trauma in the young, otherwise healthy

injured.

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Published
2017-04-21
How to Cite
1.
Koglot F, Štrbenc Mozetič M, Beltram M. HIP FRACTURES IN THE ELDERLY PATIENT. ZdravVestn [Internet]. 21Apr.2017 [cited 20Jul.2019];70(11). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/2594
Section
Professional Article