Hip fractures in extremely old patients.

Kapicioglu, Mehmet; Ersen, Ali; Saglam, Yavuz; Akgul, Turgut; Kizilkurt, Taha; Yazicioglu, Onder · J Orthop · 2014

retrospective_cohort · Level III

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Abstract

The purpose of this study was to report a less seen age-group (>90) of hip fractures and to assess the predictors of functional loss, complications and mortality. Thirty-two patients at a mean age of 92.8 (±2.7) were treated in a single institution and reported at a mean follow-up of 2.02 (±1.35) years. Mortality was similar between proximal femoral nailing (PFN) and bipolar cemented hemiarthroplasty (BCH) in first year (p = 0.17) but significantly high in following years in BCH (p = 0.035) and patients with cardiac disease (p = 0.054). Hip fractures are challenging in extremely old patients and associated with increased mortality and disability.

Anatomy