Assessment of Mortality in Postoperative Hip Fractures in a Rural Tertiary Care Centre
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2016, Vol 2, Issue 1
Abstract
Background: Peritrochanteric hip fractures in elderly people leads to prolonged immobilization and increased risk of death. Elderly people having co morbidities such as diabetes, hypertension and cardiovascular diseases, along with hip fractures results in increase the mortality of the patients post operatively1,2 . The objective of this study is to determine the relation of mortality during one year post operative period after hip surgery to associated co morbidities. Methods: In this retrospective study patients aged 60 and above admitted during the period from April 2014 to June 2015 in the department of orthopaedics at a rural tertiary care centre for surgical intervention for peri trochanteric hip fractures were included. A sample size of 56 patients operated during this period was considered in this study. Results: Out of 56 patients operated, 9 patients died during first year post operative period.Of them 4 were males and 5 females. 2 patients died in first one month of follow up, one due to aspiration pneumonia and second patient from septicaemia. 3 patients died in first 3 months of follow up due to deep vein thrombosis leading to pulmonary embolism, cardiac failure and cerebrovasular accident. 4 patients died due to cardiac failure between 3 months to one year postoperative period. Out of 9 death 4 were in hospital 3 in home, one in old age home and one person in unknown place. In 9 deaths 3 patients had bipolar prosthesis,2 dynamic hip screws fixation, 2 with proximal femoral locking compression plate, 2 with proximal femoral nailing and 1 with Austin Moore prosthesis. Death of patients more than 75 years were 5 and between 65-74 years was 4. Conclusion: Hip fractures are one of the common causes of increasing mortality in elderly population. However early recognition of patients with hip fracture and admission to hospital, prompt identification of the co morbidities and treating them with early surgery and mobilization would geatly reduce the risk of morbidity and mortality.
Authors and Affiliations
Madhukar K. T, Chetan Kumar
Keywords
Related Articles
- EP ID EP241944
- DOI -
- Views 119
- Downloads 0
Surgical treatment of distal end of radius fracture with volar locking plate: Clinicoradiological outcome of 25 cases
Introduction Distal radius reconstruction every time needs aggressive operative intervention is still a debate among researchers and upper extremity surgeons There is a role of nonoperative treatment in geriatric populat...
Volar Barton fracture: Treatment Comparison of Plating and External fixation with Krischner wires
Background: Distal radius fractures are commonly seen and have various treatment methods available in literature hence, a clear consensus could not be reached as to the most ideal modality of management. With advent of b...
Traumatic rupture of the extensor pollicis longus tendon due to hyperextension of wrist
A case of a traumatic rupture of the EPL tendon due to sudden extreme hyperextension of wrist, where the tendon was crushed between the Lister’s tubercle and the base of the third metacarpal was encountered. The patient...
Dynamic HIP screw vs proximal trochanteric contoured plate in proximal end fractures of femur
Purpose: To compare the outcome in patients who underwent surgery for proximal end femur fracture, intertrochanteric and Subtrochanteric, using dynamic hip screw vs proximal femoral locking plate. Methods: 11 men and 19...
Evaluation of Indigenous Antibiotic Impregnated Cement Rod in the treatment of chronic osteomyelitis of long bones
Introduction: Management of chronic osteomyelitis demands prolonged Antibiotic therapy. Antibiotics may be administered systemically or locally. Local antibiotic therapies have definite advantages. In this study we used...