Life Prognosis and Ambulatory Ability of Hip Fracture Patients

• Published in: Orthopedics & Traumatology Vol. 61; no. 4; pp. 819 - 821
• Main Authors: Inoue, Sanshiro, Miyazaki, Kosei, Kikuchi, Naoshi, Inokuchi, Takashi, Akune, Hironobu
• Format: Journal Article
• Language: Japanese
• Published: West-Japanese Society of Orthopedics & Traumatology 2012
• Subjects: conservative treatment; hip fracture; surgery
• ISSN: 0037-1033; 1349-4333
• DOI: 10.5035/nishiseisai.61.819

We investigated hip fractures in elderly patient over 65 years old at the one-year follow-up. The subjects were 67 patients with 67 fractures. Sixteen fractures were treated conservatively and 51 fractures surgically. Fifty-seven patients were alive at the one-year follow-up. Eleven out of the 16 patients who underwent nonsurgical treatment lived, compared with 46 out of the 51 patients who underwent surgical treatment. Thirty-three patients were able to walk with or without walking aids at the one-year follow-up, indicating significant difference between these two groups. Only two out of the 16 patients who underwent nonsurgical treatment had ambulatory ability, compared with 31 out of the 51 patients who underwent surgical treatment, indicating significant difference also between these two groups. The mortality and functional outcome of conservative treatment were poor; however this result should not be interpreted as negating the conservative management because of patient selection bias in this study.