Outcome of Surgery for Unstable Intertrochanteric Fractures in Octogenarians
- Author:
MV Valera
;
L Bonifacio
;
SA Basman
- Publication Type:Journal Article
- MeSH:
Aged, 80 and over;
Hip Fractures
- From:Malaysian Orthopaedic Journal
2014;8(1):26-31
- CountryMalaysia
- Language:English
-
Abstract:
This study aims to determine pre-morbid parameters as
possible predictors of outcome of hip fracture in
octogenarians with unstable intertrochanteric fracture treated
operatively. Presence of co-morbidities, pre-injury level of
ambulation, type of surgery, and period of delay in surgery
were considered, and their effect on the post-operative
outcome was evaluated using the Harris Hip Score. The
computed probability of survival of octogenarians who had
surgery was approximately 11 months. In patients with two
or more co-morbidities, there is a significant effect on Harris
Hip Score in terms of pain and deformity. Delay in surgery
of more than two weeks significantly decreased the distance
travelled at one year. The overall recovery is correlated to
preinjury level of ambulation and delay in surgery. Patients
with intertochanteric fracture in this age group, who have
less co-morbidities and with more independent ambulation,
are good candidates for timely operative treatment.
- Full text:P020150522587877791022.pdf
