How proximal femur fracture patients aged 65 and older fare in survival and cause of death 5+ years after surgery: A long-term follow-up

Although the incidence of proximal femur fractures (PFFs) is increasing, few detailed reports on associated long-term outcomes and causes of death exist. We aimed to evaluate long-term outcomes and causes of death ≥5 years after surgical treatment of PFFs. This retrospective study included 123 patie...

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Bibliographic Details
Published in:Medicine (Baltimore) 2023-05, Vol.102 (20), p.e33863
Main Authors: Hashimoto, Kazuhiko, Shinyashiki, Yu, Ohtani, Kazuhiro, Kakinoki, Ryosuke, Akagi, Masao
Format: Article
Language:English
Subjects:
Aged, 80 and over
Bone Nails
Cause of Death
Female
Follow-Up Studies
Fracture Fixation, Intramedullary - adverse effects
Hip Fractures - surgery
Humans
Male
Observational Study
Proximal Femoral Fractures
Retrospective Studies
Treatment Outcome
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Summary:Although the incidence of proximal femur fractures (PFFs) is increasing, few detailed reports on associated long-term outcomes and causes of death exist. We aimed to evaluate long-term outcomes and causes of death ≥5 years after surgical treatment of PFFs. This retrospective study included 123 patients (18 males, 105 females) with PFFs treated at our hospital between January 2014 and December 2016. Cases (median age: 90 [range, 65-106] years) comprised 38 femoral neck fractures (FNFs) and 85 intertrochanteric fractures (IFs). Surgical procedures included bipolar head arthroplasty (n = 35), screw fixation (n = 3), and internal fixation with nails (n = 85). The mean post-surgical follow-up time was 58.9 (range, 1-106) months. Surveyed items included survival (1 vs 5 years; sex; age, >90 vs
ISSN:0025-7974
1536-5964
1536-5964
DOI:10.1097/MD.0000000000033863