Hip fractures in extremely old patients

Mehmet Kapicioglu; Ali Ersen; Yavuz Saglam; Turgut Akgul; Taha Kizilkurt; Onder Yazicioglu

doi:10.1016/j.jor.2014.06.009

Hip fractures in extremely old patients

J Orthop. 2014 Jul 19;11(3):136-41. doi: 10.1016/j.jor.2014.06.009. eCollection 2014 Sep.

Authors

Mehmet Kapicioglu¹, Ali Ersen¹, Yavuz Saglam¹, Turgut Akgul¹, Taha Kizilkurt¹, Onder Yazicioglu¹

Affiliation

¹ Istanbul University, Istanbul Faculty of Medicine, Orthopedics and Traumatology Department, Istanbul 34093, Turkey.

Abstract

Aims: 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.

Methods: 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.

Results: 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).

Conclusion: Hip fractures are challenging in extremely old patients and associated with increased mortality and disability.

Keywords: Comorbidity; Elderly; Extremely old; Hip fracture; Mortality.