Sener Muhittin, Onar Volkan, Kazlmoğlu Cemal, Yağdi Serhan
Atatürk Eğitim ve Araştirma Hastanesi 1. Ortopedi ve Travmatoloji Kliniği, Izmir, Türkiye.
Eklem Hastalik Cerrahisi. 2009;20(1):11-7.
The purpose of this study was to evaluate mortality and morbidity correlation in elderly patients who underwent partial prosthesis replacement for proximal femoral fractures.
The study was conducted in patients over 65 years of age who were admitted to the Izmir Atatürk Training and Research Hospital from 2002 to 2007 for the surgical treatment of proximal femoral fracture. All the patients were treated with hemi-arthroplasty. Among 1275 patients 280 patients (115 males, 165 females; mean age 75.2; range 65 to 99 years) followed up for at least one year were included in the study. A regression analysis was performed to investigate the effects of preoperative and postoperative walking capacity, duration of hospitalization, co-morbidities, age and the time of the operation on mortality.
Mortality was significantly higher among patients who had more co-morbid factors, long delay between the time of the fracture and the operation, advanced age and poor walking ability after operation.
Special attention should be given to the associated co-morbid factors, walking capacity and operation time during treatment planning of hip fractures in elderly patients.
本研究旨在评估接受股骨近端骨折半关节置换术的老年患者的死亡率与发病率之间的相关性。
本研究针对2002年至2007年因股骨近端骨折手术治疗而入住伊兹密尔阿塔图尔克培训与研究医院的65岁以上患者进行。所有患者均接受半关节置换术治疗。在1275例患者中，280例（115例男性，165例女性；平均年龄75.2岁；年龄范围65至99岁）至少随访一年的患者被纳入研究。进行回归分析以研究术前和术后步行能力、住院时间、合并症、年龄及手术时间对死亡率的影响。
合并症因素较多、骨折与手术时间间隔较长、年龄较大及术后步行能力较差的患者死亡率显著更高。
在老年患者髋部骨折治疗规划过程中，应特别关注相关合并症因素、步行能力及手术时间。
