Department of Orthopedic Surgery, Seoul St Mary's Hospital, Seoul, South Korea.
J Arthroplasty. 2009 Dec;24(8):1277-80. doi: 10.1016/j.arth.2009.06.019. Epub 2009 Jul 29.
The purpose of this study was to determine the mortality rate and factors related to mortality in elderly patients with acute and monotraumatic femoral neck fractures. This study included 241 patients with femoral neck fractures after bipolar hemiarthroplasty. We analyzed the mortality rate and the relationship between postoperative mortality and risk factors, such as age, sex, body mass index, the time to surgery, and the Society of Anesthesiologists' score. The postoperative mortality rate 1 and 3 years after surgery was 11.2% and 19.5%, respectively. There proved to be a relationship between postoperative mortality and age, the time to surgery, and the Society of Anesthesiologists score. We recommend that surgery should not be delayed, and caution should be exercised for the high-risk group patients.
本研究旨在确定老年急性单发性股骨颈骨折患者的死亡率和与死亡率相关的因素。本研究纳入了 241 例接受双极人工股骨头置换术后股骨颈骨折患者。我们分析了死亡率以及术后死亡率与年龄、性别、体重指数、手术时间和麻醉医师协会评分等危险因素之间的关系。术后 1 年和 3 年的死亡率分别为 11.2%和 19.5%。术后死亡率与年龄、手术时间和麻醉医师协会评分之间存在相关性。我们建议手术不应延迟，对于高危组患者应谨慎处理。
