Kapicioglu Mehmet, Ersen Ali, Saglam Yavuz, Akgul Turgut, Kizilkurt Taha, Yazicioglu Onder
Istanbul University, Istanbul Faculty of Medicine, Orthopedics and Traumatology Department, Istanbul 34093, Turkey.
J Orthop. 2014 Jul 19;11(3):136-41. doi: 10.1016/j.jor.2014.06.009. eCollection 2014 Sep.
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.
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.
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).
Hip fractures are challenging in extremely old patients and associated with increased mortality and disability.
本研究旨在报告一个较少见的髋部骨折年龄组（>90岁），并评估功能丧失、并发症和死亡率的预测因素。
32例平均年龄为92.8（±2.7）岁的患者在单一机构接受治疗，平均随访2.02（±1.35）年。
在第一年，股骨近端髓内钉（PFN）和双极骨水泥半髋关节置换术（BCH）的死亡率相似（p = 0.17），但在随后几年中，BCH组（p = 0.035）和患有心脏病的患者（p = 0.054）的死亡率显著升高。
髋部骨折在极高龄患者中具有挑战性，且与死亡率和残疾率增加相关。
