This paper is only available as a PDF. To read, Please Download here.
Abstract
This retrospective study was undertaken to evaluate the mortality and morbidity of
patients undergoing hip fracture surgery within 12 h of admission, compared with surgery
more than 12 h after admission, the patients had no acute medical conditions that
required preoperative treatment. Mortality rates were based on survival of the patients
up to 1 year after surgery. For patients with fractures of the femoral neck, and in
whom surgery was performed within 12 hours of admission, the mortality rate was significantly
lower from 5 months after the operation. Time of surgery did not influence the mortality
of patients with trochanteric fractures. It is suggested that a fractured neck of
the femur in an otherwise fit elderly patient should be regarded as a surgical emergency.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Anaesthesia factors in the surgical management of hip fractures.J. Trauma. 1967; 6: 818
- Survival following hip fractures.J. Chron. Dis. 1972; 25: 235
- Campbell's Operative Orthopaedics. Vol. 1. C.V. Mosby, St Louis1980: 616 6th Ed.
- Mortality and life expectancy after hip fractures.Acta Orthop. Scand. 1980; 51: 163
- Prospective, multi-centre trial of mortality following general or spinal anaesthesia for hip fracture surgery in the elderly.Br. J. Anaesth. 1987; 59: 1080
- Unique anaesthetic problems in the elderly patient coming to surgery for fracture of the hip.Orthop. Clin. North Am. 1974; 5: 493
- Mortality after hip fractures.Acta Orthop. Scand. 1979; 50: 161
- Hip fracture mortality.Clin. Orthop. Rel. Res. 1984; 186: 45
- Human aging and disease.J. Chron. Dis. 1963; 16: 5
- Lancet. 1982; (Anonymous): 8295
- Lancet. 1982; (Anonymous): 419
- Avoidance of avascular necrosis of the femoral head, following fractures of the femoral neck, by early reduction and internal fixation.Injury. 1985; 16: 437
- Survival and ambulation following hip fracture.J. Bone Joint Surg. 1978; 60A: 930
- Fractures of the hip: immediate versus delayed treatment.Can. Med. Assoc. J. 1960; 83: 260
- Factors affecting hip fracture mortality.J. Orthop. Trauma. 1988; 4: 298
- Hip fractures in healthy patients: operative delay versus prognosis.Br. Med. J. 1986; 293: 1203
Article info
Publication history
Accepted:
May 1,
1991
Identification
Copyright
© 1992 Published by Elsevier Inc.