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Abstract
Patients above the age of 60 with displaced femoral neck fractures are treated by
hemiarthroplasty in Singapore because of our low life expectancy. This study evaluates
the morbidity and mortality of 110 such patients operated on in our department between
January 1990 and December 1992. It has clinical significance because of the rapidly
ageing population of Singapore. The mean age was 78 years with a female preponderance
of 5 : 1. They were predominantly Chinese. None of the patients were Malay. This is
the first study showing that such fractures are rare among Malays. Most fractures
were due to trivial trauma. Fifty-eight per cent had co-existing illness(es). The
mean hospitalization stay was 20 days. There were considerable and local complications
in 15 patients. Twenty-five patients died. Of the remaining patients, 17 (20 per cent)
were unable to regain independent ambulation. The mortality rate at 3, 6 and 12 months
was 6.4 per cent, 9.1 per cent and 15 per cent respectively. Males showed a significantly
higher mortality rate than females. Also, patients living in government-built high
rise flats had a significantly higher mortality rate than those residing in privately
owned homes.
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Article info
Publication history
Accepted:
November 22,
1994
Identification
Copyright
© 1995 Published by Elsevier Inc.
