One-year outcome for elderly patients with displaced intracapsular fractures of the femoral neck managed non-operatively

Injury
J J GregoryD J Ford

Abstract

The outcome of patients with a displaced intracapsular femoral neck fracture treated non-operatively was assessed at 1 year and compared with patients managed operatively over the same time period. Data were collected prospectively for 102 consecutive patients. 80 patients underwent hemiarthroplasty and 22 were managed non-operatively. Patients were managed non-operatively if they were felt to have an unacceptably high risk of death within the perioperative period despite medical optimisation. Non-operative management entailed active early mobilisation without bed rest or traction. Patients managed non-operatively had a greater 30-day mortality compared with operatively managed patients. Deaths were due to pre-existing medical conditions or events, which had occurred at the time of hip fracture. No patient in the non-operative treatment group developed pneumonia, pressure sores or thrombo-embolic events. Patients treated non-operatively, who survived 30 days after fracture, had a mortality rate over the following year comparable with those who had undergone surgery. At 1 year, all non-operatively managed patients were able to transfer without pain and 6 of the 11 surviving patients were able to mobilise with walking aids. At 1 ...Continue Reading

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Citations

Aug 6, 2014·Clinical Orthopaedics and Related Research·Qian GuJohn Tongue
Apr 12, 2014·Clinics in Geriatric Medicine·Joseph A Nicholas
Mar 5, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Dionysios GiannoulisPeter V Giannoudis
Oct 3, 2014·Orthopedics·Kenneth MacKinlayArthur Malkani
Apr 15, 2016·Singapore Medical Journal·Eileen Tay
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Oct 15, 2014·The Journal of Arthroplasty·Elizabeth C TravisKit Brogan
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Oct 4, 2018·Journal of Orthopaedic Surgery·Wei Xiang Lim, Ernest Beng Kee Kwek
Feb 1, 2018·Advanced Emergency Nursing Journal·Denise R RamponiGwendolen Drahnak
May 16, 2020·Journal of the American Geriatrics Society·Peiran WeiLiming Wang
Mar 8, 2019·Journal of Orthopaedic Trauma·Jesse D ChlebeckPatrick C Schottel
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Jul 14, 2020·Case Reports in Orthopedics·Alexander KoiziaLouis J Koizia
Sep 19, 2020·Archives of Orthopaedic and Trauma Surgery·Cheryl Marise Peilin TanAntony Xavier Rex Premchand
Jul 2, 2019·World Journal of Orthopedics·Louis J KoiziaMichael B Fertleman
Aug 28, 2021·Medicina·James W A FletcherKarl Stoffel

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