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Indian Journal of Orthopaedics Surgery


Assessment of Mortality in Postoperative Hip Fractures in a Rural Tertiary Care Centre


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Author Details: Madhukar K.T, Chetan Kumar

Volume : 2

Issue : 1

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 88

Article End Page : 92


Abstract

Background: Peritrochanteric hip fractures in elderly people leads to prolonged immobilization and increased risk of death. Elderly people having co morbidities such as diabetes, hypertension and cardiovascular diseases, along with hip fractures results in increase the mortality of the patients post operatively1,2. The objective of this study is to determine the relation of  mortality during one year post operative period after hip surgery to associated co morbidities.
Methods: In this retrospective study patients aged 60 and above admitted during the period from April 2014 to June 2015 in the department of orthopaedics at a rural tertiary care centre for surgical intervention for peri trochanteric hip fractures were included. A sample size of 56 patients operated during this period was considered in this study.
Results: Out of 56 patients operated, 9 patients died during first year post operative period.Of them 4 were males and 5 females. 2 patients died in first one month of follow up, one due to aspiration pneumonia and second patient from septicaemia. 3 patients died in first 3 months of follow up due to deep vein thrombosis leading to pulmonary embolism, cardiac failure and cerebro-vasular accident. 4 patients died  due to cardiac failure between 3 months to one year postoperative period. Out of  9 death 4 were in hospital 3 in home, one in old age home and one person in unknown place. In 9 deaths 3 patients had bipolar prosthesis,2 dynamic hip screws fixation, 2 with proximal femoral locking compression plate, 2 with proximal femoral nailing and  1 with Austin Moore prosthesis. Death of patients more than 75 years were 5 and between 65-74 years was 4.
Conclusion: Hip fractures are one of the common causes of increasing mortality in elderly population. However early recognition of patients with hip fracture and admission to hospital, prompt identification of the co morbidities and treating them with early surgery and mobilization would geatly reduce the risk of morbidity and mortality