Modificaciones funcionales, personales y sociales de las fracturas de la extremidad proximal del fémur en pacientes mayores
- de Cabo Rodríguez, J. A.
- Jorge Sánchez, R. J.
- Borrego Ratero, David
- Moreno Regidor, A.
- López Olmedo, J.
ISSN: 0304-5056
Year of publication: 2000
Volume: 35
Issue: 203
Pages: 368-375
Type: Article
More publications in: Revista española de cirugía osteoarticular
Abstract
Case-history reviews and at-home interviews we used to study retrospectively the 550 patients older than 69 years who suffered a hip fracture between 1995 and 1996 in Salamanca (Spain). The average hospitalization time was 15 days. Almost half of patients were not dependent at all and 40.22% of them moved to another residence. Most patients lost activity, and it was statistically correlated to the adverse events reported. Almost every fracture occurred after a casual fall due to stumbling or sliding. 57.67 % of patients had a severe osteopenia. The most frequent fracture reported was pertrochanteric (44.67%) followed by subcapital, especially those treated with intramedullary nailing. Mortality was 31.37% and statistical differences were found between degree of activity before and after the fracture. These changes in function and type of residence have a scarce influence on rehabilitation and mortality of patients.