A prospective study of fractured proximal femur: Incidence and outcome

Evans, John Grimley; Prudham, D.; Wandless, I

doi:10.1016/s0033-3506(79)80036-0

Cited by 77 publications

(10 citation statements)

References 6 publications

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“…The indicators for prognosis of the quality of life that we have identified correspond to those reported [8,9,13,14,17,20,21,23,24,25,27,29,34]. The most sensitive indicator is the mental state and 20 out of 29 patients with dementia died within 6 months.…”

Section: Discussionsupporting

confidence: 66%

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The mortality and social prognosis of hip fractures

Pitto

1994

International Orthopaedics

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A prospective 5-year study was carried out of 143 patients with trochanteric fractures treated by Ender nailing. A detailed proforma was used for multifactorial analysis in order to identify the prognostic indicators of social function and quality of life of the patients. Their mean age was 81 years and the female: male ratio 7:1. The mortality rate 6 months after injury was 23%, and at the end of 5 years 45.5%. The patients surviving the first 6 months had the same life expectancy as the general population. Dementia, associated disease, medical complications, total dependency and age were the most significant predictors of mortality. These factors, with pressure sores and poor rehabilitation, were also significant in determining the prognosis of social function. Deterioration of health status was seen in 36% during the first 6 months after injury and 40% showed deterioration of their social condition within this period. Later, most survivors recovered and were restored to their previous state. Postoperative geriatric care is essential to achieve this aim.

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Section: Discussionsupporting

confidence: 66%

“…Old age, dementia and intercurrent illness have been recognised as risk factors in elderly patients with fractures at the hip [9,13,26,34]. The effect of this injury on health and social status has been analysed [2,3,9,12,30,31].…”

Section: Introductionmentioning

confidence: 99%

The mortality and social prognosis of hip fractures

Pitto

1994

International Orthopaedics

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“…These reports do not, however, differentiate between first and rehospitalizations, and hospital discharge rates therefore tend to overestimate true incidence rates. For hip fractures, these estimates are found to be 20-30 per cent higher than the true incidence (Falch & Ilebekk 1978, Evans et al 1979, Lewis 1981, Rees 1982. Discharge data for fractures (e.g.…”

Section: Discussionmentioning

confidence: 99%

Consumption of hospital resources for hip fracture: Discharge rates for fracture in Norway

Engesæter

Søreide

1985

Acta Orthopaedica Scandinavica

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“…Les fractures proximales du f6mur, de plus en plus fr6quentes [10,29] touchent une population gtg6e de plus de 75 a n s e n moyenne [8,16,30], principalement f6minine et souvent atteinte d'autres affections m6dicales [16]. La 16sion survient souvent suite ~un traumatisme fi basse 6ner-gie [8] et principalement lorsque l'activit6 physique des patients 6tait peu importante au cours de leur jeunesse [2].…”

Section: Discussionunclassified

Ost�osynth�se des l�sions proximales du f�mur par vis-plaque dynamis�e

Putz

Coussaert

Delvaux

et al. 1990

International Orthopaedics

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A series of 1871 lesions of the upper end of the femur were treated in 32 hospitals in Belgium using a dynamic hip screw. Unstable pertrochanteric fractures were present in 34.4%. The remainder were intracapsular, extracapsular and subtrochanteric fractures, or tumour deposits. The patients were elderly, infirm and usually female. A fortnight after operation 89% were sitting, 64% could walk with a frame and 31% with crutches. Failure of fixation occurred in 3.6% of cases overall, with 6.6% in unstable fractures. Perioperative screw compression did not appear helpful, since most fractures settled after operation.

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A prospective study of fractured proximal femur: Incidence and outcome

Cited by 77 publications

References 6 publications

The mortality and social prognosis of hip fractures

The mortality and social prognosis of hip fractures

Consumption of hospital resources for hip fracture: Discharge rates for fracture in Norway

Ost�osynth�se des l�sions proximales du f�mur par vis-plaque dynamis�e

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