Analysis of outcome of proximal femur fracture in patients having cardiac diseases: An institutional based study

Abstract

Background: The majority of proximal femur fractures (PFFs) affects the elderly. The present study was conducted to analyze the functional outcome of proximal femur fracture in patients having cardiac diseases. Materials and Methods: A prospective medical record of 50 cases that underwent surgery at Department of Orthopedics, LG Hospital and AMC MET College, Ahmedabad, Gujarat (India) were selected who were having proximal femur fracture with cardiac diseases. The preliminary history, examination details and functional outcome was assessed using Harris Hip score. After taking detailed history and examination, the patients were followed up after 4-6 weeks and 3-4 months. All statistical calculations were done using SPSS (Statistical Package for the Social Science) SPSS 21 version statistical program for Microsoft Windows. Results: The mean HHS at 4-6 weeks was 42.33 and at 3-4 months was found to be 65.43 and the p value found to be 0.0001 which is a significant value. The maximum mean HHS found in patients having LV dysfunction was 43.45 and minimum mean HHS found in patients having an old MI i.e. 30.23. At 3-4 months, mean HHS was found to be maximum in patients with H/O CABG that i.e.