Proximale Femurfrakturen

Lein, T.; Bula, P.; Straßberger, C.; Bonnaire, F.

doi:10.1007/s10039-011-1792-2

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…The agedependent incidence shows an exponential increase ranging from 60/100,000 in the 60-64-year-old segment up to over 1300/100,000 per year for people over the age of 85 [7]. On an average age of around 80 years, women are being affected in 3 out of 4 cases [8]. Due to the demographic development, several prognoses predict that the number of proximal femoral fractures will quadruplicate by 2050 [2,3,[8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…On an average age of around 80 years, women are being affected in 3 out of 4 cases [8]. Due to the demographic development, several prognoses predict that the number of proximal femoral fractures will quadruplicate by 2050 [2,3,[8][9][10]. With constantly increasing life expectancy and the shift in the age pyramid, we see, in addition to the increasing number of cases, the emergence of a new patient collective -that of the "very old", which confronts treating physicians with new challenges due to the mostly pre-existing multimorbidity.…”

Section: Introductionmentioning

confidence: 99%

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Management of pertrochanteric fractures in patients over 90 years: In-hospital mortality rate, complications and associated risk factors

Ghanem¹,

Garthmann²,

Redecker³

et al. 2021

BMC Musculoskelet Disord

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Purpose This study aims primarily to investigate the outcome following surgical management of pertrochanteric fractures of patients over 90 years compared to the outcome of a control group below 90 years under special consideration of the timing of surgery. The second aim was to analyze potential risk factors for early deaths in very old patients. This study allows us to draw conclusions to minimize complications linked to this particular age segment. Methods The study group consisted of very old patients aged 90 years and older. Geriatric patients aged between 60 and 89 years of age were part of the control group. Type A1 pertrochanteric fractures were typically treated by dynamic hip crews, type A2 and A3 fractures by femoral nails. Full weight bearing physiotherapy was initiated on the day after surgery to improve mobility and muscle strength. Results A total of 71 patients belonged to the study group (mean age: 92.5 years ±2.3 years), whereas 223 patients formed the control group (mean age: 79.9 ± 7.4 years). The mortality rate and the number of detected and documented complications were significantly higher in the study group (p = 0.001; p = 0.009, respectively). Despite the significantly higher complication rate in the > 90-year-old patients, there was no significant difference in the mean length of in-hospital-stay between the both groups (> 90 yrs.: 12.1d; < 90 yrs.: 13.1 d) and the timing of surgery. Conclusion The number of co-morbidities, number of daily-administered medications and the time between admission and surgery have no impact on the outcome. We noticed a longer period between admission and surgery in very old patients who survived. Patients with pertrochanteric fractures should be screened for multimorbidity and cognitive disorders in a standardized manner.

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