[Analysis of pre-operative loads and their relation to postoperative mortality in patients with proximal femur fracture].

UNLABELLED: Good functional efficiency of patients after surgical treatment of proximal femur fracture may be associated with the presence of preoperative loads.

AIM: The aim of the study was to analyze the impact of preoperative loads on the functional outcome of surgical treatment and the presence of complications observed in the perioperative period in patients with previous BKKU fractures.

MATERIALS AND

METHODS

A retrospective analysis included 202 patients with proximal femur fractures undergoing surgery, including 146 women aged 80.1 +/- 15.4 years and 56 men aged 74.3 +/- 13.2 years. The patients were divided according to the type of fracture into two groups. The first group consisted of 120 patients (91 women and 29 men) with intertrochanteric fractures and the second group consisting of 82 patients (55 women and 27 men) with femoral neck fractures. The analysis takes into account the influence of chronic co-morbidities on the treatment method used and the outcome of the treatment, taking into account the greatest possible independence in the daily activities of the operated patients.

RESULTS

In 85% of surgical patients treated for proximal femur fractures, concomitant diseases were observed in the pre-operative period. 28 of them were disqualified from surgery. In the remaining 38 patients perioperative complications were observed, including prolonged bleeding, infection and exacerbation of renal failure. The most unfavorable complication in the analysis was renal failure.

CONCLUSIONS

Patients in the age group predisposing to proximal femur fractures should be carefully monitored for co-morbid chronic diseases. This action may reduce the percentage of disqualification from surgical treatment and the risk of perioperative complications.