Modificaciones funcionales, personales y sociales de las fracturas de la extremidad proximal del fémur en pacientes mayores

  1. de Cabo Rodríguez, J. A.
  2. Jorge Sánchez, R. J.
  3. Borrego Ratero, David
  4. Moreno Regidor, A.
  5. López Olmedo, J.
Journal:
Revista española de cirugía osteoarticular

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.