[Prognostic significance of surgical morbidity in management of coxal femoral fracture in the elderly patient].
The influence of operative morbidity on clinical long-term results is evaluated in a prospective study employing a consecutive series of 120 patients (mean age, 82.5 +/- 4.7 years) with operatively treated fractures of the coxal femur. Perioperative complications which were observed in 37.5%, with a predominance of urinary tract infection (n = 26), bronchopneumonia (n = 16) and cardiac decompensation (n = 4), were significantly associated with a pertrochanteric fracture localization (p < 0.05), prolonged latency from trauma to surgery (p < 0.01), and a prevalence of three and more internal diseases (p < 0.01). At 1-year follow-up patients with a perioperative complication had a significantly worse performance scoring (p < 0.01) than individuals with an unimpaired perioperative course. This leads to the conclusion that perioperative morbidity decisively influences functional outcome in the elderly patient.
Raunest
J
J
Abteilung für Allgemein- und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf.
Engelmann
R
R
Derra
E
E
D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment; D006305:Health Status Indicators; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D012307:Risk Factors; D016896:Treatment Outcome
Prognostische Bedeutung der Operationsmorbidität in der Versorgung der koxalen Femurfraktur des betagten Menschen.