title: Outcomes of hip fracture surgery in patients aged > or = 90 years.
abstract: The outcomes of 60 patients aged > or = 90 years with hip fractures who underwent surgery between 1995 and 1998 were reviewed. Average follow-up was 21 months (range: 4-47 months). All patients experienced pain relief within 2 months postoperatively. Thirty-four of 60 patients failed to attain their preinjury ambulatory status. The ability to walk 2 months postoperatively was observed more frequently in patients without severe dementia. Patients who were unable to walk postoperatively had a greater chance of dying than those who regained the ability to walk. No surgery related deaths occurred. Six months postoperatively, 2 (3%) patients had died; 1 year postoperatively, 9 (15%) had died. Therefore, patients aged > or = 90 years benefit from surgical treatment of hip fractures.
authors.affiliation: Department of Orthopedic Surgery, Tokyo Metropolitan Tama Geriatric Hospital, Higashimurayama, Tokyo, Japan.
authors.forename: Junichi
authors.initials: J
authors.lastname: Tanaka
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Tokimura
authors.forename: Naoki
authors.initials: N
authors.lastname: Seki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000150:complications / Q000401:mortality / Q000601:surgery*; D006621:Hip Joint / Q000502:physiology*; D006801:Humans; D007902:Length of Stay; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D016896:Treatment Outcome; D016474:Weight-Bearing