SOME FACTORS RELATED TO OUTCOME PRONONIC IN PATIENT AFTER HIP HEMIARTHROPLASTY AND INTERNAL FIXING FOR PATIENTS ≥ 60 YEARS OF AGE AFTER INTERTROCHANTERIC CREST FRACTURES AND/ OR FEMORAL NECK FRACTURES
Main Article Content
Abstract
Target: Identifying several factors related to outcome prononic in patient after hip hemiarthroplasty
and internal fixing for patients ≥ 60 years of age after intertrochanteric crest fractures and/ or femoral
neck fractures after 1, 3 and 6 months.
Object and method: The analytical descriptive study for 115 patients ≥ 60 years of age who have
broken intertrochanteric crest and/or femoral neck and treated in Nghe An Hospital for Traumatology
and Orthopaedics by hip hemiarthroplasty and internal fixing.
Findings: The death rate of 115 patients after treating intertrochanteric crest fractures and/ or femoral
neck fractures is 3.48%. The factors which have the most relations to death include: Age group [OR=
3,512(1,538 – 8,019), p < 0,01]; Hypoproteinemia [OR= 2,859(1,001 – 8,166), p < 0,05]; Postoperative delirium [OR= 2,163(1,450 – 5,980), p < 0,01].
Article Details
Keywords
Hip hemiarthroplasty; internal fixing; Related; death.
References
and femoral neck fracture. Rev Esp Cir Ortop
Traumatol., Vol. 62(2):pp.134-141, 2018.
[2] Liyun Liu, Fang Gao, Youwen Liu et al.,
Association of surgery time and early curative
effect for elderly patients with femoral neck
fracture in China, Biomedical Research, Issue 10,
2017.
[3] National Institute of Malariology, Parasitology
and Enmotology (2018), Health Researth
Methology, Postgraduate and graduate textbooks,
Medical Publishing House, Hanoi.
[4] Willey M, Welsh ML, Roth TS et al., The
Telescoping Hip Plate for Treatment of Femoral
Neck Fracture: Design Rationale, Surgical
Technique and Early Results, Iowa Orthop
Jounal.,Vol.38:pp.61-71, 2018.
[5] WHO, Haemoglobin Concentrations for the
Diagnosis of Anaemia and Assessment of
Severity, Geneva, 2011.
[6] American Diabetes Association, Classification
and Diagnosis of Diabetes: Standards of Medical
Care in Diabetes-2020. Diabetes Care, vol. 43,
no. Suppl 1, pp. S14-S31.doi PMID 31862745.,
Vol.43(S1), S14–S31, 2020.
[7] WHO, Noncommunicable diseases:
Hypertension, Geneva, 2015.
[8] Walker B, Colledge N, Ralston S, Stanley
Davidson’s Principles and Practice of Medicine,
Churchill Livingstone, Elsevier, 2014.
[9] Nehring S, Goyal A, Bansal PC, Reactive Protein,
StatPearls Publishing, 2021.
[10] Shyu Y, Chen M, Liang J et al., Predictors
of functionalrecovery for hip fractured elders
during 12 months following hospital discharge:
a prospective study on a Taiwanese sample.
Osteoporos Int.;15(6):475-482. doi:10.1007/
s00198-003-1557-2, 2004.
[11] Fakler JK, Grafe A, Dinger J et al., Perioperative
risk factors in patients with a femoral neck
fracture – influence of 25-hydroxyvitamin D and
C-reactive protein on postoperative, 2016.
[12] Korkmaz MF, Erdem MN, Disli Z et al,
Outcomes of trochanteric femoral fracturestreated
with proximal femoral nail:an analysis of
100consecutive cases., Clin Interv Aging.,
Vol.9:pp.569-74, 2014.
[13] Aranguren-Ruiz MI, Acha-Arrieta MV, CasasFernández de Tejerina JM et al., Risk factors for
mortality after surgery of osteoporotic hip fracture
in patients over 65 years of age. [Article in
English, Spanish], Rev Esp Cir Ortop Traumatol.,
Vol.61(3):pp.185-192, 2017.