Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures
Background: Despite multiple studies, less recent literature and data regarding the mortality associated with hip fractures in the elderly population are available. Objectives: To assess the mortality data and functional outcomes of patients who underwent cemented and uncemented hemiarthroplasty in...
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SAGE Publishing
2025-01-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121241307264 |
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| author | Ankush Ratanpal Katapadi Ramachandra Kamath Preetham Raj V Salian Saiprasad Sarvothama Baliga Rajendra Annappa Sayak Banerjee |
| author_facet | Ankush Ratanpal Katapadi Ramachandra Kamath Preetham Raj V Salian Saiprasad Sarvothama Baliga Rajendra Annappa Sayak Banerjee |
| author_sort | Ankush Ratanpal |
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| description | Background: Despite multiple studies, less recent literature and data regarding the mortality associated with hip fractures in the elderly population are available. Objectives: To assess the mortality data and functional outcomes of patients who underwent cemented and uncemented hemiarthroplasty in femoral neck fractures. To evaluate if preoperative (minimum 2 months) calcium and vitamin D supplement intake in patients affects postoperative mobilization with or without walker support. Methods: All patients aged 65 and above who underwent hemiarthroplasty for femoral neck fractures in our tertiary care center were included. Postoperative functional outcomes were determined using the Modified Harris Hip score and Oxford Hip score at 3, 6, and 12 months. The mortality of the procedures was assessed at 3, 6, and 12 months. Individuals who took both calcium and vitamin D supplements for at least 2 months before surgery were divided into two groups: those who did not take supplements and those who did. Results: We studied 110 patients above the age of 65 years. The postoperative mortality rate at 3, 6 months and 1 year postoperatively was found to be 3.6%, 4.7%, and 15.5% respectively. Functional outcomes were assessed at 3, 6, and 12 months postoperatively using modified Harris Hip score and Oxford Hip score and were found to be identical in both cemented and uncemented hemiarthroplasty groups. Patients who took calcium and vitamin D supplements preoperatively (minimum 2 months) could walk without support at the end of 1-year post-surgery. Conclusion: Early surgery and early mobilization should be the main aim of treatment for femoral neck fractures. |
| format | Article |
| id | doaj-art-c436921448114742a2e91e7deb0513c5 |
| institution | Kabale University |
| issn | 2050-3121 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj-art-c436921448114742a2e91e7deb0513c52025-01-09T11:03:36ZengSAGE PublishingSAGE Open Medicine2050-31212025-01-011310.1177/20503121241307264Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fracturesAnkush Ratanpal0Katapadi Ramachandra Kamath1Preetham Raj V Salian2Saiprasad Sarvothama Baliga3Rajendra Annappa4Sayak Banerjee5North DMC Medical College and Hindu Rao Hospital, Guru Gobind Singh Indraprastha University, Delhi, IndiaDepartment of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, IndiaDepartment of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, IndiaDepartment of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, IndiaDepartment of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal, IndiaESIC Medical College and Hospital and Occupational Disease Center [East Zone], Joka, Kolkata, IndiaBackground: Despite multiple studies, less recent literature and data regarding the mortality associated with hip fractures in the elderly population are available. Objectives: To assess the mortality data and functional outcomes of patients who underwent cemented and uncemented hemiarthroplasty in femoral neck fractures. To evaluate if preoperative (minimum 2 months) calcium and vitamin D supplement intake in patients affects postoperative mobilization with or without walker support. Methods: All patients aged 65 and above who underwent hemiarthroplasty for femoral neck fractures in our tertiary care center were included. Postoperative functional outcomes were determined using the Modified Harris Hip score and Oxford Hip score at 3, 6, and 12 months. The mortality of the procedures was assessed at 3, 6, and 12 months. Individuals who took both calcium and vitamin D supplements for at least 2 months before surgery were divided into two groups: those who did not take supplements and those who did. Results: We studied 110 patients above the age of 65 years. The postoperative mortality rate at 3, 6 months and 1 year postoperatively was found to be 3.6%, 4.7%, and 15.5% respectively. Functional outcomes were assessed at 3, 6, and 12 months postoperatively using modified Harris Hip score and Oxford Hip score and were found to be identical in both cemented and uncemented hemiarthroplasty groups. Patients who took calcium and vitamin D supplements preoperatively (minimum 2 months) could walk without support at the end of 1-year post-surgery. Conclusion: Early surgery and early mobilization should be the main aim of treatment for femoral neck fractures.https://doi.org/10.1177/20503121241307264 |
| spellingShingle | Ankush Ratanpal Katapadi Ramachandra Kamath Preetham Raj V Salian Saiprasad Sarvothama Baliga Rajendra Annappa Sayak Banerjee Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures SAGE Open Medicine |
| title | Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures |
| title_full | Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures |
| title_fullStr | Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures |
| title_full_unstemmed | Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures |
| title_short | Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures |
| title_sort | mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures |
| url | https://doi.org/10.1177/20503121241307264 |
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