![]() Fractures may involve complete or partial breaks. Surgical treatment showed better outcomes in terms of survival, with no significant differences depending on the type of fracture, the type of implant or the median time to surgery.ĭistal femur fractures Elderly Frailty Mortality.Ĭopyright © 2021. Fractures at the distal end of the femur are often referred to as knee fractures, and they can be caused by car accidents. Low-energy distal femur fractures comprise a severe injury in the elderly and are associated with high mortality. The absence of certain comorbidities, such as chronic heart disease, and cancer, and an age under 80 years, behaved as protective factors. Factors independently associated with death during the first year after the fracture were: conservative treatment, and the inability to ambulate before the episode. Our specific aims were to assess a cohort of elderly patients with distal femur fractures treated during a 10-year period to (1) calculate overall, 30-day, 6-month, and 1-year mortality rates in elderly patients with distal femur fractures (2) determine the existence of variables that influence survivorship (3) evaluate the importance of surgi. The median follow-up was 26.3 months.įourteen patients died during the first year of follow-up. The median time to surgery was 4.5 days (IQR 2-6) and 14 patients were operated within 48 hours. The principal causes of death after hip fracture were bronchopneumonia, cardiac failure, myocardial infarction and pulmonary embolism. In 10 patients, the fractures were atraumatic (postural change mainly in non-walking patients), and in 54 of the cases were treated surgically (6 with retrograde intramedullary nailing and 48 with lateral locking plate). Fifty-nine patients were included, with a median age of 85.3 years (IQR 78.6-91.6). The relationship of each of these variables to the final functional class, immediate and late complications and mortality during the follow-up. Baseline characteristics, the type of fracture, comorbidities, and functional status before admission, were collected. ![]() There are few large nationwide studies, including basicervical FNFs (bFNFs), on epidemiology, treatment, and mortality. Proximal femoral fractures have an incidence of 620 cases per 100,000 individuals per year 10 and are common in those with comorbidities 11. A study of these fractures was conducted in our center in order to evaluate the comorbidities and the mortality associated with this entity.Īll the distal femur fractures by low energy in patients over 65 years old at a tertiary center were included, between January 2010 and December 2016. Although femoral neck fractures (FNFs) are common in orthopedic departments, optimal treatment methods remain in dispute. The frequency of distal femur fractures in the elderly is rapidly increasing.
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