+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Hip fractures - Treatment and functional outcome. The development over 25 years



Hip fractures - Treatment and functional outcome. The development over 25 years



Injury 49(12): 2209-2215



Nearly 18,000 individuals suffer from hip fracture in Sweden each year. The choice in operation method for femoral neck fractures has changed over the years as well as the overall management. Functional outcome after hip fracture is affected by several factors and the overall functional level for old people in Sweden has improved over the last decades. To describe and analyse the functional outcome and choice of operation method for hip fracture patients between 1988 and 2012. All patients with cervical or trochanteric hip fracture treated at Lund University Hospital from 1988 until 2012 were collected from the National Quality Register for hip fracture patients, RIKSHÖFT. Patients younger than 50 years and those with pathological fractures were excluded. Data regarding patient characteristics, fracture type, operation method and housing, walking ability and use of walk aids prefracture and at 4-months follow-up was retrieved and analysed. For this study 8723 patients were included with a mean age of 81.6 (men 79.3, women 82.5). The mean age significantly increased over the period studied. Sliding hip screw dominates as method of choice for the trochanteric fractures. For the cervical fractures there is a clear shift from osteosynthesis to arthroplasty. There is a significant decrease in functional outcome at follow-up compared to prefracture. No significant trend change can be seen over 25 years. Functional outcome are worse for the patients with trochanteric fracture. Although there have been changes in operation methods for hip fractures and the management has developed, our study does not show any effect on functional outcome over a 25-year period. The medical condition of these patients with increasing age seems to counteract efforts to improve the care.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 065803562

Download citation: RISBibTeXText

PMID: 30366830

DOI: 10.1016/j.injury.2018.10.010


Related references

Functional outcome 10 years after surgical treatment of displaced sacral fractures. Spine 37(16): E1009-E1016, 2012

Functional outcome 5 years after non-operative treatment of type A spinal fractures. European Spine Journal 15(4): 472-478, 2006

Functional Outcome After Surgical Treatment of Intra-articular Distal Humerus Fractures in Patients 70 Years of Age or Older. Hand 11(1 Suppl.): 56s-56s, 2016

Conservative treatment of redisplaced Colles' fractures in elderly patients older than 60 years old - anatomical and functional outcome. Hand Surgery 6(2): 137-144, 2001

Surgical Treatment of Intra-Articular Fractures of the Distal Part of the Humerus: Functional Outcome After Twelve to Thirty Years. Year Book of Hand and Upper Limb Surgery 2008: 64-66, 2008

Surgical treatment of intra-articular fractures of the distal part of the humerus. Functional outcome after twelve to thirty years. Journal of Bone and Joint Surgery. American Volume 89(7): 1524-1532, 2007

Plate fixation versus conservative treatment of displaced midshaft clavicle fractures: Functional outcome and patients' satisfaction during a mean follow-up of 5 years. Injury 46(11): 2223-2229, 2015

Open fractures caused by high velocity missiles: the outcome of treatment of 39 fractures followed for 1-3 years. Jpma. Journal of the Pakistan Medical Association 47(11): 274-278, 1997

The effect of osteoporotic treatment on the functional outcome, re-fracture rate, quality of life and mortality in patients with hip fractures: a prospective functional and clinical outcome study on 520 patients. Injury 46(2): 378-383, 2015

Ten years stable internal fixation of metacarpal and phalangeal hand fractures-risk factor and outcome analysis show no increase of complications in the treatment of open compared with closed fractures. Journal of Trauma 68(3): 624-628, 2010

Determinants of Functional Outcome in Distal Radius Fractures in High-Functioning Patients Older Than 55 Years. Journal of Orthopaedic Trauma 30(8): 445-449, 2016

Functional Outcome and Complications at 2.5 Years Following Volar Locking Plate Fixation of Distal Radius Fractures. Journal of Hand and Microsurgery 7(1): 18-24, 2015

Functional Improvement in Geriatric Hip Fractures: Does Vitamin D Deficiency Affect the Functional Outcome of Patients With Surgically Treated Intertrochanteric Hip Fractures. Geriatric Orthopaedic Surgery and Rehabilitation 6(3): 186-191, 2015

A prospective randomised trial of internal fixation versus arthroplasty for displaced fractures of the neck of the femur. Functional outcome for 450 patients at two years. Journal of Bone and Joint Surgery. British Volume 84(2): 183-188, 2002

Outcome after Closed Functional Treatment of Humeral Shaft Fractures. Yearbook of Orthopedics 2007: 66-68, 2007