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Eur J Orthop Surg Traumatol ; 28(2): 277-282, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28988382

RESUMO

OBJECTIVE: Hip fractures in the elderly are usually associated with a high rate of morbidity and mortality and affect quality of life. On review of published data, the current guidelines in the literature indicate that early surgery should be performed within 24 h of injury because it is associated with better functional outcomes and lower rates of perioperative complications and mortality. The aim of this study was to evaluate whether any correlation exists between early surgical intervention and functional outcomes. METHODS: In a retrospective study, we analyzed the records between January 2010 and December 2016 and 550 elderly patients between the age group of 65-95 were included. RESULTS: The results of early surgery were promising, 451 (82%) patients did not have any complication, 42 (7.6%) has developed bed sore, 23 (4%) developed a hospital-acquired infection, 13 (2.3%) developed wound infection, 08 (1.4%) developed DVT, 04 (0.7%) developed implant failure, and 09 (01%) died of some or other complications. CONCLUSION: Still, there is conflicting evidence in the published data that early surgery would improve mortality and function. However, early surgery definitively improves outcome and reduces morbidity, bed sores, infection, and the length of hospital stay could be improved by reducing the waiting time of hip surgery following fracture. We concluded that it is beneficial to the elderly patients to receive surgical treatment as early as possible.


Assuntos
Artroplastia de Quadril , Fixação Interna de Fraturas , Fraturas do Quadril/fisiopatologia , Fraturas do Quadril/cirurgia , Tempo para o Tratamento , Idoso , Idoso de 80 Anos ou mais , Artroplastia de Quadril/efeitos adversos , Infecção Hospitalar/etiologia , Feminino , Fixação Interna de Fraturas/efeitos adversos , Prótese de Quadril/efeitos adversos , Humanos , Masculino , Dor Pós-Operatória/etiologia , Úlcera por Pressão/etiologia , Falha de Prótese/efeitos adversos , Estudos Retrospectivos , Infecção da Ferida Cirúrgica/etiologia , Fatores de Tempo , Trombose Venosa/etiologia
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