TY - JOUR PY - 2023// TI - Relation of femur fractures location with clinical outcomes in elderly patients JO - Acta ortopédica Brasileira A1 - Celik, Burak A1 - Kose, Ataman A1 - Milcan, Abtullah A1 - Yarkac, Akif A1 - Babus, Seyran Bozkurt A1 - Erdoğan, Semra SP - e239997 EP - e239997 VL - 31 IS - spe1 N2 - OBJECTIVES: This study was designed to investigate the possible relationship between the anatomical location of the PFF (head-neck fractures) and the demographic features, comorbidities, and risk factors of elderly patients.

METHODS: 233 patients aged 65 years and over, who were admitted to the emergency department with a diagnosis of proximal femur fracture were included in this study.

RESULTS: Most patients (59.6%) had a trochanteric fracture. The incidence of trochanteric fractures had a statistically significant positive correlation with age. Falls at ground level were found to be highly associated with trochanteric fractures (92,8%). At least one complication was observed in 57 (41,0%) cases and 31 (22,3%) died in one year, of the patients with trochanteric fractures. Comorbidity was not related to fracture location statistically. Fall ground level (p = 0.013), complication rate (73.7%; p <0.001), and Charlesen comorbidity index (p = 0.019) were statistically significantly associated with death. The logistic regression analysis of variables determined that only the quantity of comorbidities may be related to femoral neck fractures (p = 0.047).

CONCLUSION: Female patients with trochanteric fractures were found to be older than male patients. Fall ground level, mortality, and complications were more frequently seen in patients with trochanteric fractures. Level of Evidence II, Retrospective study.

Language: en

LA - en SN - 1413-7852 UR - http://dx.doi.org/10.1590/1413-785220233101e239997 ID - ref1 ER -