Does Fracture Type or Surgical Technique Influence Mortality in Elderly Hip Fracture Patients?
Objective To evaluate and compare the 1-year mortality outcomes of elderly patients with hip fractures treated with either hemiarthroplasty (HA) or proximal femoral nailing (PFN), focusing on both intracapsular and extracapsular fractures. Methods This retrospective cohort study included 210 patient...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-05-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/21514593251345390 |
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| author | Fatih Günaydın MD Yusuf Bayram MD Mahmud Aydın MD Ali Çelik MD |
| author_facet | Fatih Günaydın MD Yusuf Bayram MD Mahmud Aydın MD Ali Çelik MD |
| author_sort | Fatih Günaydın MD |
| collection | DOAJ |
| description | Objective To evaluate and compare the 1-year mortality outcomes of elderly patients with hip fractures treated with either hemiarthroplasty (HA) or proximal femoral nailing (PFN), focusing on both intracapsular and extracapsular fractures. Methods This retrospective cohort study included 210 patients aged 60 years or older who underwent hip fracture surgery between January 2020 and December 2021. Patients were categorized into three groups: Group 1 (PFN for extracapsular fractures), Group 2 (HA for intracapsular fractures), and Group 3 (HA for extracapsular fractures). Demographic variables, surgical details, and 1-year mortality were analyzed. Results The overall 1-year mortality rate was 37.6%. Mortality was lowest in patients treated with PFN for extracapsular fractures and highest in those treated with HA for extracapsular fractures. Older age and male gender were associated with increased mortality, while female gender had a protective effect. Conclusion PFN should be considered the preferred surgical approach for elderly patients with extracapsular hip fractures due to its lower mortality and complication rates. HA, while effective for intracapsular fractures, presents higher risks in extracapsular cases. Tailoring surgical strategies to fracture type is essential to optimize patient outcomes. |
| format | Article |
| id | doaj-art-de60ec551a4342ee8d13f6aa6075742d |
| institution | Kabale University |
| issn | 2151-4593 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj-art-de60ec551a4342ee8d13f6aa6075742d2025-08-20T03:47:36ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932025-05-011610.1177/21514593251345390Does Fracture Type or Surgical Technique Influence Mortality in Elderly Hip Fracture Patients?Fatih Günaydın MDYusuf Bayram MDMahmud Aydın MDAli Çelik MDObjective To evaluate and compare the 1-year mortality outcomes of elderly patients with hip fractures treated with either hemiarthroplasty (HA) or proximal femoral nailing (PFN), focusing on both intracapsular and extracapsular fractures. Methods This retrospective cohort study included 210 patients aged 60 years or older who underwent hip fracture surgery between January 2020 and December 2021. Patients were categorized into three groups: Group 1 (PFN for extracapsular fractures), Group 2 (HA for intracapsular fractures), and Group 3 (HA for extracapsular fractures). Demographic variables, surgical details, and 1-year mortality were analyzed. Results The overall 1-year mortality rate was 37.6%. Mortality was lowest in patients treated with PFN for extracapsular fractures and highest in those treated with HA for extracapsular fractures. Older age and male gender were associated with increased mortality, while female gender had a protective effect. Conclusion PFN should be considered the preferred surgical approach for elderly patients with extracapsular hip fractures due to its lower mortality and complication rates. HA, while effective for intracapsular fractures, presents higher risks in extracapsular cases. Tailoring surgical strategies to fracture type is essential to optimize patient outcomes.https://doi.org/10.1177/21514593251345390 |
| spellingShingle | Fatih Günaydın MD Yusuf Bayram MD Mahmud Aydın MD Ali Çelik MD Does Fracture Type or Surgical Technique Influence Mortality in Elderly Hip Fracture Patients? Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Does Fracture Type or Surgical Technique Influence Mortality in Elderly Hip Fracture Patients? |
| title_full | Does Fracture Type or Surgical Technique Influence Mortality in Elderly Hip Fracture Patients? |
| title_fullStr | Does Fracture Type or Surgical Technique Influence Mortality in Elderly Hip Fracture Patients? |
| title_full_unstemmed | Does Fracture Type or Surgical Technique Influence Mortality in Elderly Hip Fracture Patients? |
| title_short | Does Fracture Type or Surgical Technique Influence Mortality in Elderly Hip Fracture Patients? |
| title_sort | does fracture type or surgical technique influence mortality in elderly hip fracture patients |
| url | https://doi.org/10.1177/21514593251345390 |
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