Key result
Preoperative grip strength of less than 15 kg was a reliable predictor of subsequent postoperative complications in female patients over the age of 80 with a fractured neck of femur.
Why the study?
Does preoperative hand grip strength predict postoperative complications in female patients with fracture of the neck of femur?
Observational (n=76)
Does preoperative hand grip strength predict postoperative complications in female patients with fracture of the neck of femur?
Preoperative hand grip strength <15 kg is a simple and reliable predictor of postoperative complications in elderly women with femoral neck fractures.
May aid risk stratification in elderly women with hip fracture; hypothesis-generating and requires prospective validation before practice change.
Seventy-six female patients, having sustained a fracture of the neck of femur, were assessed preoperatively by measuring their muscle strength in the form of grip using a hand-held dynamometer and by measuring serum albumin. A grip strength of less than 15 kg was found to be a reliable predictor of subsequent postoperative complications in female patients over the age of 80. Serum albumin had no predictive value. There was no significant difference in complication rates between different surgeons.
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Davies et al. (1984) conducted an observational in Fracture of the neck of femur (n=76). Preoperative grip strength < 15 kg was evaluated on Postoperative complications. Preoperative grip strength of less than 15 kg was a reliable predictor of subsequent postoperative complications in female patients over the age of 80 with a fractured neck of femur.
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