Patients over 80 with femoral neck fractures have significant mortality and functional decline at one year, often exacerbated by medical complications and dementia.
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May inform prognostic discussions for octogenarians with femoral neck fractures; hypothesis-generating for targeted interventions to preserve function.
39 patients over 80 years old with femoral neck fracture were examined. They were classified into four groups on admission and again at the follow-up. The average hospitalization time was one hundred and twenty-two days. Many patients had cardio-vascular diseases, senile dementia, anemia or lung diseases. Pneumonia and heart failure were important as post-operative complications. At one-year follow-up, 9 patients were found to be dead. 58% of the surviving patients had maintained their pre-fracture level of activity compared with 72% of the patients under 80 years old. Medical complications and senile dementia caused deterioration of their activity levels.
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Hayashi et al. (1989) studied this question.
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