Abstract :
Introduction: Proximal femur fractures in elderly population occur with simple history of slip and fall
at home. They are difficult to treat, in presence of comorbidities of patient, osteoporotic and comminuted
fracture. Post operatively, mobilization and control of comorbidities are difficult, can result in higher postoperative
mortality and morbidity in that group.
Aim: To know mortality and morbidity in post-operative proximal femur fracture patients over a period of
3 years.
Materials and Methods: Retrospective study included the cases which got admitted and treated during
the period of March, 2016 to March 2017. Patient’s details were collected from the medical records section
available. Pre and post-operative and present status mobility status were assessed through New Mobility
Score. Mortality over three years was calculated.
Results: Though 70 patients were included into study, complete data was available for 47 patients. Mobility
score which was 7.25 pre-operatively before fall came down to 6.3 (six months) and 5.4 (three years) six
months, post-operatively. Out of 47 patients, 12 patients expired at various stages of study. At the end of 3
years of study, mortality rate is 26%.
Conclusion: Mortality and morbidity of proximal femur fractures in elderly population is at significant
level in India, which needs to be addressed at early stage.
Keyword :
Mortality, Morbidity, New Mobility Score, Proximal femur fractures, Elderly population.