Abstract: Aim: To evaluate the functional recovery at six months postoperatively in elderly patients with hip fractures and to determine the risks of not regaining to the pre-fracture mobility level.
Methods: The present study was conducted in the Department of Orthopaedics, ACS medical college and hospital, India, 280 consecutive patients over the age of 65 who were admitted to the hospital with hip fractures for two years and six months were examined.
Results: 120 (60%) of the patients were female and 80 (340%) were male, with a mean age of 78.8±9.4 years. There were 150 (75%) intertrochanteric fractures and 50 (25%) femoral neck fractures. 100 (50%) patients underwent proximal femoral nail (PFN), 80 (40%) patients underwent hemiarthroplasty, 12 (6%) patients underwent dynamic hip screw (DHS) and 8 (4%) patients underwent total hip arthroplasty. In the analysis performed to determine the level of mobility, it was found that 160 (80%) patients moved without the use of an aid and 40 (20%) patients moved with the use of an aid in the pre-fracture period.
Conclusion: Advanced age, high ASA score, cardiovascular disease or malignancy among comorbidities, intertrochanteric fracture as fracture type, and use of PFN as implant type were the main risk factors for not regaining to pre-fracture mobility and ADL.
