The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
original papers
The Outcome of Surgical Treatment for the fracture of the Proximal Femur
Yousuke FujiiTomohiro MatsushitaNaoaki KawakamiKazuhiro NakayamaNobuo Kai
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2010 Volume 22 Issue 2 Pages 301-305

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Abstract
We investigated the outcome of surgical treatment for fracture of the proximal femur in 141 patients (39 males and 102 females, mean age 82.0 years), focusing on mortality and walking ability before and after surgery.
The cumulative survival rate was 85.1% at 14.2 months after surgery. Eighty-five (60.2%) of the 141 subjects were able to regain the same level of walking ability, whereas 35 (24.8%) showed a decrease of walking ability.
We also investigated the factors responsible for decreased survival and walking ability. Advanced age and an extended perioperative period (over 5 days) were found to be significant factors (t<0.05). It is therefore important to perform surgery promptly after fracture of the proximal femur.
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