The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
original papers
Examination of Conservative Treatment for Proximal Femoral Fracture
Yasumitsu IshimaruHiroaki TsuruokaYuko FujiiKunihiko Watamori
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2013 Volume 25 Issue 2 Pages 365-367

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Abstract
Between April 2003 and December 2011, 78 of 865 patients with proximal femoral fracture were given conservative treatment at our institution. We were able to follow-up 76 of these 78 patients (23 males and 53 females).
In-hospital death occurred in 19 patients (25% of the total patients). The average hospital stay was 41.6 days for survivors who were eventually discharged, and it was 19.7 days for those who died in-hospital. The six-month survival rate was 57.9%. For 44 patients who were still alive at six months after their injury, activities of daily living (ADL) was reduced in 29 patients (65.9%). The survival rate decreased as ASA classification severity increased.
When dealing with patients with inoperable proximal femoral fractures, life-saving treatment and general care should be the primary concern. In addition, cooperation with other departments is essential.
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