Abstract
The purpose of this study is to compare the functional prognosis and short vital prognosis of 141 femoral neck fracture patients over 60 years of age. All patients underwent operation at Saiseikai Fukushima General Hospital from 1988 to 1991. Functional prognosis was judged by gait ability of the 127 surviving patients over a 6-month period after operation. In patients over the age of 75, gait ability after discharge declined in comparison with that before injury. Vital prognosis was judged by the day of decease of the patient after operation, before discharge, after discharge but within 6 months, and over 6 months ofter operation. After operation, 6 patients died before discharge. All were over the age of 75. It was observed that the rate of respiratory complications, ECG abnormalities decrease in alubumin, and increase in creatinin were statistically higher than those of the surviving patients over 6 months after operation. After discharge, 8 patients died within 6 months after operation. Seven of the 8 patients were over the age of 75. It was observed that the rate of gastro-intestinal and incretory complications, and electrolyte abnomalities were statistically higher than those of the surviving patients over 6 months after operation. In this study, 75 years of age was a decisive determination in the functional and vital prognoses.
