Surgical treatment of 55 femoral neck fractures in 53 patients aged over 90 years treated during the past 4 years was evaluated. All patients had some complications and abnornality of blood examination before surgery. Surgical treatments included se ven prosthetic replacements and 48 osteosyntheses.
Postoperative complications were urinary tract infection in 12 patients, dementia in 8 and pulmonary tract infection in 7. Three the 7 patients with pulmonary infections died during admission. The patients with cardiovascular and pulmonary complications preoperatively tended to develop worse complications after surgery.
Particularly, a preoperative understanding of the patients general condition and perioperative general control are needed to prevent postoperative complications from occuring and worsening.
