TITLE:
Analysis of Perioperative Complications of Surgery for Proximal Femur Fracture in Elderly Patients Older than 75 Years
AUTHORS:
Tsuyoshi Nakai, Kunihiko Hashimoto, Atsunori Onishi, Toshiyuki Nakamura, Akira Miyama, Naohiro Yasuda
KEYWORDS:
Perioperative Complications; Proximal Femur Fracture; Elderly Patients
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.3 No.2,
June
6,
2013
ABSTRACT:
Background: In elderly patients with femoral neck fracture, functional
recovery is affected largely by preoperative underlying diseases and postoperative complications. The present
study was designed to analyze the relationship between preoperative underlying
diseases and perioperative complications of surgery for proximal femur fracture. Methods: The study involved 86 patients aged
75 years or older, who underwent surgery for proximal femur fracture. Each
patient was examined for the presence of preoperative underlying diseases and
preoperative biochemical test data. Moderate and severe complications, which
were life-threatening and necessitated treated, were investigated during the perioperative period. A
retrospective analysis was conducted on the relationship of preoperative
underlying diseases and preoperative biochemical data with the moderate or
severe complications that developed during the perioperative period. Results: Eighty-one patients developed a preoperative underlying
disease, with hypertension being most frequent (42 cases). Complications during
the perioperative period were observed in 58 patients, with anemia develops
most frequently (23 cases). Moderate or severe complications during the perioperative
period were observed in 16 patients, and infection was the most frequent
complication (8 cases). In the
statistical analysis, a significant difference in the incidence of moderate or
severe perioperative complications was observed only in the users of
anticoagulants/antiplatelet drugs. Discussion: Patients of preoperative use of anticoagulants/antiplatelet
drugs should be closely managed medically so that perioperative medical
complications can be managed.