Background To examine the effect of surgical and conservative treatment outcomes of hip fractures among older adults.
Objectives The following methods of treatment were considered: medical and surgical one. Conservative treatment was presented by overlaying a derotation boot and skeletal traction, surgical one - osteosynthesis and total hip arthroplasty.
Methods Information about fractures and their outcomes was obtained according to the archives of the trauma unit of city hospitals No. 2, No. 3 and No. 11 as well as logs city registry office, a telephone survey of patients and their relatives.
Results In present study it was revealed that 171 patients (40.04%) got surgical treatment while 261 patients (59.96%) were treated conservatively.
Among surgical treatments for patients with hip fractures osteosynthesis (36.34%) was the most commonly performed, while endoprosthesis was conducted only 3.7% of cases. Conservative treatment was mainly represented by overlaying derotation boot and skeletal traction. Mortality among patients with hip fractures, depending on the method of treatment was also traced.
It was found that during the first 6 months in the surgical treatment deaths were registered with 11 (6.43%) patients and with 84 (32.18%) having a conservative treatment. Between groups of patients with hip fractures, depending on the treatment we received statistically significant differences (χ2=6,2; p<0.0001). 12 months after hip fracture the mortality increased both after surgical treatment and after conservative one (12.9% i44, 81%, respectively) (χ2=6,85; p<0.0001). 24 months after hip fracture mortality among patients with surgery was 25.2% (43 people), and among patients with conservative methods of treatment - 54.0% (141 people) (χ2=5,84; p<0,0001).
Conclusions It's shown that in the conservative treatment of patients mortality rates were significantly higher than in the surgical treatment in all periods of observation.
Disclosure of Interest None declared