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AB0841 Medical and social consequences in hip fractures depending on the method of treatment
  1. JV Averkieva,
  2. T Raskina
  1. State Medical University Kemerovo, Kemerovo, Russian Federation

Abstract

Background medical and social significance of osteoporosis is determined by its consequences - fractures of the vertebrae and the bones of the peripheral skeleton leading to high rates of mortality and disability among older adults. Purpose: to follow basic health and social consequences among the surviving patients with hip fractures aged 50 years or older at 6, 24 months.

Objectives The study included 432 patients (328 women and 104 men) with radiographic evidence of hip fractures that occurred with minimal trauma.

Methods Surgical treatment was performed in 171 (40,04%) patients, conservative treatment-261(59.96%).

Results tracked mortality in hip fractures in 432 patients. It was found that in the first 6 months in the surgical treatment of deaths registered in 11 (6,43%) patients and in 84 (32.18%) - the conservative (p<0.0001). After 12 months after fracture increased mortality rate after the surgical treatment and after conservative (12.9% and 44.81%, respectively, p<0.0001). It was revealed that in the first 6 months in patients with surgical treatments bedridden were 10 (8.0%) men and 78 - a group with conservative treatment (66.67%) (p<0.0001).

Restriction of physical activity within the room was observed in 86 (68.8%) patients with surgery, and in 30 (25.64%) patients - with conservative treatment (p<0.0001). Aids used after surgical treatment of 105 (84.0%) patients after conservative - 34 (29.0%) (p<0.0001). Social impact showed that after 6 months of observation revealed a low proportion of patients with complete recovery of function after a surgery, or after conservative treatment (8.0% and 5.13%, respectively; p=0.5). After 24 months from the time of the fracture using surgical methods bedridden stayed only 1 (0.4%) and 16 patients (13.68%) - with conservative methods (χ2 =18,3; p<0.0001). There was a significant decrease in the number of patients with limited motion activity within the room in the group with surgery and in the group with conservative (10.4% and 26.5%, respectively, p=0.002). When surgical treatment aids continued to use 38.4% (48 patients) under conservative treatment - 58.97% (69 people) (χ2=10,24; p=0.002). Full restoration of function was observed in 72 (57.6%) and 32 (27.35%) patients who received surgical and conservative treatment, respectively (χ2 =4,62; p<0.0001).

Conclusions the obtained during this study data suggest that the immediate and long-term consequences in patients with a fracture of the proximal femur depends on the method of treatment. Surgical treatment is the method of choice for the treatment of patients with this type of fracture.

Disclosure of Interest None declared

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