Characteristics and evolution of fractures of hip operated in the Prosthetics Bank (January-December 2013)

Abstract

Introduction: hip fracture due to frailty is considered a marker of osteoporotic disease in the elderly population. It determines a high morbidity and mortality and high health costs. Objectives: to analyze characteristics and evolution after a hip fracture due to fragility in patients over 65 years of age assisted in the Banco de Protesis during the January-June 2013 period.
Methods: historical cohort follow-up study, consisting of 184 patients. The data was obtained from the medical records and the follow-up was done by telephone. The maximum follow-up time was 84 weeks.
Results: 82% of patients were female, with median age of 80.7 years for men and 82.7 for women. The most frequent comorbidities were hypertension and cardiovascular disease. There were no differences in the right or left location, the majority corresponded to femoral neck fractures. The median resolution time was 9 days for arthroplasty and 11 days for osteosynthesis. The fall was the determinant in 94.5% of the cases. Twenty-six percent of the patients had previous fragility fractures. 85% of individuals did not know about osteoporosis (OP) and 69% did not receive treatment for this disease. 9% was institutionalized, 77% managed to resume walking. 15% died in the follow-up period.
Conclusions: osteoporosis is not recognized or treated in patients with fragility fracture hi