Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang

INTRODUCTION: Femoral neck fracture is a common occurrence among the elderly age group especially when the aging population around the world is on the rise. This type of fracture poses a high mortality and morbidity, hence, they are commonly treated operatively to prevent complications. However,...

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Main Author: Appadurai, Shri Kapilan
Format: Thesis
Language:English
Published: 2016
Subjects:
Online Access:http://eprints.usm.my/44068/
http://eprints.usm.my/44068/1/Dr.%20Shri%20Kapilan-24%20pages.pdf
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author Appadurai, Shri Kapilan
author_facet Appadurai, Shri Kapilan
author_sort Appadurai, Shri Kapilan
building USM Institutional Repository
collection Online Access
description INTRODUCTION: Femoral neck fracture is a common occurrence among the elderly age group especially when the aging population around the world is on the rise. This type of fracture poses a high mortality and morbidity, hence, they are commonly treated operatively to prevent complications. However, this fractures has been treated non-operatively in certain circumstances. In this study, we assess the functional outcome of elderly patients with femoral neck fracture that was treated non-operatively. METHODS: We recruited 55 patients in this study from January 2010 to January 2014. Out of the total 55 patients, the patients who are still alive are called and interviewed in the clinic. The functional outcome after neck of femur fracture being treated non-operatively were assessed using the SF-36 health survey questionnaire. The reason for opting non-operative treatment were explored and also the major cause of mortality among these patient was also identified. RESULTS: From our small series conducted, the survival rate for elderly patients with neck of femur fracture treated non-operatively was 58.2%. The mortality rate for elderly patients with neck of femur fractures treated non-operatively was around 41.8% per year. With regards to the quality of life, the functional assessment for our patients revealed that they fare fairly when the mental component is taken into account. With the mean Mental Component Summary (MCS) of 57.5 and mean Physical Component Summary (PCS) of 46.3.This means the functional outcome for elderly patients with neck of femur fracture treated non-operatively was average based on the Mental Component Summary (MCS) score and was below average for the Physical Component Summary (PCS) score. There were 2 reason identified for these patients opting for non-operative
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spelling usm-440682020-10-22T03:03:19Z http://eprints.usm.my/44068/ Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang Appadurai, Shri Kapilan RC Internal medicine INTRODUCTION: Femoral neck fracture is a common occurrence among the elderly age group especially when the aging population around the world is on the rise. This type of fracture poses a high mortality and morbidity, hence, they are commonly treated operatively to prevent complications. However, this fractures has been treated non-operatively in certain circumstances. In this study, we assess the functional outcome of elderly patients with femoral neck fracture that was treated non-operatively. METHODS: We recruited 55 patients in this study from January 2010 to January 2014. Out of the total 55 patients, the patients who are still alive are called and interviewed in the clinic. The functional outcome after neck of femur fracture being treated non-operatively were assessed using the SF-36 health survey questionnaire. The reason for opting non-operative treatment were explored and also the major cause of mortality among these patient was also identified. RESULTS: From our small series conducted, the survival rate for elderly patients with neck of femur fracture treated non-operatively was 58.2%. The mortality rate for elderly patients with neck of femur fractures treated non-operatively was around 41.8% per year. With regards to the quality of life, the functional assessment for our patients revealed that they fare fairly when the mental component is taken into account. With the mean Mental Component Summary (MCS) of 57.5 and mean Physical Component Summary (PCS) of 46.3.This means the functional outcome for elderly patients with neck of femur fracture treated non-operatively was average based on the Mental Component Summary (MCS) score and was below average for the Physical Component Summary (PCS) score. There were 2 reason identified for these patients opting for non-operative 2016 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/44068/1/Dr.%20Shri%20Kapilan-24%20pages.pdf Appadurai, Shri Kapilan (2016) Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang. Masters thesis, Universiti Sains Malaysia.
spellingShingle RC Internal medicine
Appadurai, Shri Kapilan
Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang
title Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang
title_full Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang
title_fullStr Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang
title_full_unstemmed Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang
title_short Outcome of neck of femur fracture in elderly treated non operatively in Hospital Selayang
title_sort outcome of neck of femur fracture in elderly treated non operatively in hospital selayang
topic RC Internal medicine
url http://eprints.usm.my/44068/
http://eprints.usm.my/44068/1/Dr.%20Shri%20Kapilan-24%20pages.pdf