Intertrochanteric fractures are common in older age group. Recently better implant design and surgical technique have improved clinical results. But still many patients suffer from high morbidity and mortality, because of accompanying
osteoporosis
and
various senile diseases. From January 1991 to June 1994, we treated 54 patients older than 70 years with intertrochanteric fractures f femur. Among them, 23 patients were followed up at our hospital and other patients were informed from police
station.
Lost follow up was ten patients and final follow up were 44 patients, Mortality was analyzed for the detection of causative factors, such age, sex, associated medical problems, type of fracture, degree of osteoporosis, type of operation, interval
between injury and operation and duration of admission.
@ES The results were as follows:
@EN 1. 26 patients survived and 18 patients died(Mortality rate: 40.9%).
2. 10 patients died within 1 year(Mortality rate: 22.7%).
3. mortality was related to associated medical problems, interval between injury and operation and type of fracture, which were statistically significant(P<0.05).
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