<Clinical Study> Poor Prognosis in Elderly Patients Receiving Nonoperative Treatment for Hip Fracture: A Study of 224 Cases at Kofu National Hospital

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  • HAGINO Tetsuo
    Department Orthopaedic Surgery, National Hospital Organization Kofu National Hospital
  • SATO Eiichi
    Department Orthopaedic Surgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi,Yamanashi
  • MAEKAWA Shingo
    Department Orthopaedic Surgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi,Yamanashi
  • BANDO Kazuhiro
    Department Orthopaedic Surgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi,Yamanashi

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Among 224 patients aged 60 years of older with hip fractures, 30 underwent nonoperative treatment. The functional and survival prognoses of these patients were investigated and compared with patients who underwent surgery. The operated and nonoperated groups did not differ in age on injury, dementia status and in-hospital mortality. However, the nonoperated patients had a higher risk on admission and poorer functional prognosis than did the operated patients. Furthermore, within the nonoperated group, patients with dementia had significantly poorer walking ability than those without.

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