超高齢者の大腿骨頚部骨折の検討

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  • Fllow-up Study of Femoral Neck Fractures in Elderly Patients.

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Clinical examinations were performed on 16 elderly patients (over 90 years of age) who were treated surgically during the past 2 years and 9 months for femoral neck fracture. Patients aged over 90 account for 15.7% (16 cases) of the population aged over 65 (102 cases). Cardiac failure was the most frequent preoperative complication. Principal complications seen during operation were hypotention and arrythmia. 9 patients regained walking ability and 7 could move by wheelchair.<br>Walking ability afteroperation was lower than before trauma, but no patients remained bedridden. 8 of the 13 patients who lived in their own homes befor trauma could return. But 1 patient needed to stay in a health care facility, while 4 patients had to be taken to other hospitals.<br>Early surgical treatment and early postoperative rehabilitation are also important for preventing complications and improving the quality of life in elderly patients (over 90). We felt the need to prepare the patients to return back to their normal lives after hospitalization.

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