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1- Associate Professor, Ghaem Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran.
2- Associate Professor, Statistics Department, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
3- General Practitioner, Guilan University of Medical Sciences, Rasht, Iran.
4- MSc in Mathematical Statistics, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Anatomical Sciences & Cell Biology, Mashhad University of medical sciences, Mashhad, Iran.
Abstract:   (187 Views)
Introduction: In developing countries, hemiarthroplasty surgical procedure is applied for a large number of patients with hip fracture. These surgical interventions occur with delay based on various reasons, including insufficient hospital facilities and deficiency of ICU beds.
Objective: In this study, we aimed to assess the consequences and complications of delayed hemiarthroplasty in elderly (>60 years) with intertrochanteric and femoral neck fractures based on a one-year follow-up study.
Materials and Methods: In this retrospective cross-sectional study, 392 patients (59.2% female and 40.8% male, mean age: 69.9 ± 4.7 years) were evaluated according to the presence or absence of post-surgical complications including; limbs shortening, infection, hematoma, symptomatic pulmonary embolism, Harris Hip Score (HHS), and the number of deaths following cemented bipolar hemiarthroplasty.
Results: The majority of patients (82.9%) underwent surgery in public hospitals, and 34% of which had femoral neck fractures. Following evaluation of trauma-surgery time interval index, it was found that 39% of patients had delayed surgery (24% of which received surgery on the 3rd day and 15.1% on the 4th day after hospital admission). Significantly it was found that the infection (6.6%), hematoma (4.1%), embolism (2.8%), and deep vein thrombosis (DVT) (4.8%) were associated with trauma-surgery time interval (p<0.05). The mortality rate was 0.5% (2 cases), 1% (4 cases), and 1.3% (5 cases) in the first month, 1-6 months, and 6-12 months, respectively. This analysis showed a significant (p<0.05) association in the first month with increased trauma-surgery time interval. According to the functional outcomes, patients whit delayed surgery represented decreased levels of HHS score.
Conclusion: Rapid preparation of elderly patients for hemiarthroplasty is considered an effective factor to reduce morbidity and mortality rates.
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Type of Study: Original | Subject: Developmental Anatomy
Received: 2021/04/10 | Accepted: 2021/09/8 | Published: 2021/09/28

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