Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck Fracture
Geriatric hip fractures are a challenging clinical problem throughout the world. Hip fracture services have been shown to shorten time to surgery, decrease the cost of admissions, and improve the outcomes. We instituted a geriatric hip fracture program for comanagement of these injuries by orthopedi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2015-03-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/2151458514567314 |
| _version_ | 1818576174653112320 |
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| author | Deepak Jain MS Guraziz Singh Sidhu MS Harpal Singh Selhi MS Simon C. Mears MD, PhD Mohammad Yamin MS Pankaj Mahindra MS Harminder Singh Pannu MD |
| author_facet | Deepak Jain MS Guraziz Singh Sidhu MS Harpal Singh Selhi MS Simon C. Mears MD, PhD Mohammad Yamin MS Pankaj Mahindra MS Harminder Singh Pannu MD |
| author_sort | Deepak Jain MS |
| collection | DOAJ |
| description | Geriatric hip fractures are a challenging clinical problem throughout the world. Hip fracture services have been shown to shorten time to surgery, decrease the cost of admissions, and improve the outcomes. We instituted a geriatric hip fracture program for comanagement of these injuries by orthopedic and internal medicine teams at our hospital in India. From January 2010 till December 2011, 119 patients with a femoral neck fracture were treated with cemented modular hemiarthroplasty under this program using a cost-effective Indian implant. The cohort included 63 males and 56 females with a mean age of 70.7 years (range 55-98 years). Hypertension (n = 42) and diabetes mellitus (n = 29) were the most common comorbidities. The follow-up period ranged from 12 to 37 months with an average of 24 months. The surgery was performed within 24 hours of admission in 60.5% (n = 72) patients. The use of antiplatelet drugs was the most common reason for delay of surgery. The mean length of hospital stay was 10.4 days (range 3-24 days) with 77% (n = 92) of patients discharged within 1 week of admission. On follow-up, good to excellent Harris hip scores were seen in 88% of patients with 76% of patients returning to the preinjury ambulatory status. The mortality rate was 6% at 6 months follow-up and 10.9% at 2 years. Our study shows that a hip fracture program can be instituted in India. The program helped us in achieving the goal of early surgery, mobilization, and discharge from hospital with decreased mortality. |
| first_indexed | 2024-12-16T06:09:50Z |
| format | Article |
| id | doaj.art-3a02ced5b037459290b9ff91866fc667 |
| institution | Directory Open Access Journal |
| issn | 2151-4585 2151-4593 |
| language | English |
| last_indexed | 2024-12-16T06:09:50Z |
| publishDate | 2015-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-3a02ced5b037459290b9ff91866fc6672022-12-21T22:41:25ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45852151-45932015-03-01610.1177/2151458514567314Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck FractureDeepak Jain MS0Guraziz Singh Sidhu MS1Harpal Singh Selhi MS2Simon C. Mears MD, PhD3Mohammad Yamin MS4Pankaj Mahindra MS5Harminder Singh Pannu MD6 Department of Orthopedics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India Department of Orthopedics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India Department of Orthopedics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India Orthopaedic Surgeon, Baylor Regional Medical Center, Plano, TX, USA Department of Orthopedics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India Department of Orthopedics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, IndiaGeriatric hip fractures are a challenging clinical problem throughout the world. Hip fracture services have been shown to shorten time to surgery, decrease the cost of admissions, and improve the outcomes. We instituted a geriatric hip fracture program for comanagement of these injuries by orthopedic and internal medicine teams at our hospital in India. From January 2010 till December 2011, 119 patients with a femoral neck fracture were treated with cemented modular hemiarthroplasty under this program using a cost-effective Indian implant. The cohort included 63 males and 56 females with a mean age of 70.7 years (range 55-98 years). Hypertension (n = 42) and diabetes mellitus (n = 29) were the most common comorbidities. The follow-up period ranged from 12 to 37 months with an average of 24 months. The surgery was performed within 24 hours of admission in 60.5% (n = 72) patients. The use of antiplatelet drugs was the most common reason for delay of surgery. The mean length of hospital stay was 10.4 days (range 3-24 days) with 77% (n = 92) of patients discharged within 1 week of admission. On follow-up, good to excellent Harris hip scores were seen in 88% of patients with 76% of patients returning to the preinjury ambulatory status. The mortality rate was 6% at 6 months follow-up and 10.9% at 2 years. Our study shows that a hip fracture program can be instituted in India. The program helped us in achieving the goal of early surgery, mobilization, and discharge from hospital with decreased mortality.https://doi.org/10.1177/2151458514567314 |
| spellingShingle | Deepak Jain MS Guraziz Singh Sidhu MS Harpal Singh Selhi MS Simon C. Mears MD, PhD Mohammad Yamin MS Pankaj Mahindra MS Harminder Singh Pannu MD Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck Fracture Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck Fracture |
| title_full | Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck Fracture |
| title_fullStr | Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck Fracture |
| title_full_unstemmed | Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck Fracture |
| title_short | Early Results of a Geriatric Hip Fracture Program in India for Femoral Neck Fracture |
| title_sort | early results of a geriatric hip fracture program in india for femoral neck fracture |
| url | https://doi.org/10.1177/2151458514567314 |
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