Evaluation of the Risk Factors Affecting Elderly Patients' Inability to Regain Pre-Fracture Mobility Following Hip Fracture Surgery

Background: Our aim in this study is to examine the effects of fracture type on restoring mobility in the postoperative period. Methods: In this observational study, 100 consecutive patients over the age of 65 who were admitted to the hospital with hip fractures were examined. Hospital digital records were examined and patients’ age, gender, body mass index (BMI), smoking, American Society of Anesthesiologists (ASA) score, comorbidities (cardiovascular, respiratory, renal, neurological diseases and malignancy), fracture type, type of implant used in surgery and Charlson comorbidity index score were recorded. Result: 100 patients were included in the study. 62 patients were female and 38 were male, with a mean age of 78.23±8.31 years. There 61 patients were intertrochanteric fractures and 39 were femoral neck fractures. 12 patients underwent proximal femoral nail (PFN), 72 patients underwent hemiarthroplasty, 13 patients underwent dynamic hip screw (DHS) and 3 patients underwent total hip arthroplasty. In the analysis performed to determine the level of mobility, it was found that 96 patients moved without the use of an aid and 4 patients moved with the use of an aid in the pre-fracture period. In the sixth month postoperative follow-up, it was observed that 61 patients were ambulated without the use of an aid, 25 patients were ambulated with the use of an aid, and 14 patients were immobile. Conclusion: Advanced age, high ASA score, cardiovascular disease or malignancy among comorbidities, intertrochanteric fracture as fracture type, and use of PFN as implant type were the main risk factors for not regain to pre-fracture mobility and ADL.