EVALUATION OF FUNCTIONAL OUTCOME OF HIP FRACTURE SURGERY IN ELDER PATIENTS

Objective: To evaluate functional outcome in elderly patients aged 50 years and above with hip fracture who were managed with hip surgery. Study Design: An Observational study Place and Duration: The study was conducted in the Orthopedic Department Unit I of Sheikh Zayed Hospital Rahim Yar Khan for the period of 1 year from April 2016 to April 2017. Materials and Methods: A total of 82 patients were included in the study. The Variables used in the evaluation of the functional outcome; Condition before fracture, after fracture condition (independent walker, assisted walking, bedridden). Twenty-two patients from 82 patients were excluded from the study and 3 patients were excluded from follow-up due to the death of 22 patients within one year. Results: 57 patients; 36 (63.2%) were male and 21 (36.8%) were female. There were 10 patients with intracapsular fracture and 47 patients with extra capsular fracture. Before the operation, 57 patients were free of any device (preoperative score 9), but one year later, the subsequent mobility score was 6.93. In our study, the intracapsular and extracapsular fracture did not differ significantly in terms of functional outcome, which may be due to small sample size. Conclusion: The fracture of the proximal femur in an elderly population is a serious orthopedic injury. The circumference of this skeletal trauma is extremely complicated and impossible to control. The management of this injury goes into the fields of medicine, rehabilitation, psychiatry, social systems, medical economy, and there may be some unknown factors. Key Words: Hip fracture, fracture, elderly