[CAN HIP FRACTURE PATTERN OR TYPE OF SURGERY PREDICT ONE-YEAR MORTALITY OR MOBILITY?]

Area of Science:

• Orthopedic surgery
• Geriatric trauma
• Rehabilitation medicine

Background:

• Demographic and medical factors influence hip fracture outcomes.
• Fracture characteristics and surgical factors require further investigation.
• Understanding these factors is crucial for improving patient prognosis.

Purpose of the Study:

• To assess the impact of specific hip fracture patterns on mortality and mobility one year post-fracture.
• To evaluate the influence of surgical intervention type, complications, and sequential fractures on patient outcomes.

Main Methods:

• Review of an institutional hip fracture registry.
• Calculation of mobility status scores one year post-operatively.
• Analysis of mortality and functional outcomes based on fracture type and surgical intervention.

Main Results:

• One-year mortality was 19.9%; fracture type did not significantly affect mortality.
• Hemiarthroplasty resulted in significantly higher mortality (28.1%) compared to internal fixation (18.6%) or total hip arthroplasty (4%).
• Intra-capsular fractures showed improved mobility over extracapsular fractures; total hip arthroplasty yielded better mobility than other interventions.

Conclusions:

• Surgical intervention type is a critical factor influencing hip fracture patient outcomes.
• Total hip arthroplasty is associated with lower mortality and better mobility compared to hemiarthroplasty or internal fixation.
• While fracture patterns affect mobility, surgical choice plays a more significant role in overall patient prognosis.