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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: Jun 21, 2026

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty

Published on: July 24, 2013

Prediction of 5-Year Survival Rate After Hip Fracture Surgery Using a Comprehensive Geriatric Assessment-Based

Jung-Yeon Choi^1,2, Jung-Wee Park^3,4, Kwang-Il Kim^1,5

¹Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Journal of Korean Medical Science

|April 1, 2025

Summary

Hip fracture surgery outcomes are significantly impacted by frailty and postoperative complications. Frailty, assessed by the Hip-Multidimensional Frailty Score (Hip-MFS), showed a greater influence on 5-year survival than complications.

Keywords:

Frailty Hip Fracture Surgery Mortality Older Patients Postoperative Complications

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Published on: July 26, 2024

Area of Science:

Geriatric Medicine
Orthopedic Surgery
Public Health

Background:

Hip fractures (HFs) are a growing concern in aging populations, leading to significant morbidity and mortality.
Existing research often overlooks long-term mortality post-hip fracture surgery.
This study addresses the gap by examining frailty and postoperative complications' impact on 5-year survival.

Purpose of the Study:

To identify risk factors for 5-year mortality after hip fracture surgery.
To compare the impact of the Hip-Multidimensional Frailty Score (Hip-MFS) and postoperative complications on long-term survival.

Main Methods:

Retrospective analysis of 536 patients aged 65+ undergoing hip fracture surgery (2009-2014).
Hip-MFS calculated using comprehensive geriatric assessment; frailty defined as Hip-MFS > 8.
Statistical analysis included Cox-regression and Kaplan-Meier to assess predictors of 5-year mortality.

Main Results:

Overall 5-year mortality was 43.8%.
High Hip-MFS (HR 1.513) and postoperative complications (HR 1.470) independently predicted increased 5-year mortality.
Frailty status had a more pronounced effect on 5-year survival than postoperative complications.

Conclusions:

Both high Hip-MFS and postoperative complications significantly increase 5-year mortality risk after hip fracture surgery.
Frailty, as measured by Hip-MFS, is a critical determinant of long-term outcomes, exceeding the impact of complications.
These findings highlight the importance of frailty assessment in managing hip fracture patients.