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Should femoral shaft fractures in patients age over 60 years be managed using a hip fracture pathway

Injury Oct 02, 2020

Bommireddy L, Leow T, Gogna R, et al. - This study was intended to examine outcomes of femoral shaft fractures in patients age 60 years and over at our institution and compare them to that of the hip fracture population. Clinical records of a consecutive cohort of patients aged 60 years and over, who sustained a femoral shaft fracture, over a five-year period at our institution were retrospectively examined. Researchers distinguished 53 individuals with a mean age of 78.7 years. The data revealed that individuals age 60 years and over with femoral shaft fractures have poor medical outcomes and prolonged length of admission. The evidence suggested that medical complication rates are at least twice the 13-20% reported for hip fractures in comparison with patients with hip fractures,. In 2018, the 30-day mortality rate in patients with femoral shaft fractures was also more than double the 6.1% reported for hip fracture patients by The National Hip Fracture Database. Association was found between femoral shaft fractures and high medical morbidity, and mortality. The data demonstrate that hip fracture pathway is encompassed in the British Orthopaedic Association guidelines and emphasizes early medical input and a multidisciplinary approach to patient management. 

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