Risk of complications during the treatment of proximal femoral fractures in patients in the age aspect

P.N. Fedulichev

Medical Academy named after S.I. Georgievsky of Vernadsky

I.V. Zadnipryany

Medical Academy named after S.I. Georgievsky of Vernadsky

A.V. Meshcheryakova

Medical Academy named after S.I. Georgievsky of Vernadsky

V.V. Belous

Medical Academy named after S.I. Georgievsky of Vernadsky

E.Ya. Samoilova

Medical Academy named after S.I. Georgievsky of Vernadsky

Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(1): 34–38

Risk of complications during the treatment of proximal femoral fractures in patients in the age aspect

Authors:

P.N. Fedulichev, I.V. Zadnipryany, A.V. Meshcheryakova, V.V. Belous, E.Ya. Samoilova

More about the authors

DOI: 10.17116/operhirurg2022601134

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Open to cite this article

Fedulichev PN, Zadnipryany IV, Meshcheryakova AV, Belous VV, Samoilova EYa. Risk of complications during the treatment of proximal femoral fractures in patients in the age aspect. Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(1):34‑38. (In Russ., In Engl.).
https://doi.org/10.17116/operhirurg2022601134

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OBJECTIVE

To study the relationship between cognitive deficit in patients with fractures of the proximal femur and the risk of complications in the age aspect.

MATERIAL AND METHODS

The data of 86 patients treated for a fracture of the proximal femur in the period March—May 2020 (44% of women and 42% of men), with an average age of 65.2±6.3 years were analyzed. Upon admission, all patients underwent an assessment of cognitive functions using the Montreal Cognitive Assessment — MOKA-test (2004), based on the results of which 2 groups were formed: 1st — 40 patients (46.5%) with cognitive impairment, group 2 — 46 patients (53.5%) without cognitive impairment.

RESULTS

The analysis revealed a significantly (p<0.05) higher incidence of complications in patients with cognitive impairments (15 cases — 37.5%) in comparison with the group of patients with intact cognitive function (5 cases — 10.9%). Also, when analyzing the incidence of individual complications in the study groups, statistically significant differences were revealed in the incidence of infectious-purulent complications, migration of metal structures and delayed consolidation, the development of contractures: these types of complications occurred more often in the 1st group of patients. This is probably due to the behavioral features of the studied group of patients, identified in the analysis of cognitive impairments in patients with fractures of the proximal femur.

CONCLUSION

Patients with fractures of the proximal femur, suffering from senile cognitive dysfunctions, are more prone to complications than patients with preserved cognitive function (37.5% versus 10.9%, respectively), which significantly complicates the course of the underlying disease and worsens the prognosis in elderly and old people.

Keywords:

fracture of the proximal femur

cognitive impairment

polymorbidity

elderly and senile age

Authors:

P.N. Fedulichev

Medical Academy named after S.I. Georgievsky of Vernadsky

I.V. Zadnipryany

Medical Academy named after S.I. Georgievsky of Vernadsky

A.V. Meshcheryakova

Medical Academy named after S.I. Georgievsky of Vernadsky

V.V. Belous

Medical Academy named after S.I. Georgievsky of Vernadsky

E.Ya. Samoilova

Medical Academy named after S.I. Georgievsky of Vernadsky

Received:

22.11.2021

Accepted:

17.12.2021

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