University of Lynchburg DMSc Doctoral Project Assignment Repository
Specialty
Trauma Orthopedics
Abstract
The purpose of this literature review is to concisely assess the external elements that increase and decrease the risk of mortality after a femoral fracture in the geriatric population. The mortality rate in elderly patients with a femoral neck fracture has been reported as high as 9.6% in the first thirty days. Orthopedic surgical intervention includes Open Reduction Internal Fixation (ORIF), Hemiarthroplasty (HA), and Total Hip Arthroplasty (THA); of which is dependent on the patient’s level of activity and fracture type. Method: PubMed and OneSearch were used as literature search engines to obtain data. Key words included: femur/hip fracture, skilled nursing rehabilitation, mortality, pre-surgical laboratories, medical clearance surgery, open reduction internal fixation, post-operative complications, and physical therapy. Conclusion: Pre-surgical management of abnormal laboratory studies can reduce the risk of mortality post-operatively. Ensuring that protocols are in place to minimize delay in proceeding with surgical intervention as well as a protocol for a physical therapy program improves the risks of complications associated with surgical intervention.
Recommended Citation
Wilson T. Femoral Neck Fractures: Factors Influencing Mortality. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2022; 4(3).
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