A prospective study of the patients, commonly elderly people of complex proximal femur fractures, in North India tertiary teaching hospital

Background: The incidence of this type of fracture with age, due mainly to the increase in the number of falls associated to a larger osteoporosis prevalence. It is more commonly related with senior females, resident in the urban areas and institutionalized. Femur fractures are devastating injuries that most commonly affect the elders and young population also. In young and healthy individuals, the injury results from high energy trauma, whereas in the elder age group, most of the fractures are osteoporotic, resulting from a trivial fall. Aim: To study of the patients, commonly elderly people of complex proximal femur fractures.Material and Methods: In our study, we have studied 20 cases of adult patients with complex proximal femur fractures with communition and osteoporosis. Clinical and demographic characteristic were studied such as mode of injury, side affected and associated injuries too.Results: In our result section majority of the patients were in the age group of 41-60 years and 61-80 years i.e., 8 patients each (40% each). Most of the patients were male i.e., 12 (60%) and 8 (40%) were female. The most common mode of injury was road traffic accidents in 10 patients (50%) followed by fall from height in 7 (35%) patients. Both right and left side were equally affected. Conclusion: Here we can conclude that as per recent studies so as in our study too complex proximal femur fractures were more common in old age and in females which could be attributed by underlying osteoporosis prevalent more in females. The intra-hospital mortality, until the end of one month, three months, six months, one year and two years. Other decisive factors in the mortality, such as walking ability capacity previous to the fracture, ASA index, anemia, hypalbuminemia, lymphopenia and the existence of CVA were found in some isolated studies.