Postoperative Results of Femoral Neck Fracture in Aged Patients Over 90 Years

From April 1992 to December 1998, osteosynthesis and prosthetic procedures were performed on 352 cases of femoral neck fractures and clinical examinations were performed on 30 cases (8.5%) over 90 years old. The 30 cases (2 males and 28 females) whose age ranged from 90 to 99 years (mean, 92.1 years) were followed up 2 weeks to 6.5 years (mean, 2.25 years) after surgery. One patient died 2 weeks after surgery, but 22 patients (84.6%) lived over 1 year after surgery and 17 patients (56.7%) were alive at the latest follow-up. Twenty one patients (70%) regained the ability to walk by the time of their discharge. In spite of early post-operative rehabilitation, the activities of daily living (ADL) at discharge were lower than that before injury due to senile dementia, celebral infarction, hemiplegia, or a major complication. In our cases osteosynthesis procedures for intracapsular femoral neck fractures produced a good prognosis and may better than prosthetic procedures in some cases.