IS FUNCTIONAL OUTCOME BETTER AFTER ARTHROPLASTY? PROSPECTIVE EVALUATION OF DIFFERENT SURGERIES FOR HIP FRACTURES IN ELDERLY

Objectives: We aimed to evaluate functional recovery and mortality after hip fracture surgery with regard to treatment technique through one year follow up. Method: 80 consecutive patients with trochanteric hip fractures were divided into two groups regarding treatment technique (osteosynthesis and arthroplasty). Patient data as; age, sex, time to surgery, total hospital stay, transfusion and functional status as; FIM (Functional Independence Measurement) were evaluated. FIM was assessed for three times; before fracture, six months and one-year after surgery. Results: Osteosynthesis group had shorter hospital stay than arthroplasty. Arthroplasty group had significantly higher functional independency in six months while no difference was detected one year after surgery. Patient age, transfusion and FIM were detected as significant predictive of mortality. Conclusion: Trochanteric hip fractures lead unavoidable functional loss while it is reducible with arthroplasty instead of osteosynthesis for early time. Age, transfusion and functional situation predicts one year mortality for patients with trochanteric hip fractures. Patients’ functional situation must be considered when deciding the treatment choice of trochanteric hip fractures to reduce patient morbidity.