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Lookup NU author(s): Chryssa Neo
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2024 The Authors. Objectives: The management of valgus-impacted neck of femur fracture is controversial between operative and conservative treatments. This study aimed to investigate the usefulness of the Clinical frailty Score for predicting the prognosis of patients who underwent non-operative treatment for the valgus-impacted neck of femur fracture (NOF). Methods: A single-centred retrospective review of patients admitted with valgus impacted NOF. Data were collected from patients’ records, including demographics, Clinical Frailty Score (CFS), Nottingham Hip Fracture Score (NHFS) and Abbreviated Mental Test Score (AMTS). Patients were followed up to 24 months postoperatively. Results: Fifty-eight patients who were treated non-operatively with a mean follow-up of 2.6 years met our inclusion criteria. Twenty-nine patients failed the non-operative treatment and required replacement surgeries, while 29 had successful outcomes (50%). There were no differences between the two groups’ mean age and gender distributions (P 0.527 and 0.139, respectively). The successful group had significantly higher CFS (P 0.013), worse AMTS and higher mortality risk based on the NHFS (P 0.006 and P < 0.001, respectively). Conclusion: This study demonstrates that CFS, AMTS and NHFS can be used as predictors when considering non-operative treatment for the valgus-impacted neck of femur fracture. Patients who are frail, demented and high risk based on the NHFS have higher success rates with non-operative treatment.
Author(s): Ali M, Neo C, Rajeev A, Bhatnagar S
Publication type: Article
Publication status: Published
Journal: Acta Medica
Year: 2023
Volume: 66
Issue: 3
Pages: 112-116
Online publication date: 21/03/2024
Acceptance date: 29/12/2023
Date deposited: 03/04/2024
ISSN (print): 1211-4286
ISSN (electronic): 1805-9694
Publisher: Charles University Faculty of Medicine in Hradec Kralove
URL: https://doi.org/10.14712/18059694.2024.3
DOI: 10.14712/18059694.2024.3
PubMed id: 38511421
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