COMPLICATIONS IN ELDERLY AFTER PROXIMAL FEMORAL FRACTURE: AN INTEGRATING REVIEW

Abstract

Abstract: Proximal femoral fractures in the elderly are mainly caused by low energy trauma, often resulting from a fall. Studies demonstrate the growing concern with the functional independence of the elderly due to the high incidence of proximal femoral fracture and its complications. The aim of this study was to identify the main factors associated with proximal femoral fractures (FFP) in the elderly and their consequences for their functional independence. The present study is defined as an integrative review. The search for scientific articles was carried out in the databases LILACS, Medline, SciElo and PubMed, from 2015 to 2019. Inclusion criteria were articles that were entirely available online and in the Portuguese, English and Spanish languages. And articles that were not available in the whole and before 2015 were excluded. In the results, it was identified that proximal femoral fractures are more frequent in the elderly with greater longevity. It has been observed that the appearance of future consequences in the elderly after FFP is often related to the long bedridden periods of this patient, impairing their functional independence. Elderly patients with FFP present a greater predisposition to reduce muscle strength, thus contributing to the appearance of future complications. These factors contribute to the morbidity and increase of the elderly mortality. FFP represent an important factor to lose functional independence in the elderly. Promote the elimination of future complications and their risk factors with therapeutic planning of individual and collective actions aimed at preventing injuries and their consequences, and thus reducing the mortality of this patient.Keywords: Proximal femoral fracture. Elderly. Consequences. Complications.