Abstract

I read with interest the article Orthopaedic surgery in the elderly by Drs Tremel and Kroker (Vol 61(6), 2000, p. 417). Surgical morbidity and anaesthetic risk correlates well with concomitant medical illness(es). We did an audit on outcome of patients with good indicators (Abbreviated Mental test Score ≥7, Class 1&2 on American society of Anaesthesiologist rating and total independent in Barthel ADL Functional Assessment Scale) of recovery from fracture of proximal femur (Kausar et al, 1999). This subgroup constituted 33% of the total number of patients admitted with fractured neck of femur over 4 months. 8% had no co-morbidity, others had 1–2 co-existing illness(es). In 3 patients (12%) surgery had to delayed as a result of a medical problem. Postoperative complications occurred in 15 patients 60%). The postoperative medical complications were urinary tract infection, acute confusional episode, electrolyte imbalances, fall, heart failure, bronchopneumonia and urinary retention. The postoperative surgical complications were wound infection and wound haematoma.

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