One in three adults aged 50 and over dies within 12 months of suffering a hip fracture. Older adults have a five-to-eight times higher risk of dying within the first three months of a hip fracture compared to those without a hip fracture. This increased risk of death remains for almost ten years.
The risk of hip fracture rises with age. Risk increases because bones tend to weaken with age (osteoporosis). Multiple medications, poor vision and balance problems also make older people more likely to fall — one of the most common causes of hip fracture .
In usual care, the reported 1-year mortality after sustaining a hip fracture has been estimated to be 14% to 58% (Table 1). The relative risk of mortality in the elderly patient population increases 4% per year. The first year after a hip fracture appears to be the most critical time.
What are the risks of hip replacement surgery ? Older patients as a group have an increased risk of certain problems right after surgery . These are blood clots, heart attack, confusion, and death. Taking care to manage any medical conditions before surgery reduces these risks .
A growing number of people over 90 years of age will suffer from traumatic events and hip fractures that will need care and rehabilitation treatment, yet this advanced age is associated with increased mortality and poorer functional recovery [ 7–9 ].
Generally speaking, joint replacements are performed on patients between 60 and 80 years of age, and most are women. But those older or younger are not automatically precluded.
Recovery From Geriatric Hip Fracture Surgery Patients are encouraged to put all their weight on the affected leg with the help of physical therapy, assistive devices and their caregivers. During this time, the pain from the fracture and surgery will gradually improve, and mobility should improve as well.
During surgery to fix a fractured hip , your doctor will make one or two cuts (incisions) over the broken bone in your hip . The pieces of bone are moved back into the right position, then held in place using metal pins, screws, nails, rods, or plates.
How long you’ll need to stay in hospital will depend on your condition and mobility. It may be possible to be discharged after around 1 week , but most people need to stay in hospital for around 2 weeks .
Deaths were identified using probabilistic linkage of the research dataset and the local mortality registry. The one – year cumulative mortality was 25.2% in the case of individuals with severe fractures and 4% for those individuals without.
The above discussion has focused on the trajectory from dementia to hip fracture , but there is some evidence that a hip fracture can in turn lead to cognitive decline. In a study by Melton et al, 25 of 26 Alzheimer disease patients with hip fracture had the onset of Alzheimer disease after the hip fracture .
These symptoms are most common after a fall . But if you have very thin bones from osteoporosis or another problem, you could break your hip without falling . In rare cases, people have only thigh or knee pain. They may be able to walk.
In most cases, you will need to use a walker or crutches for two to four weeks after surgery. You may be advised to use a cane after you have stopped using crutches.