Uticaj vremena preduzimanja operativnog lečenja preloma kuka na ishod i komplikacije

Abstract

Hip fractures represent a major challenge for today's healthcare systems, especially in countries with burgeoning elderly population, mostly due to mortality and morbidity, and often lengthy hospitalization followed by a number of complications. Patients after hip fracture have a significantly higher mortality after the fracture than patients of the same age without fractures. Numerous studies have linked an increase in mortality and the incidence of complications with delay of surgical treatment. Operative treatment of hip fractures is the treatment of choice, but there are no clearly defined time frames for undertaking of operative treatment. The aim of the study was to determine the influence of timing of surgery for hip fracture outcomes and complications. Based on the findings of the study, early operative treatment of hip fractures, if adequate preparation and selection of patients is conducted, is a safe and in regard to some clinical parameters superior option, compared to delayed surgical treatment. The findings of this study, although give preference to early surgical treatment, do not simplify the choice between early or delayed operative treatment. The question of whether to operate as soon as medical conditions allow, or to delay in accordance with comorbidities or institutional reasons will persist in everyday orthopaedic work. The choice will, in most cases, continue to be the result of a complex compromise between the patient's health status, institutional conditions and the attitude of the attending orthopedic surgeon.