Uticaj vremena preduzimanja operativnog lečenja preloma kuka na ishod i komplikacije
Author
Radoičić, Dragan K.Mentor
Mitković, MiloradCommittee members
Ristić, BrankoMilenković, Saša
Metadata
Show full item recordAbstract
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 dela...yed 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.