Studies of Operations and Complications in Elderly Patients.

概要

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As the numbers of orthopaedic surgeries for elderly patients has increased, the management of preoperative and postoperative conditions for such patients has come to play an important role in surgeries being successful at Yokosuka-Hokubu-Kyohsai Hospital. In 241 (83.1%) females and 49 (16.9%) males, whose ages ranged from 75 to 96 years (mean: 82.2), 277 cases were with trauma, and of these 266 (96%) were fractures. The most common site was the femoral neck (211 cases; 79.3%) . The most prevalent preoperative complication was hypertension, followed by dementia, and cardiovascular disease. Postoperatively, these were dementia decubitus, and digestive organ disease in that order. The fact that aggravation of dementia status after surgery had the most effect on results suggests that pre-and post operative management for this condition is indispensable for obtaining satisfactory results.
日本関節病学会の論文