LONG-TERM OUTCOME AFTER REPAIR OF FRACTURED NECK OF FEMUR

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Abstract
Patients (148) undergoing pin-and-plate repair of fractured neck of femur received either subarachnoid blockade or general anesthesia. The patients were followed up for 1 yr after surgery. At the end of the year, 34% had died and 50% had returned home; 12% were either in hospital or in institutional care; 4% were lost to follow up. The mean duration of acute plus convalescent hospital bed occupancy was 84.4 days. There was a significantly lower mortality in the subarachnoid anesthetic group by 14 days after surgery. The majority of the deaths in the general anesthetic group were clustered between 6 and 16 days. However, at the end of 2 mo. the mortality rates were similar in both groups. It is conceivable that the difference in the distribution of deaths between the groups was a result of thrombo-embolism.