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    The outcome of patients sustaining a proximal femur fracture who suffer from alcohol dependency.

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    Authors
    Faroug, R
    Amanat, S
    Ockendon, M
    Shah, S V
    Gregory, Jonathan J
    Affiliation
    Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, United Kingdom.
    Issue Date
    2014-03-12
    
    Metadata
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    Abstract
    There are many negative health consequences associated with alcohol dependency. Fractures of the proximal femur carry significant morbidity and mortality. This study examines the outcomes in patients with alcohol dependency, who sustain a fracture of the proximal femur. Twenty-eight consecutive alcohol dependent patients who suffered a fracture of the proximal femur were identified over a three year period. Data were collected on demographics, co-morbidity, surgical factors, mobility and mortality. The median age of patients was 61 years. The median weekly alcohol intake was 158 units. Thirteen patients sustained an extra-capsular fracture and 15 an intra-capsular proximal femoral fracture. Twenty-two fractures were treated with internal fixation and six with arthroplasty. The overall mortality rate was 29% at a median of 15 months post fracture. The failure rate of intra-capsular fractures fixed with cannulated screws was 56% at a median time of 43 days. All patients had a reduction in mobility compared to their pre-operative function. The reduction in mobility was greatest in patients with intra-capsular fractures treated with cannulated screw fixation. Alcohol dependent patients sustaining a fracture of the proximal femur are significantly younger than non-alcohol dependent patients sustaining the same injury. Despite the younger age at presentation the one year mortality rate of this group was high (29%). The high rate of complications with fracture fixation and high one year mortality suggest that hemiarthroplasty may be the best treatment option for intra-capsular fractures in this patient group.
    Citation
    The outcome of patients sustaining a proximal femur fracture who suffer from alcohol dependency. 2014: Injury
    Journal
    Injury
    URI
    http://hdl.handle.net/10541/315920
    DOI
    10.1016/j.injury.2014.02.036
    PubMed ID
    24680468
    Type
    Article
    Language
    en
    ISSN
    1879-0267
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.injury.2014.02.036
    Scopus Count
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