Pub Date : 2023-04-29DOI: 10.18502/jost.v9i1.12567
Seyyed Saeed Khabiri, F. Biglari, Meisam Jafari Kafi Aabadi, M. Sadighi, A. Ebrahimpour, A. Sabaghzadeh
Background: This study aimed to assess and follow up on patients who had peritrochantric hip fractures during the first wave of the coronavirus disease-2019 (COVID-19) outbreak in Iran. These patients were compared to patients from the previous year during the same period. Their prognosis and one-year mortality rates were also compared. Methods: In this two-center, retrospective cohort study, patients aged over 60 years with a proximal femoral fracture admitted to the hospital between March 2019 and April 2020 were included. The primary outcome was one-year mortality. Results: The patients counted 146, and we had access to all of them. Seventy-four were from the year 2019, and 72 were from the year 2020. There was no significant difference between the two groups regarding age, sex, type of fracture, or the American Society of Anesthesiology (ASA) score in the analytical investigation. Regarding patient mortality at this time, our one-year mortality rate in patients hospitalized before the COVID-19 era was 29.7%, compared to 51.5% in the COVID-19 period. Conclusion: The one-year mortality rate for patients with hip fracture increased considerably during the COVID-19 pandemic. Comorbidity and ASA score were related to mortality in this patient population. This increase in mortality may be attributable to postoperative complications, including coagulopathy and proper health care limitation.
{"title":"Comparison of One-Year Mortality Rates in Patients with Peritrochantric Hip Fractures during and Prior to the COVID-19 Pandemic","authors":"Seyyed Saeed Khabiri, F. Biglari, Meisam Jafari Kafi Aabadi, M. Sadighi, A. Ebrahimpour, A. Sabaghzadeh","doi":"10.18502/jost.v9i1.12567","DOIUrl":"https://doi.org/10.18502/jost.v9i1.12567","url":null,"abstract":"Background: This study aimed to assess and follow up on patients who had peritrochantric hip fractures during the first wave of the coronavirus disease-2019 (COVID-19) outbreak in Iran. These patients were compared to patients from the previous year during the same period. Their prognosis and one-year mortality rates were also compared. \u0000Methods: In this two-center, retrospective cohort study, patients aged over 60 years with a proximal femoral fracture admitted to the hospital between March 2019 and April 2020 were included. The primary outcome was one-year mortality. \u0000Results: The patients counted 146, and we had access to all of them. Seventy-four were from the year 2019, and 72 were from the year 2020. There was no significant difference between the two groups regarding age, sex, type of fracture, or the American Society of Anesthesiology (ASA) score in the analytical investigation. Regarding patient mortality at this time, our one-year mortality rate in patients hospitalized before the COVID-19 era was 29.7%, compared to 51.5% in the COVID-19 period. \u0000Conclusion: The one-year mortality rate for patients with hip fracture increased considerably during the COVID-19 pandemic. Comorbidity and ASA score were related to mortality in this patient population. This increase in mortality may be attributable to postoperative complications, including coagulopathy and proper health care limitation.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42214166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-29DOI: 10.18502/jost.v9i1.12562
Midhat Patel, M. McKee
Dislocations around the elbow joint can be isolated (termed a simple elbow dislocation), or occur with concurrent ligamentous and/or bony injuries. In cases of a simple elbow dislocation, surgery is rarely required. Patients should be evaluated radiographically for a concentric reduction, immobilized for 7-10 days, and begin early range of motion activities. In patients who return for follow-up with no bony injuries but a loss of concentric reduction, surgical treatment is recommended. This may consist of static or dynamic external/internal fixation or direct repair of the damaged ligamentous structures. Fractures associated with elbow dislocations may be difficult to identify and require computed tomography (CT) scans to characterize. A terrible triad injury consists of a radial head fracture, coronoid fracture, and ulnohumeral dislocation. This may be associated with lateral collateral ligament (LCL) and/or medial collateral ligament (MCL) injuries. These injuries require operative treatment with open reduction and internal fixation of the coronoid, fixation or replacement of the radial head, and repair of damaged ligamentous structures, depending on the specific injuries.
{"title":"The Management of Elbow Dislocations and Associated Lesions: A Review Article","authors":"Midhat Patel, M. McKee","doi":"10.18502/jost.v9i1.12562","DOIUrl":"https://doi.org/10.18502/jost.v9i1.12562","url":null,"abstract":"Dislocations around the elbow joint can be isolated (termed a simple elbow dislocation), or occur with concurrent ligamentous and/or bony injuries. In cases of a simple elbow dislocation, surgery is rarely required. Patients should be evaluated radiographically for a concentric reduction, immobilized for 7-10 days, and begin early range of motion activities. In patients who return for follow-up with no bony injuries but a loss of concentric reduction, surgical treatment is recommended. This may consist of static or dynamic external/internal fixation or direct repair of the damaged ligamentous structures. Fractures associated with elbow dislocations may be difficult to identify and require computed tomography (CT) scans to characterize. A terrible triad injury consists of a radial head fracture, coronoid fracture, and ulnohumeral dislocation. This may be associated with lateral collateral ligament (LCL) and/or medial collateral ligament (MCL) injuries. These injuries require operative treatment with open reduction and internal fixation of the coronoid, fixation or replacement of the radial head, and repair of damaged ligamentous structures, depending on the specific injuries.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44777373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.18502/jost.v8i4.10459
Keivan Rahbari, Kian Zohrabi, R. Kamrani
Background: Gorham's disease (GD) is one of the scarce and idiopathic skeletal diseases which causes osteolysis following the proliferation of blood vessels. Progressive osteolysis GD of distal humerus with articular involvement and pathologic fracture has not been reported and our case is the first report of this disease involving distal humerus and its joints’ surfaces. Case Report: A 9-year-old boy, case of nonunion of medial condyle of humerus and pathologic fracture of distal humerus after minor trauma, was referred to our clinic and treatment started by casting but due to displacement and nonunion, we decide to operate him. Intraoperative finding was in favour of aneurysmal bone cyst (ABC) near fracture site; therefore, wide resection and fixation by medial tension band wiring (TBW), lateral plating, and fibular allograft application was done (post-operation pathologic result did not show microscopical features of this tumor) and 6 weeks later, he developed stress riser fracture above lateral plate; thus, plate removal was done and severe bone resorption was revealed. Therefore, another specimen was sent for pathology that showed hamartomatous and hemangiomatous lesion of bone. All findings were in favour of GD. He was operated another time and fixed by Persian fixation with small pins and plate, and early plate removal was done for prevention of stress riser fracture. Conclusion: In cases of GD of distal humerus and pathologic fracture, Persian fixation is a good option for fixation and we suggest early device removal for prevention of stress riser fracture.
{"title":"Gorham Disease of Distal Humerus Successfully Treated by Slight Shortening and Pin and Plate Fixation","authors":"Keivan Rahbari, Kian Zohrabi, R. Kamrani","doi":"10.18502/jost.v8i4.10459","DOIUrl":"https://doi.org/10.18502/jost.v8i4.10459","url":null,"abstract":"Background: Gorham's disease (GD) is one of the scarce and idiopathic skeletal diseases which causes osteolysis following the proliferation of blood vessels. Progressive osteolysis GD of distal humerus with articular involvement and pathologic fracture has not been reported and our case is the first report of this disease involving distal humerus and its joints’ surfaces. \u0000Case Report: A 9-year-old boy, case of nonunion of medial condyle of humerus and pathologic fracture of distal humerus after minor trauma, was referred to our clinic and treatment started by casting but due to displacement and nonunion, we decide to operate him. Intraoperative finding was in favour of aneurysmal bone cyst (ABC) near fracture site; therefore, wide resection and fixation by medial tension band wiring (TBW), lateral plating, and fibular allograft application was done (post-operation pathologic result did not show microscopical features of this tumor) and 6 weeks later, he developed stress riser fracture above lateral plate; thus, plate removal was done and severe bone resorption was revealed. Therefore, another specimen was sent for pathology that showed hamartomatous and hemangiomatous lesion of bone. All findings were in favour of GD. He was operated another time and fixed by Persian fixation with small pins and plate, and early plate removal was done for prevention of stress riser fracture. \u0000Conclusion: In cases of GD of distal humerus and pathologic fracture, Persian fixation is a good option for fixation and we suggest early device removal for prevention of stress riser fracture.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46198352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.18502/jost.v8i4.10455
Sadula Sharif pour, S. P. Mirghaderi, A. Dehghani, Nima Bagheri, M. Zarei, Seyed Hadi Kalantar
The Article Abstract is not available.
文章摘要不可用。
{"title":"Closed Femoral Nailing of Acute Femoral Shaft Fractures with the AO-Femoral Distractor: An Educational Corner","authors":"Sadula Sharif pour, S. P. Mirghaderi, A. Dehghani, Nima Bagheri, M. Zarei, Seyed Hadi Kalantar","doi":"10.18502/jost.v8i4.10455","DOIUrl":"https://doi.org/10.18502/jost.v8i4.10455","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47363792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.18502/jost.v8i4.10458
M. Farzan, Abbas Abdoli, M. Sadeghian, M. Ashrafi, Mahsa Akhtarzadeh, S. Akrami, A. Farhoud
Background: Entrapment of the ulnar nerve in the cubital tunnel occurs as the second most common compression neuropathy of the upper limb. Although the usual etiology is idiopathic or following cubitus valgus, a compressing mass can be a rare cause and should be considered in atypical presentation. Case Report: A 45-year-old male patient presented with subacute onset of cubital tunnel syndrome that progressed rapidly and was associated with significant pain. An intra-canal ganglion cyst was found during surgical decompression of the ulnar nerve. Conclusion: Diagnosis of intra-cubital canal mass should be considered when sudden onset and rapid progression of the cubital tunnel syndrome and dramatic pain coincide. Imaging modalities like ultrasound or magnetic resonance imaging (MRI) may be helpful to reach the correct diagnosis before the surgery.
{"title":"Painful Subacute Cubital Tunnel Syndrome Because of an Intra-Cubital Tunnel Ganglion Cyst: A Case Report","authors":"M. Farzan, Abbas Abdoli, M. Sadeghian, M. Ashrafi, Mahsa Akhtarzadeh, S. Akrami, A. Farhoud","doi":"10.18502/jost.v8i4.10458","DOIUrl":"https://doi.org/10.18502/jost.v8i4.10458","url":null,"abstract":"Background: Entrapment of the ulnar nerve in the cubital tunnel occurs as the second most common compression neuropathy of the upper limb. Although the usual etiology is idiopathic or following cubitus valgus, a compressing mass can be a rare cause and should be considered in atypical presentation. \u0000Case Report: A 45-year-old male patient presented with subacute onset of cubital tunnel syndrome that progressed rapidly and was associated with significant pain. An intra-canal ganglion cyst was found during surgical decompression of the ulnar nerve. \u0000Conclusion: Diagnosis of intra-cubital canal mass should be considered when sudden onset and rapid progression of the cubital tunnel syndrome and dramatic pain coincide. Imaging modalities like ultrasound or magnetic resonance imaging (MRI) may be helpful to reach the correct diagnosis before the surgery.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42445259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.18502/jost.v8i4.10454
M. Golbakhsh, Mohammad Jamshidof, A. Heydari, Parham Talebiyan, Salar Baghbani, Mazaher Ebrahimian, Mohammad Rastegar
Background: Wound complications are major morbidities after orthopedic surgery, and thrombo-prophylactic drugs may increase the likelihood of such complications. In this regard, our study has evaluated the possible effects of rivaroxaban on wound complication issues following spinal canal stenosis surgery. Methods: This prospective cohort study was conducted on 40 patients suffering from spinal canal stenosis secondary to degenerative lumbar spine changes. The eligible patients included those patients receiving rivaroxaban to prevent thrombo-emboli post-operatively. The patients were followed up for three months and assessed for postoperative wound-related complications. Results: None of the patients suffered vascular and thromboembolic complications. Regarding wound complications, these events are mostly limited to the first week post-operatively, including wound dehiscence in 5.0%, serosanguineous discharge in 25.0%, erythema in 35.0%, superficial infection in 10.0%, requiring surgical debridement in 5.0%, cellulitis in 10.0%, and wound induration in 30.0%. Deep infection or hematoma was not reported in our patients. Erythema and wound induration remained 10.0% and 15.0% within the second week, respectively. The hypertrophic scar was a delayed complication that appeared in 15.0% of patients within 1 to 3 months post-operatively. Conclusion: The main risk profiles related to wound complications, especially infections, were a history of hypertension (HTN), uncontrolled diabetes mellitus (DM), and renal insufficiency. The use of rivaroxaban may be accompanied by temporary and minor wound complications and not with potentially debilitating morbidity in patients undergoing spinal canal stenosis surgery. Therefore, its prescription as a safe thrombo-prophylactic drug in patients undergoing spinal canal stenosis surgery is confidently recommended.
{"title":"The Likelihood of Wound Complications Following the Use of Rivaroxaban as a Thrombo-Prophylactic Agent in Patients Undergoing Spinal Canal Stenosis Surgery: A Case Series","authors":"M. Golbakhsh, Mohammad Jamshidof, A. Heydari, Parham Talebiyan, Salar Baghbani, Mazaher Ebrahimian, Mohammad Rastegar","doi":"10.18502/jost.v8i4.10454","DOIUrl":"https://doi.org/10.18502/jost.v8i4.10454","url":null,"abstract":"Background: Wound complications are major morbidities after orthopedic surgery, and thrombo-prophylactic drugs may increase the likelihood of such complications. In this regard, our study has evaluated the possible effects of rivaroxaban on wound complication issues following spinal canal stenosis surgery. \u0000Methods: This prospective cohort study was conducted on 40 patients suffering from spinal canal stenosis secondary to degenerative lumbar spine changes. The eligible patients included those patients receiving rivaroxaban to prevent thrombo-emboli post-operatively. The patients were followed up for three months and assessed for postoperative wound-related complications. \u0000Results: None of the patients suffered vascular and thromboembolic complications. Regarding wound complications, these events are mostly limited to the first week post-operatively, including wound dehiscence in 5.0%, serosanguineous discharge in 25.0%, erythema in 35.0%, superficial infection in 10.0%, requiring surgical debridement in 5.0%, cellulitis in 10.0%, and wound induration in 30.0%. Deep infection or hematoma was not reported in our patients. Erythema and wound induration remained 10.0% and 15.0% within the second week, respectively. The hypertrophic scar was a delayed complication that appeared in 15.0% of patients within 1 to 3 months post-operatively. \u0000Conclusion: The main risk profiles related to wound complications, especially infections, were a history of hypertension (HTN), uncontrolled diabetes mellitus (DM), and renal insufficiency. The use of rivaroxaban may be accompanied by temporary and minor wound complications and not with potentially debilitating morbidity in patients undergoing spinal canal stenosis surgery. Therefore, its prescription as a safe thrombo-prophylactic drug in patients undergoing spinal canal stenosis surgery is confidently recommended.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46314101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.18502/jost.v8i4.10448
R. S. Kamrani, M. Farzan, M. Sadeghian, Arash Farhoud, Mahsa Akhtarzadeh, M. Ashrafi, A. Farhoud
Forearm nonunion is rare but a possible complication after standard treatment of the fracture of radius and ulna. The importance of precise restoration of length and anatomical relationship of both bones are among usual concerns. The situation is more complex when the infection is present in the union site. The several techniques have been applied to manage forearm nonunion consisting of osteosynthesis and using cancellous autograft, allograft, nonvascularized fibular graft, fibular flap, bone transport, induced membrane (Masquelet technique), and pedicled flap such as posterior interosseous and radial forearm bone flap (RFBF). Reviewing the recent studies focusing on treating forearm nonunion is the purpose of this review.
{"title":"Management of Forearm Nonunion","authors":"R. S. Kamrani, M. Farzan, M. Sadeghian, Arash Farhoud, Mahsa Akhtarzadeh, M. Ashrafi, A. Farhoud","doi":"10.18502/jost.v8i4.10448","DOIUrl":"https://doi.org/10.18502/jost.v8i4.10448","url":null,"abstract":"Forearm nonunion is rare but a possible complication after standard treatment of the fracture of radius and ulna. The importance of precise restoration of length and anatomical relationship of both bones are among usual concerns. The situation is more complex when the infection is present in the union site. The several techniques have been applied to manage forearm nonunion consisting of osteosynthesis and using cancellous autograft, allograft, nonvascularized fibular graft, fibular flap, bone transport, induced membrane (Masquelet technique), and pedicled flap such as posterior interosseous and radial forearm bone flap (RFBF). Reviewing the recent studies focusing on treating forearm nonunion is the purpose of this review.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43135659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.18502/jost.v8i4.10452
K. S. A. Hussain, Aluka Sundeep Kund Reddy, Mayani Raju, Chandrashekhar Patnala
Background: Older adults who sustain hip fractures usually have multiple comorbidities that may impact their treatment and outcome. This study was conducted with the aim to analyze the risk factors that contribute to falls in elderly individuals and analyze the effect of comorbidities on the outcome and the treatment in elderly patients with hip fractures. Methods: This cohort study was conducted on patients with hip fractures. We prospectively analyzed 140 individuals with geriatric hip fractures who had undergone surgery. The Charlson Comorbidity Index (CCI) and American Society of Anesthesiology (ASA) score of each geriatric hip fracture patient were calculated based on data obtained from medical records. Clinical assessment was assessed using a modified Harris Hip Score (HHS) during each visit. Results: The mean age of patients was 72.21 ± 12.2 years. Their mean CCI and ASA was 1.02 ± 0.3 and 2.0 ± 0.53, respectively, and both were significantly associated with time-to-surgery (P < 0.001) and surgical treatment (P < 0.001). The length of hospital stay, duration of postoperative intensive care, and hospital expenses were associated with both CCI (P = 0.037) and ASA (P = 0.002). The greater the CCI and ASA scores were, the higher the chances of developing postoperative complications were (X2 = 15.724; P = 0.001). Delirium was the most common postoperative complication (15.7%), and pulmonary infection (11.4%) was the most fatal complication. Conclusion: Patients with high CCI and ASA grading, and revision surgery were at high risk of postoperative complications, morbidity, and mortality. Orthogeriatric care offers the best chance for a successful outcome through efficient medical comanagement of these patients.
{"title":"Influence of Risk Factors and Comorbidities on Postoperative Complications and Outcomes after Hip Fracture Surgery in the Elderly","authors":"K. S. A. Hussain, Aluka Sundeep Kund Reddy, Mayani Raju, Chandrashekhar Patnala","doi":"10.18502/jost.v8i4.10452","DOIUrl":"https://doi.org/10.18502/jost.v8i4.10452","url":null,"abstract":"Background: Older adults who sustain hip fractures usually have multiple comorbidities that may impact their treatment and outcome. This study was conducted with the aim to analyze the risk factors that contribute to falls in elderly individuals and analyze the effect of comorbidities on the outcome and the treatment in elderly patients with hip fractures. \u0000Methods: This cohort study was conducted on patients with hip fractures. We prospectively analyzed 140 individuals with geriatric hip fractures who had undergone surgery. The Charlson Comorbidity Index (CCI) and American Society of Anesthesiology (ASA) score of each geriatric hip fracture patient were calculated based on data obtained from medical records. Clinical assessment was assessed using a modified Harris Hip Score (HHS) during each visit. \u0000Results: The mean age of patients was 72.21 ± 12.2 years. Their mean CCI and ASA was 1.02 ± 0.3 and 2.0 ± 0.53, respectively, and both were significantly associated with time-to-surgery (P < 0.001) and surgical treatment (P < 0.001). The length of hospital stay, duration of postoperative intensive care, and hospital expenses were associated with both CCI (P = 0.037) and ASA (P = 0.002). The greater the CCI and ASA scores were, the higher the chances of developing postoperative complications were (X2 = 15.724; P = 0.001). Delirium was the most common postoperative complication (15.7%), and pulmonary infection (11.4%) was the most fatal complication. \u0000Conclusion: Patients with high CCI and ASA grading, and revision surgery were at high risk of postoperative complications, morbidity, and mortality. Orthogeriatric care offers the best chance for a successful outcome through efficient medical comanagement of these patients.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47392087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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