• Stephen Thong Soon Tan, Tan Wei Ping Marcus WP Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Josephine Jaipaul, Siew Pang Chan, and Sathappan S Sathappan.
• Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
• Singap Med J. 2017 May 1; 58 (5): 253-257.

IntroductionThe purpose of this study was to compare the clinical outcomes of elderly hip fracture patients who received surgical treatment with those who received non-surgical treatment.MethodsThis retrospective study involved 2,756 elderly patients with hip fractures who were admitted over a six-year period. The patients' biodata, complications, ambulatory status at discharge and length of hospital stay were obtained from the institution's hip fracture registry.ResultsAmong the 2,756 hip fracture patients, 2,029 (73.6%) underwent surgical intervention, while 727 (26.4%) opted for non-surgical intervention. The complication rate among the patients who underwent surgical intervention was 6.6%, while that among the patients who underwent non-surgical intervention was 12.5% (p < 0.01). The mean length of hospital stay for the surgical and non-surgical hip fracture patients was 15.7 days and 22.4 days, respectively (p < 0.01).ConclusionSurgical management of hip fractures among the elderly is associated with a lower complication rate, as well as a reduced length of hospital stay.Copyright: © Singapore Medical Association

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