Mortality, Morbidity, and Treatment-Related Outcomes Following Pathological Hip Fractures: An 8-Year Single-Center Experience.
Year: 2026
Type: article
Abstract: Introduction: This study aimed to evaluate the clinical characteristics, type of treatment, and factors associated with mortality and morbidity, including the length of hospital stay, among patients with pathological hip fractures in a tertiary center in Saudi Arabia. Materials and Methods: A retrospective study was conducted, which included all adult patients diagnosed with pathological hip fractures from 2016 to 2024. Demographics, fracture type, type of treatment, complications, and outcomes data were evaluated. A univariate analysis was performed to identify associations between clinical variables and patient outcomes. Results: A total of 47 patients were included, with a mean age of 60.6 ± 17.12 years. Most patients were female (61.7%) and had femoral neck fractures (63.8%). Surgical treatment was performed in 78.7% of cases. The overall mortality rate was 6.4%, and 17.0% of patients experienced complications, including gait disturbances, bleeding, and deep vein thrombosis. Mortality was significantly associated with conservative treatment (P = 0.007). All deaths occurred in the conservatively treated group. Longer hospital stays were linked to pre-operative anticoagulant use (P = 0.011) and osteoporosis (P = 0.03). Conclusion: Surgical management of pathological hip fractures was associated with improved survival and should be prioritized when clinically feasible. Awareness of pre-operative anticoagulant use and osteoporosis is essential for perioperative planning and may help reduce prolonged hospitalization in this high-risk population.
Source: PubMed
Language: English
Topic: Hip and Femur Fractures
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7225580960
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