Discussion About the Type of Prosthesis Recommended in Patients With Hip Fractures and Dementia

Abstract

Background: Due to the aging process and the associated psychiatric pathology, the decrease in visual acuity, anemia, muscle atrophy and the decrease in bone resistance, the most common mechanism of hip fracture production is represented by falling from the same level. Early diagnosis and treatment of psychiatric diseases can reduce the occurrence of hip fractures through proper care of patients in different centers under the strict supervision of qualified personnel. 
 Objectives: Assessment of pain, measurement of locomotion capacity after surgery, quality of life and life expectancy in patients with dementia and hip fractures surgically or functionally treated. Evaluation of the patient's well-being and prognosis after specific types of osteosynthesis and hip arthroplasty.
 Results: During one year, 520 patients with hip fractures presented themselves at the EU, of which 66 presented both pathologies. The mortality rate seemed to be lower in patients that underwent surgery, compared to those who chose functional treatment. However, treatment decisions require a multidisciplinary team and individualized recommendations for each patient, due to high surgical risk in the elderly.