OBJECTIVES: To assess the functional capacity evolution and the physiologic score in patients with proximal femoral end fractures, as well as to compare the final results of the treatment provided to the several pre-fracture variables. MATERIALS AND METHODS: A prospective study with patients over 40 years old diagnosed with proximal femoral fracture. The patients were submitted to a pre-established protocol and followed up on an outpatient basis for a period of one year. RESULTS: 68 patients were assessed (27 men and 41 women), with a mean age of 75,84 years. 83,82% were submitted to surgical treatment. The early mean physiologic score was 17,16 points (17,58 points for patients submitted to surgical treatment and 9,27 points for those not submitted to surgical treatment). The mortality rate found after one year of fracture was 36,76%. The free ambulation ability was achieved by 32,56%. 25,58% of the cases whose mean early physiologic score was lower compared to the overall mean score couldn't ambulate after one year of follow up. 27,90% of the patients who were previously independent, required family care and/or social service. CONCLUSION: the initial physiologic score was the most important influencing factor in the final result.
Femur; Femoral fractures; Aged
