Podium (General) 20

Comparing the Outcomes of Internal Fixation and Hip Arthroplasty in Fragility Hip Fracture Patients During the COVID-19 Pandemic in a Multidisciplinary Orthogeriatric Service in The Medical City from June 1, 2020 to February 28, 2021

Joey Kueisheng Lin, MD
The Medical City

Fragility fractures   are injuries sustained from low energy trauma, usually not expected to result   in a fracture in a healthy individual, and may indicate underlying   osteoporosis. In addition, fragility hip fractures are particularly   debilitating and most often require hospitalization and possible prompt   surgical intervention. During the COVID-19 pandemic, health care services   have encountered roadblocks due to attempts at ensuring safety of patients   and medical practitioners, sometimes delaying definitive management of   patients.

This study utilized   a retrospective approach to observe the outcome of 22 patients who sustained   fragility hip fractures and was admitted to the Medical City from June 1,   2020 to February 28, 2021. The population consisted of 21 females (95.45%)   and 1 male (4.55%), and all patients underwent surgery for fragility hip   fractures. Of these, 59.09% of the patients underwent hip arthroplasty while   40.91% underwent internal fixation. The average length of hospital stay was   8.18 days, and there was no significant difference between internal fixation   (ave. 7.4 days) and arthroplasty (ave. 8.69 days, p value 0.41).

No complications   were noted on the 14-day and 30-day for either group. All patients from both   groups were reported to be able to mobilize outdoors with at most two okan

aids or frame at the   14-day follow-up. All patients were started on calcium and vitamin D   supplementation prior to discharge from the hospital, and 68.18% of the   patients were started on additional anti-osteoporotic medications, such as   denosumab, teriparatide, alendronate and ibandronate, at the 30-days   follow-up. In conclusion, short term outcome for treatment of fragility   fractures in The Medical City with surgical intervention during the COVID-19   Pandemic provided excellent results despite impediments to health care   services without an increased risk of morbidity or mortality.