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.