Abstract
Introduction
The patients with hip fracture have a general complication including heart disease. The heart echo is useful for the preoperative evaluation of cardiac function.
Objectives
The purpose of this study was to assess the relationship between echocardiographic findings and postoperative walking ability of patients with hip fracture.
Patients and methods
Among the patients with hip fracture who admitted to our hospital during a period from January 1, 2011 to December 31, we evaluated the patients who were performed operation and followed up more than one month. We classified the patients into whose postoperative walking ability was equal to before injury and whose postoperative walking ability was lower than before injury.
Results
76 patients were including in this study. We investigated echocardiographic findings of patients with hip fracture and evaluated the relationship between echocardiographic findings and postoperative walking ability of patients with hip fracture. The ratio of having degeneration of arteric valve and intermediate aortic regurgitation was significantly higher in patients with fracture of trochanteric femur than patients with fracture of femoral neck. The number of patients whose ejection fraction was smaller than 60 percent were larger in patients whose postoperative walking ability was equal to before injury than whose postoperative walking ability was lower than before injury.
Conclusion
The heart echo was not only useful for a preoperative evaluation of cardiac function, but also may become the tool which is useful for a prediction of the postoperative walking ability after operation.
