الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Fractures and in particular, hip fractures (HF) are a common and a major public health care problem affecting the geriatric population.
Hip fractures represents a leading cause of morbidity and mortality in older adults.
It is important to remember that falling is not necessarily abnormal part” of getting older. Falling is a symptom and not a diagnosis, and for most older adults, falls are multifactorial in nature.
There are direct positive associations between frailty, age, and the frequency of falls.
Falls are a serious problem among older adults because they are common, disabling, distressing, and sometimes fatal. Risk factors which are associated with falls are both extrinsic and intrinsic. Intrinsic risk factors may include decreased functional capacities as reduced gait velocity or dementia, while extrinsic factors are related to hazardous environments.
The consequences of osteoporotic fracture include diminished quality of life, decreased functional independence, and increased morbidity and mortality. Prevention and treatment of osteoporosis and other medical conditions is very important to decrease the risk of hip fracture in elderly.
In addition, several chronic medical conditions may also exist in a given individual. Medical care of the patient with hip fracture must, therefore, be adapted to the individual patient’s needs. This requirement for a tailored approach to care is both the challenge and the pleasure of geriatric medicine
Our study was conducted on 100 elderly participants with hip fracture.
After 6 months of follow up 18 cases were dropped out and subsequent statistical analysis was done on subsample size of 82 patients (n=82).
All patients were subjected to full history taking.
Comprehensive geriatric assessment (includes Physical examination, neurological examination, Cognitive assessment by Mini mental status examination, Geriatric Depression Scale, and Basic activities of daily living using KATZ score ), and informed consents were obtained.
In our study; by comparing between the pre and post-operative state of the subsample according to KATZ ADL index, the majority of cases (86.6%) were with severe functional impairment in the pre-operative state while 61% of the cases regained full function and 34.1% regained moderate functions in activities of daily living during post-operative follow up.
Our study shows that by comparing between the pre and post-operative state of the subsample according to cognition the majority (64.6%) were with no cognitive impairment pre-operatively while 58.5% remained with normal cognition and 40.2 were with moderate cognitive impairment in the post-operative assessment.
Also our study shows that by comparing between the pre and post-operative state of the subsample according to nutritional state, 40.2% of cases were with normal nutrition state while 42.7% were at risk of malnutrition in the pre-operative status while on the other hand, 35.4% of cases were with normal nutrition status and 48.8% were at risk of malnutrition after 6 mo