WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Mustafa Ammar Dahham, Dr. Mubder A. Mohammed Saeed, Dr. Falih Waheed Hashim

ABSTRACT

Background: Proximal femur fractures are a major cause of hospital admissions, especially in the elderly after low-energy trauma. They carry high morbidity, mortality, and socioeconomic burden, with outcomes influenced by fracture type, patient factors, and treatment availability. Objectives: To assess the different patterns of proximal femoral fracture and its effect on the outcomes in individuals who have proximal femoral fracture within 3 months post. Trauma. Methods: This is a prospective longitudinal study conducted at Basrah City for the duration from 1st of July 2024 till 1st of July 2025, included 104 surgically treated proximal femur fracture patients ≥18 years. Data collection covered sociodemographics, fracture type, Katz ADL index, clinical/radiological assessment, and surgical details (intracapsular/extracapsular management). Postoperative evaluation included complications, hospital stay, and follow-up at 2 weeks (clinical outcomes) and 3 months (functional status). Results: This prospective study included 104 patients (mean age 65.3 years, 71 (68.3%) females). Most were ≥65 years, urban residents, housewives, and 68 (65.4%) had chronic diseases (hypertension/diabetes). Intertrochanteric fractures were most common 47 (45.2%), with PFNA the main treatment 64 (61.5%). Mean hospital stay was 4.11 days, and mean time to weight-bearing 4.17 days. Intensive care unit admission occurred in 13 (13.8%), while mortality was (5.8%). Significant associations were observed: shorter admission time (P=0.044) and longer operative duration (P=0.001) in deceased patients, higher mortality with femoral neck fractures (15%, P=0.006), and arthroplasty (15%, P=0.001). Functional recovery was favorable in 63.8% (Katz Index). Conclusions: This study highlights that proximal femoral fractures predominantly affect elderly females of low socioeconomic status. PFNA showed superior outcomes, while delayed surgery, long operations, and poor perioperative care increased complications, emphasizing prevention, optimization, and rehabilitation.