Is femoral artery calcification a sign of mortality in elderly hip fractures?

Objectives: It is important to determine the risks of mortality in elderly patients with hip fractures. The aim of this study was to investigate the effect of femoral artery calcification on mortality risk in patients with cemented partial hip prosthesis. Methods: The study included 145 patients (≥65-years-old) with cemented partial hip prosthesis operated following hip fracture. Patients were divided into two groups: Group (1) included those without femoral artery calcification, and Group (2) with femoral artery calcifications observed on direct radiography. Age, gender, duration of hospitalization, time of death and follow-up duration, ASA score, anesthesia type, fracture type, complication and time of operation for patients were compared between two groups. Results: After exclusion of certain patients due to lack of necessary information in their documents, a total of 116 patients were investigated. The mean age of patients was 81.52±6.82. Mean follow-up duration was 35.39 (range: 0–76) months. Three out of 116 patients died after some complications during surgery. Mean time of death after surgery was 21.21 months in Group 1 and 23.86 months in Group 2 (p=0.628). Conclusion: The results of this study showed that femoral artery calcification in patients with cemented prosthesis due to hip fracture at advanced age had no effect on mortality. However, there is a need for advanced studies with larger patient groups.