Functional Outcomes Following Surgical Management of Proximal Femoral Fractures: A Retrospective Study

Authors: Harkesh Ukabhai Zalavadiya

DOI: 10.18231/j.ijos.12791.1760086942

Keywords: Proximal femoral fracture, intertrochanteric fracture, subtrochanteric fracture, Martin Parker score, functional outcome, elderly orthopaedics

Abstract: Proximal femoral fractures are common orthopaedic injuries among older adults, often requiring urgent surgical intervention due to high complication rates. These fractures significantly impair mobility, increase morbidity and mortality, and often result in long-term dependence. This study evaluated 176 patients with extracapsular proximal femoral fractures treated at a tertiary care centre over a 5-year period. Functional outcomes were assessed using Martin Parker’s Universal Functional Score, which includes pain, mobility, and social dependence. Patients with polytrauma, pathological fractures, and those under 20 years of age were excluded. Preoperative and postoperative scores were compared, and return to work, complications, and mortality were documented. Significant postoperative deterioration in function was observed, particularly among patients over 60 years of age, highlighting the importance of early intervention and age-specific rehabilitation.