Research Article

Abdominal complications after geriatric hip fracture surgery: Epidemiological analysis and identification of risk factors

Volume: 42 Number: 2 June 30, 2025

Abdominal complications after geriatric hip fracture surgery: Epidemiological analysis and identification of risk factors

Abstract

Abdominal complications, such as postoperative ileus or acute cholecystitis, though not commonly encountered, represent a significant challenge in the management of patients admitted to orthopaedic wards following surgical procedures. Our objective was to assess the prevalence of abdominal postoperative complications following geriatric hip fracture surgery and to identify potential risk factors. Elderly patients with a hip fracture, and operated on by the same surgical team in 2023 were evaluated. Demographic variables such as age and gender, fracture type, and surgical procedures (proximal femoral nail vs. partial prosthesis) were recorded. Abdominal complications that only developed during initial hospitalization were investigated. Of the 97 patients included in the study, the incidence of abdominal complications following geriatric hip fracture surgery was 6.1% (6 patients). The incidence for postoperative ileus, acute cholecystitis, spleen infarction, and rectal bleeding were calculated as 2.1%, 2.1%, 1%, and 1%, respectively. Further analyses demonstrated a weak correlation between the development of abdominal complications and operation type (p=0.025, r=0.259). No correlation was observed between age, gender and fracture type and the development of abdominal complications. Abdominal complications after geriatric hip fracture surgery are rare, and require a multidisciplinary approach to management. Surgeons should be aware of this potential complication and necessary assessments should be performed before discharge, especially in patients undergoing arthroplasty.

Keywords

Supporting Institution

Funding: The author(s) received no financial support for the research.

Ethical Statement

This study was approved by the local ethics committee: Ankara Şehir Hastanesi 1 Nolu Klinik Araştırmalar Etik Kurul Başkanlığı

Thanks

None

References

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  6. Gencer B, Doğan Ö. Consequences of the COVID-19 pandemic on fracture distribution: Epidemiological data from a tertiary trauma center in Turkey. Journal of Experimental and Clinical Medicine. 2022; 39(1): 128-133.
  7. Gencer B, Doğan Ö. Analyzing Mid-to-Long Term Mortality Rates and Associated Factors of Geriatric Patients with Hip Fractures during the COVID-19 Pandemic: A Single Centre Prospective Study. Acıbadem University Health Sciences Journal. 2022; 13(4): 491-497.
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Details

Primary Language

English

Subjects

General Surgery, Orthopaedics

Journal Section

Research Article

Publication Date

June 30, 2025

Submission Date

January 15, 2025

Acceptance Date

April 18, 2025

Published in Issue

Year 2025 Volume: 42 Number: 2

APA
Gencer, E. N., Sağlam, T., Gencer, B., Doğan, Ö., & Er, S. (2025). Abdominal complications after geriatric hip fracture surgery: Epidemiological analysis and identification of risk factors. Deneysel Ve Klinik Tıp Dergisi, 42(2), 128-132. https://izlik.org/JA93LY86YJ
AMA
1.Gencer EN, Sağlam T, Gencer B, Doğan Ö, Er S. Abdominal complications after geriatric hip fracture surgery: Epidemiological analysis and identification of risk factors. J. Exp. Clin. Med. 2025;42(2):128-132. https://izlik.org/JA93LY86YJ
Chicago
Gencer, Elif Nur, Toygar Sağlam, Batuhan Gencer, Özgür Doğan, and Sadettin Er. 2025. “Abdominal Complications After Geriatric Hip Fracture Surgery: Epidemiological Analysis and Identification of Risk Factors”. Deneysel Ve Klinik Tıp Dergisi 42 (2): 128-32. https://izlik.org/JA93LY86YJ.
EndNote
Gencer EN, Sağlam T, Gencer B, Doğan Ö, Er S (June 1, 2025) Abdominal complications after geriatric hip fracture surgery: Epidemiological analysis and identification of risk factors. Deneysel ve Klinik Tıp Dergisi 42 2 128–132.
IEEE
[1]E. N. Gencer, T. Sağlam, B. Gencer, Ö. Doğan, and S. Er, “Abdominal complications after geriatric hip fracture surgery: Epidemiological analysis and identification of risk factors”, J. Exp. Clin. Med., vol. 42, no. 2, pp. 128–132, June 2025, [Online]. Available: https://izlik.org/JA93LY86YJ
ISNAD
Gencer, Elif Nur - Sağlam, Toygar - Gencer, Batuhan - Doğan, Özgür - Er, Sadettin. “Abdominal Complications After Geriatric Hip Fracture Surgery: Epidemiological Analysis and Identification of Risk Factors”. Deneysel ve Klinik Tıp Dergisi 42/2 (June 1, 2025): 128-132. https://izlik.org/JA93LY86YJ.
JAMA
1.Gencer EN, Sağlam T, Gencer B, Doğan Ö, Er S. Abdominal complications after geriatric hip fracture surgery: Epidemiological analysis and identification of risk factors. J. Exp. Clin. Med. 2025;42:128–132.
MLA
Gencer, Elif Nur, et al. “Abdominal Complications After Geriatric Hip Fracture Surgery: Epidemiological Analysis and Identification of Risk Factors”. Deneysel Ve Klinik Tıp Dergisi, vol. 42, no. 2, June 2025, pp. 128-32, https://izlik.org/JA93LY86YJ.
Vancouver
1.Elif Nur Gencer, Toygar Sağlam, Batuhan Gencer, Özgür Doğan, Sadettin Er. Abdominal complications after geriatric hip fracture surgery: Epidemiological analysis and identification of risk factors. J. Exp. Clin. Med. [Internet]. 2025 Jun. 1;42(2):128-32. Available from: https://izlik.org/JA93LY86YJ