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Peer-reviewedCC BY-NCJournal of Orthopaedic Case Reports

Mortality, Morbidity, and Treatment-Related Outcomes Following Pathological Hip Fractures: An 8-Year Single-Center Experience

  • Ali H Alyami1,2,3
  • Mohammed S Thabet1
  • Abdulrahman Alrefaei1
  • Ibrahim Althobaiti4
  • Ghassan Binyaseen4
  • Majd A Saemaldahar5
5 affiliations
  1. 1Department of Orthopedic Surgery, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
  2. 2Department of Orthopedic Surgery, Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia.
  3. 3Department of Orthopedic Surgery, King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.
  4. 4Department of Orthopedic Surgery, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
  5. 5Department of Orthopedic Surgery, King Abdulaziz Medical City, National Guard Hospital, Jeddah, Saudi Arabia.
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Abstract

Introduction: This study aimed to evaluate the clinical characteristics, type of treatment, and factors associated with mortality and morbidity, including the length of hospital stay, among patients with pathological hip fractures in a tertiary center in Saudi Arabia. Materials and Methods: A retrospective study was conducted, which included all adult patients diagnosed with pathological hip fractures from 2016 to 2024. Demographics, fracture type, type of treatment, complications, and outcomes data were evaluated. A univariate analysis was performed to identify associations between clinical variables and patient outcomes. Results: A total of 47 patients were included, with a mean age of 60.6 ± 17.12 years. Most patients were female (61.7%) and had femoral neck fractures (63.8%). Surgical treatment was performed in 78.7% of cases. The overall mortality rate was 6.4%, and 17.0% of patients experienced complications, including gait disturbances, bleeding, and deep vein thrombosis. Mortality was significantly associated with conservative treatment (P = 0.007). All deaths occurred in the conservatively treated group. Longer hospital stays were linked to pre-operative anticoagulant use (P = 0.011) and osteoporosis (P = 0.03). Conclusion: Surgical management of pathological hip fractures was associated with improved survival and should be prioritized when clinically feasible. Awareness of pre-operative anticoagulant use and osteoporosis is essential for perioperative planning and may help reduce prolonged hospitalization in this high-risk population.

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Cite

BibTeXRIS
BibTeX
@article{alyami2026mortality,
  title = {{Mortality, Morbidity, and Treatment-Related Outcomes Following Pathological Hip Fractures: An 8-Year Single-Center Experience}},
  author = {Ali H Alyami and Mohammed S Thabet and Abdulrahman Alrefaei and Ibrahim Althobaiti and Ghassan Binyaseen and Majd A Saemaldahar},
  journal = {Journal of Orthopaedic Case Reports},
  year = {2026},
  month = nov,
  doi = {10.13107/jocr.2026.v16.i11.8490},
  url = {https://doi.org/10.13107/jocr.2026.v16.i11.8490},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Mortality, Morbidity, and Treatment-Related Outcomes Following Pathological Hip Fractures: An 8-Year Single-Center Experience
AU  - Ali H Alyami
AU  - Mohammed S Thabet
AU  - Abdulrahman Alrefaei
AU  - Ibrahim Althobaiti
AU  - Ghassan Binyaseen
AU  - Majd A Saemaldahar
PY  - 2026
DA  - 2026/11/01
JO  - Journal of Orthopaedic Case Reports
DO  - 10.13107/jocr.2026.v16.i11.8490
UR  - https://doi.org/10.13107/jocr.2026.v16.i11.8490
AB  - Introduction: This study aimed to evaluate the clinical characteristics, type of treatment, and factors associated with mortality and morbidity, including the length of hospital stay, among patients with pathological hip fractures in a tertiary center in Saudi Arabia. Materials and Methods: A retrospective study was conducted, which included all adult patients diagnosed with pathological hip fractures from 2016 to 2024. Demographics, fracture type, type of treatment, complications, and outcomes data were evaluated. A univariate analysis was performed to identify associations between clinical variables and patient outcomes. Results: A total of 47 patients were included, with a mean age of 60.6 ± 17.12 years. Most patients were female (61.7%) and had femoral neck fractures (63.8%). Surgical treatment was performed in 78.7% of cases. The overall mortality rate was 6.4%, and 17.0% of patients experienced complications, including gait disturbances, bleeding, and deep vein thrombosis. Mortality was significantly associated with conservative treatment (P = 0.007). All deaths occurred in the conservatively treated group. Longer hospital stays were linked to pre-operative anticoagulant use (P = 0.011) and osteoporosis (P = 0.03). Conclusion: Surgical management of pathological hip fractures was associated with improved survival and should be prioritized when clinically feasible. Awareness of pre-operative anticoagulant use and osteoporosis is essential for perioperative planning and may help reduce prolonged hospitalization in this high-risk population.
SN  - 2250-0685
SN  - 2321-3817
ER  -