Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Aug 18, 2023; 14(8): 621-629
Published online Aug 18, 2023. doi: 10.5312/wjo.v14.i8.621
Survival analysis in nonagenarian patients with non-hip lower limb fractures
Sanjay Narayana Murthy, Manikandar Srinivas Cheruvu, Raheel Shakoor Siddiqui, Nikhil Sharma, Debashis Dass, Ashique Ali
Sanjay Narayana Murthy, Manikandar Srinivas Cheruvu, Nikhil Sharma, Debashis Dass, Ashique Ali, Department of Trauma and Orthopaedics, Royal Stoke University Hospital NHS Trust, Stoke-On-Trent ST4 6QG, United Kingdom
Raheel Shakoor Siddiqui, Department of General Surgery, Birmingham Heartlands Hospital, Birmingham B9 5SS, United Kingdom
Author contributions: Narayana Murthy S, Siddiqui RS and Cheruvu MS conceptualized, designed, reviewed the existing literature, did the statistical analysis, wrote the manuscript and prepared the first draft; Dass D and Sharma N critically reviewed the first draft and gave their expert suggestions; Ali A reviewed the final draft before submission and suggested further changes.
Institutional review board statement: This is an observational study which does not include any of the patient identifiable data. Additionally, as there are no interventions, there was no need to obtain an institutional board review statement.
Informed consent statement: Consent for an original study involving humans is not necessary as we have not included any patient identifiable details in our manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: As no patient identifiable data is shared in the manuscript, this is not required. No additional data is available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Noncommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sanjay Narayana Murthy, MBBS, Surgeon, Department of Trauma and Orthopaedics, Royal Stoke University Hospital NHS Trust, Newcastle Road, Stoke-On-Trent ST4 6QG, United Kingdom. sanjayn293@gmail.com
Received: January 26, 2023
Peer-review started: January 26, 2023
First decision: April 28, 2023
Revised: May 30, 2023
Accepted: July 27, 2023
Article in press: July 27, 2023
Published online: August 18, 2023
Processing time: 202 Days and 18.7 Hours
Core Tip

Core Tip: The treatment of acute lower limb fractures in nonagenarian population poses a technical challenge to orthopaedic surgeons, given the multiple co-morbidities, complex fracture pattern and poor bone quality. Nonagenarians account for 8% of all patients requiring acute fracture surgery. The main findings of this study are that surgery is more likely to be offered to those patients with fewer co-morbidities and those admitted from their own home, which indicates a higher functional status.