INTRODUCTION: The appropriate surgical timing for the treatment of proximal @entity174 is still debated. Advantages of a delayed surgery may be: stabilization of systemic diseases, decrease of the risk of perioperative mortality and morbidity. An early timing of surgery may allow: early mobilization, reduction of the risks of disability and hospital stays, early return to home of the @entity1 . However, the effects on mortality are still discussed. PURPOSE: The purpose of this study is to assess the influence of the surgical timing on clinical outcomes, complications, and mortality in a preliminary experience of the early management of these fractures vs the delayed surgery. METHODS: A series of 176 @entity1 was retrospectively evaluated. 132 @entity1 were followed-up for one year after surgery. The evaluation was performed by the assessment of the comorbidities, preoperative wait for surgery, type of @entity174 and procedures, hospital stay, and functional outcomes: 33 @entity1 were operated with an early timing, 99 with a delayed surgery. RESULTS: The mean mortality rate was 18.2% in the early timing (6/33 @entity1 ), and 23.2% in the delayed timing (23/99 @entity1 ): no significant difference was recorded in the preliminary analysis. @entity260 were recorded in 28 @entity1 (21.2%): 4 @entity1 were operated within 48 hours (12.1%) and 24 after 48 hours (24.2%) with no substantial differences. The postoperative hospital stay showed no correlation with the timing of surgery, as no evidence was found on the functional recovery and postoperative disability. CONCLUSIONS: No significant differences were found on the evaluated parameters in the two groups in the present preliminary study. A correlation between male sex and mortality, and @entity260 was assessed. An enlargement of the study population is needed to surely clarify any effective differences, given the fact that recent studies seem to identify in the early treatment the better strategy to ensure the best recovery and the lower rate of mortality and complications.

Preliminary results of an early vs delayed timing of surgery in the management of proximal femur XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity260 :: ('MESH:D011183', 'Disease') :: ['male sex and postoperative complications', 'Postoperative complications'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture', 'femur fractures']
@entity174 :: (MESH:D050723,Disease) :: ['fragility fractures']
