Thirteen fractures of the hip in twelve patients who had end-stage renal
disease were treated over a ten-year period; these injuries included one
intertrochanteric fracture, seven non-displaced fractures of the femoral
neck, and five displaced fractures of the femoral neck. Twelve of the
thirteen fractures were treated with an operation. Six patients (who had a
total of six fractures) died within one year after the fracture. Two
patients died as the result of sepsis related to the wound; the other four
deaths were not directly related to the operation. Although the mortality
rate in this group of patients was higher than that in a group of matched
patients who had a fracture of the hip but who did not have end-stage renal
disease, we were not able to demonstrate that this difference was
significant, perhaps because of the small size of the sample. The mortality
rate in these twelve patients was significantly higher, however, than that
in matched patients who had end-stage renal disease but who did not have a
fracture of the hip (p = 0.01).