Mortality after fracture of the hip in patients who have end-stage renal disease.

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).