Volume 8, Issue 4 (2023)
SJMR 2023, 8(4): 255-260 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Azarsina S, Mirhoseini M S, Vasheghani-Farahani M A. Investigation of functional and radiographic results and complications in patients with type A2 intertrochanteric fracture who underwent different surgical approaches in Shahid Madani Hospital, Karaj. SJMR 2023; 8 (4) : 5
URL: http://saremjrm.com/article-1-322-en.html
URL: http://saremjrm.com/article-1-322-en.html
1- Assistant Professor of Orthopedics Department, Clinical Research Development Unit, Shahid Madani Medical Education Center, medical school, Alborz University of Medical Sciences, Karaj, Iran
2- Orthopedic assistant student, Student Research Committee, medical School, Alborz University of Medical Sciences, Karaj, Iran.
2- Orthopedic assistant student, Student Research Committee, medical School, Alborz University of Medical Sciences, Karaj, Iran.
Abstract: (1219 Views)
In this study, we intend to compare the functional, radiographic, and postoperative complications using different surgical approaches in patients with type A2 intertrochanteric fractures who underwent surgery in 1400 at Karaj Madani Hospital.
This study was conducted as a retrospective cohort. Demographic information, type of surgery and fixation device, functional results including joint range of motion and weight bearing of the patient were recorded using Harris Hip Score. Complications after surgery were also considered, including the rate of infection, failure and non-union after surgery. The patients were followed up at intervals of 6 weeks and 3 months later. Statistical analysis was done using SPSS software version 26.
A total of 150 people including 55 (36.7%) men and 95 (64.3%) women were included in the study. The pain level of patients in the time periods of 6 weeks after surgery and 3 months after surgery and the level of Haris Hip score of patients 2 months after surgery are significantly better in patients treated with cephalomedullary nailing method.
The treatment method of cephalomedullary nailing can be considered as the method of choice, due to the lower amount of pain according to the VAS criterion during six weeks and three months after surgery, higher scores in the Haris hip test in the period of two months after surgery and the overall failure rate as a method. Considered preferable for these patients.
This study was conducted as a retrospective cohort. Demographic information, type of surgery and fixation device, functional results including joint range of motion and weight bearing of the patient were recorded using Harris Hip Score. Complications after surgery were also considered, including the rate of infection, failure and non-union after surgery. The patients were followed up at intervals of 6 weeks and 3 months later. Statistical analysis was done using SPSS software version 26.
A total of 150 people including 55 (36.7%) men and 95 (64.3%) women were included in the study. The pain level of patients in the time periods of 6 weeks after surgery and 3 months after surgery and the level of Haris Hip score of patients 2 months after surgery are significantly better in patients treated with cephalomedullary nailing method.
The treatment method of cephalomedullary nailing can be considered as the method of choice, due to the lower amount of pain according to the VAS criterion during six weeks and three months after surgery, higher scores in the Haris hip test in the period of two months after surgery and the overall failure rate as a method. Considered preferable for these patients.
Article number: 5
Keywords: Haris Hip score, cephalomedullary nailing, DHS, intertrochanteric fracture, femoral plate.
Article Type: Original Research |
Subject:
Embryology
Received: 2023/12/25 | Accepted: 2024/01/15 | Published: 2024/11/12
Received: 2023/12/25 | Accepted: 2024/01/15 | Published: 2024/11/12
References
1. Waddell JP. Fractures of the Proximal Femur: Improving Outcomes E-Book: Expert Consult: Elsevier Health Sciences; 2010.
2. Egol KA, Leucht P. Proximal femur fractures: an evidence-based approach to evaluation and management: Springer; 2017. [DOI:10.1007/978-3-319-64904-7]
3. Kanis JA, Odén A, McCloskey EV, Johansson H, Wahl DA, Cooper C, et al. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporosis International. 2012;23(9):2239-56. [DOI:10.1007/s00198-012-1964-3] [PMID] []
4. Orwig DL, Chan J, Magaziner J. Hip fracture and its consequences: differences between men and women. Orthopedic Clinics. 2006;37(4):611-22. [DOI:10.1016/j.ocl.2006.08.003] [PMID]
5. Chang S-M, Hou Z-Y, Hu S-J, Du S-C. Intertrochanteric femur fracture treatment in Asia: what we know and what the world can learn. Orthopedic Clinics. 2020;51(2):189-205.10. Conotte S, El Kenz H, De Marchin J, Jani JC. Cell-free DNA analysis for noninvasive examination of trisomy: comparing 2 targeted methods. American Journal of Obstetrics & Gynecology. 2022;227(3):539-41. [DOI:10.1016/j.ajog.2022.05.024] [PMID]
6. Mäkinen TJ, Gunton M, Fichman SG, Kashigar A, Safir O, Kuzyk P. Arthroplasty for pertrochanteric hip fractures. Orthop Clin North Am. 2015;46(4):433-44. [DOI:10.1016/j.ocl.2015.06.001] [PMID]
7. Niu E, Yang A, Harris AH, Bishop J. Which fixation device is preferred for surgical treatment of intertrochanteric hip fractures in the United States? A survey of orthopaedic surgeons. Clinical Orthopaedics and Related Research®. 2015;473(11):3647-55. [DOI:10.1007/s11999-015-4469-5] [PMID] []
8. Ahrengart L, Törnkvist H, Fornander P, Thorngren K-G, Pasanen L, Wahlström P, et al. A randomized study of the compression hip screw and Gamma nail in 426 fractures. Clinical Orthopaedics and Related Research (1976-2007). 2002;401:209-22. [DOI:10.1097/00003086-200208000-00024] [PMID]
9. Marsh J, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, et al. Fracture and dislocation classification compendium-2007: Orthopaedic Trauma Association classification, database and outcomes committee. Journal of orthopaedic trauma. 2007;21(10 Suppl):S1-133. [DOI:10.1097/00005131-200711101-00001] [PMID]
10. Kregor PJ, Obremskey WT, Kreder HJ, Swiontkowski MF. Unstable pertrochanteric femoral fractures. Journal of orthopaedic trauma. 2005;19(1):63-6. [DOI:10.1097/00005131-200501000-00014] [PMID]
11. Lorich DG, Geller DS, Nielson JH. Osteoporotic pertrochanteric hip fractures: management and current controversies. JBJS. 2004;86(2):398-410. [DOI:10.2106/00004623-200402000-00028]
12. Pajarinen J, Lindahl J, Savolainen V, Michelsson O, Hirvensalo E. Femoral shaft medialisation and neck-shaft angle in unstable pertrochanteric femoral fractures. International orthopaedics. 2004;28(6):347-53. [DOI:10.1007/s00264-004-0590-x] [PMID] []
13. Aktselis I, Kokoroghiannis C, Fragkomichalos E, Koundis G, Deligeorgis A, Daskalakis E, et al. Prospective randomised controlled trial of an intramedullary nail versus a sliding hip screw for intertrochanteric fractures of the femur. Int Orthop. 2014;38(1):155-61. [DOI:10.1007/s00264-013-2196-7] [PMID] []
14. Fu CW, Chen JY, Liu YC, Liao KW, Lu YC. Dynamic Hip Screw with Trochanter-Stabilizing Plate Compared with Proximal Femoral Nail Antirotation as a Treatment for Unstable AO/OTA 31-A2 and 31-A3 Intertrochanteric Fractures. Biomed Res Int. 2020 Aug 18;2020:1896935. doi: 10.1155/2020/1896935. [DOI:10.1155/2020/1896935] [PMID] []
15. Klinger HM, Baums MH, Eckert M, Neugebauer R. Eine vergleichende Untersuchung der Versorgung instabiler per- und intertrochantärer Femurfrakturen mittels DHS-Osteosynthese unter Verwendung der Trochanterabstützplatte und dem Proximalen Femurnagel (PFN) [A comparative study of unstable per- and intertrochanteric femoral fractures treated with dynamic hip screw (DHS) and trochanteric butt-press plate vs. proximal femoral nail (PFN)]. Zentralbl Chir. 2005 Aug;130(4):301-6. German. doi: 10.1055/s-2005-836784. [DOI:10.1055/s-2005-836784] [PMID]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
