Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures

Gokhan Karademır; Yücel Bilgin; Mehmet Demirel; Gökhan Polat; Ali Erşen; Taha Kızılkurt; Mehmet Büget; Önder Yazıcıoğlu

doi:10.31067/acusaglik.1143274

EN

Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures

Abstract

Purpose: The aim of the study was to investigate mobility and quality of life in patients who underwent osteosynthesis with proximal femoral nail (PFN), or arthroplasty for unstable intertrochanteric fractures. Methods: Treatment outcomes of 117 patients (76 Female/41 Male) who were treated with PFN (Group 1, n=66), hemiarthroplasty (Group 2, n=42), or total hip arthroplasty (Group 3, n=9) between 2008 and 2014 were retrospectively evaluated. The mobility of the patients was evaluated with the Palmer and Parker mobility score, and the quality of life was evaluated with the Barthel quality of life index. Results: The mean ages in the groups were 83.51 (range, 75-97) years, 84.72 (range, 75-109) years, and 83.37 (range, 75-94) years; respectively. The mean follow-up periods were 23.26 (range, 3-43.9) months, 19.24 (range, 3-38) months, and 20.1 (range, 3-40) months; respectively. There was no statistical difference between the 3 groups in terms of age and follow-up time (p>0.05). Palmer-Parker mobility scores were 6.23 for Group 1, 3.68 for Group 2, and 4.22 for Group 3. Barthel Indexes were 68.73 for Group 1, 37.75 for Group 2, and 52.77 for Group 3. Group 1 had a statistically significantly higher Palmer-Parker mobility and Barthel Index score than Group 2 and Group 3 (p<0.001). Conclusion: We concluded that osteosynthesis with PFN was more advantageous than hemiarthroplasty or total hip arthroplasty in terms of mobilization and quality of life in patients who were operated on for unstable intertrochanteric fracture.

Keywords

References

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Details

Primary Language

English

Subjects

Orthopaedics

Journal Section

Clinical Research

Authors

Gokhan Karademır
0000-0002-0894-9785
Türkiye

Yücel Bilgin ^*
0000-0003-0433-1918
Türkiye

Mehmet Demirel
0000-0003-1131-7719
Türkiye

Gökhan Polat
0000-0002-5162-6842
Türkiye

Ali Erşen
0000-0001-6241-2586
Türkiye

Taha Kızılkurt
0000-0001-9832-8140
Türkiye

Mehmet Büget
0000-0002-8321-6346
Türkiye

Önder Yazıcıoğlu
0000-0002-9292-3480
Türkiye

Publication Date

October 1, 2022

Submission Date

July 12, 2022

Acceptance Date

August 3, 2022

Published in Issue

Year 2022 Volume: 13 Number: 4

DOI

https://doi.org/10.31067/acusaglik.1143274

IZ

https://izlik.org/JA49ZK32NZ

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RIS / Bibtex

EndNote

Karademır G, Bilgin Y, Demirel M, Polat G, Erşen A, Kızılkurt T, Büget M, Yazıcıoğlu Ö (October 1, 2022) Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13 4 537–542.

Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures

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