Functional results of patients with femoral intertrochanteric fractures who underwent surgery of proximal femoral nail or bipolar hemiarthroplasty: A comparative study

Basit Öğe Kaydı
dc.contributor.authorAyık, Ömer
dc.contributor.authorAygün, Ümit
dc.date.accessioned2024-05-19T14:23:43Z
dc.date.available2024-05-19T14:23:43Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractAim: In this study, the functional results of patients with femoral intertrochanteric fractures who underwent surgery were compared with their clinical features in terms of proximal femoral nail ( PFN ) and bipolar hemiarthroplasty ( BPH ). Materials and Methods: PFN (Group 1) was implanted in 40 of 89 patients (44 female, 45 male) aged between 51-80 (mean 68,16 ± 6,78) whereas BPH (Group 2) was used with 49 patients. Age, gender, fracture mechanism, additional disease, Body mass index (BMI), Albumin level, Hemoglobin (Hb) decrease level, T-score, American Society of Anesthesiologists (ASA) classification, type of anesthesia, surgery type, operation time, hospital stay and full weight-bearing time, the scores of Harris Hip Function (HHS), the social function of Jensen (JSF), Parker-Palmer mobility (PPMS) in preoperative and postoperative periods, and postoperative complications were all recorded. Results: In group 1; patients were younger, operation time was 46.78 ± 5.29 minutes and hospital stay was 2.48±0.75 days, which were shorter compared with group 2. For group 1, most surgery types were closed, T-score was -2.49±0.59 and better, the time of full weight-bearing was 3.48±0.78 months, Hb decrease was 1.17±0.37 and less, and Albumin level was 3.11±0.4 g/dL and higher compared to group 2 (p<0.05). HHS was better in the BPH group at the sixth month (p<0.05). In group 1, the 12th, and 24th months scores of JSF were better, PPMS was higher in all evaluations (p<0.05). Operation time, ASA, T-score, and albumin levels correlate with functional scores, while BMI and Hb did not. Conclusion: Many factors are important for progressing patients with intertrochanteric femur fractures toward a functional level. Considering these parameters in patients with femoral intertrochanteric fracture, PFN or BPH can both be used for treatment according to the surgeon's preference.en_US
dc.identifier.doi10.5455/annalsmedres.2022.08.247
dc.identifier.endpage64en_US
dc.identifier.issn2636-7688
dc.identifier.issue1en_US
dc.identifier.startpage58en_US
dc.identifier.trdizinid1161989en_US
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2022.08.247
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1161989
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4096
dc.identifier.volume30en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.titleFunctional results of patients with femoral intertrochanteric fractures who underwent surgery of proximal femoral nail or bipolar hemiarthroplasty: A comparative studyen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

TR-Dizin İndeksli Yayınlar Koleksiyonu