The treatment of intertrochanteric femur fractures in geriatric patients with external fixator

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dc.contributor.authorEdipoglu, Erdem
dc.contributor.authorBilgili, Mustafa Gokhan
dc.contributor.authorSari, Cihangir
dc.contributor.authorBasaran, Serdar Hakan
dc.contributor.authorKural, Cemal
dc.contributor.authorAvkan, Mustafa Cevdet
dc.date.accessioned2024-09-29T16:09:47Z
dc.date.available2024-09-29T16:09:47Z
dc.date.issued2013
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjective: We evaluated the results of osteosynthesis with external fixation for intertrochanteric hip fractures in elderly patients with a high anesthesia risk. Material and Methods: Sixty-eight patients with closed intertrochanteric femur fractures (48 women, 20 men, mean age: 77 years; range between 65-84 years) were treated with an unilateral external fixator under epidural anesthesia combined with mild sedation. According to AO/OTA classification A1.1, A1.2, A1.3 and A2.1 types were accepted as stabil, (Group 1), A2.2, A2.3, A3.1, A3.2 and A3.3 type fractures (Group 2) were accepted as unstabil fracture types. In first group there were 39 patients and in the second group there was 29 patients. The mean follow up was 12 months (9 to 18). In all patients, an AO tubular external fixator was used. Operation time, hospitalization period, healing time, complication rate and postoperative activity level were evaluated. Statistical evaluation was done by Mann-Whitney U-test. Results: The mean operation time was 24 minutes (17-60) in the firstgroup and 38 minutes (26-70) in the second group (p<0.001). The mean hospitalization duration was 4 days (2-10) in the first group and 7 days (3-13) in the second group (p<0.001). The mean time for the union of the fracture was 11.64 (9-17) weeks in the first group and 13.9 weeks (11-18) in the second group (p<0.001). While 8 patients had superficial and 3 patients had deep infection in the first group, in the second group there were 10 patients with superficial and 4 with deep infection. In the second group, varus deformity was observed in 5 patients. The mean Barthel daily activity score was calculated as 14.2 (9-18) in the first group and 11.4 (4-14) in the second group (p<0.01). There was no statistically significant difference in the mortality ratios between two groups. Conclusion: Since fixation by external fixators for intertrochanteric femur fractures is minimally invasive, causes less bleeding and preserves soft tissues and bones, it is one of the preferred methods for the treatment of elderly patients with a high anesthesia risk. Nevertheless, for the intertrochanteric femur fractures that are unstable according to the AO classification, the union time is longer, union in the varus position is more often and the complication ratio is higher. Therefore it should be used for chosen cases among geriatric patients.en_US
dc.identifier.doi10.5350/BTDMJB201309107
dc.identifier.endpage32en_US
dc.identifier.issn1305-9319
dc.identifier.issn1305-9327
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-84877074315en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage28en_US
dc.identifier.urihttps://doi.org/10.5350/BTDMJB201309107
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7770
dc.identifier.volume9en_US
dc.identifier.wosWOS:000420514400007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherYerkure Tanitim & Yayincilik Hizmetleri A Sen_US
dc.relation.ispartofMedical Journal of Bakirkoyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIntertrochanteric femur fractureen_US
dc.subjectexternal fixatorsen_US
dc.subjectosteoporosis/complicationsen_US
dc.titleThe treatment of intertrochanteric femur fractures in geriatric patients with external fixatoren_US
dc.typeArticleen_US

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