Nişantaşı University

Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases

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dc.contributor.author Korkmaz, Mehmet Fatih
dc.contributor.author Erdem, Mehmet Nuri
dc.contributor.author Dişli, Zeliha
dc.contributor.author Selçuk, Engin Burak
dc.contributor.author Karakaplan, Mustafa
dc.contributor.author Göğüs, Abdullah
dc.date.accessioned 2019-06-26T10:58:47Z
dc.date.available 2019-06-26T10:58:47Z
dc.date.issued 2014-04
dc.identifier.issn 1176-9092
dc.identifier.uri http://hdl.handle.net/20.500.12474/69
dc.description.abstract Purpose: In this study, we aimed to report the results of a retrospective study carried out at our institute regarding cases of patients who had suffered proximal femoral fractures between January 2002 and February 2007, and who were treated with a proximal femoral nail. Materials and methods: One hundred consecutive cases were included in the study. A case documentation form was used to obtain intraoperative data including age, sex, mechanism of injury, type of fracture according to Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF) classification and the American Society of Anesthesiologists' (ASA) physical status classification (ASA grade). Clinical and radiographic examinations were performed at the time of admission and at the 6th week; subsequent visits were organized on the 3rd month, 6th month, and 12th month, and in patients with longer - follow-up and annually postoperatively. The Harris score of hip function was used, and any change in the position of the implants and the progress of the fracture union, which was determined radiologically, was noted. Results: The mean age of the patients was 77.66 years (range: 37-98 years), and the sex distribution was 32 males and 68 females. Seventy-three fractures were reduced by closed means, whereas 27 needed limited open reduction. The mean follow-up time for the study group was 31.3 months (range: 12-75 months). Postoperative radiographs showed a near-anatomical fracture reduction in 78% of patients. The Harris hip score was negatively correlated with the ASA score and patient age. No cases of implant failure were observed. Three patients died before discharge (one due to pulmonary embolism, two due to cardiac arrest), and five patients died due to unrelated medical conditions within the first 3 months of the follow-up. Conclusion: Our study showed that proximal femoral nail is a reliable fixation with good fracture union, and it is not associated with major complications in any type of trochanteric femoral fracture. tr_TR
dc.language.iso en tr_TR
dc.publisher CLINICAL INTERVENTIONS IN AGING tr_TR
dc.subject ASA tr_TR
dc.subject femoral fracture tr_TR
dc.subject Harris score tr_TR
dc.subject proximal femoral nail tr_TR
dc.title Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases tr_TR
dc.type Article tr_TR


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