Intertrochanteric femur fractures in the elderly treated with either proximal femur nailing or hemiarthroplasty: A prospective randomised clinical study

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dc.contributor.authorÖzkayin N.
dc.contributor.authorOkçu G.
dc.contributor.authorAktuʇlu K.
dc.date.accessioned2024-07-22T08:13:23Z
dc.date.available2024-07-22T08:13:23Z
dc.date.issued2015
dc.description.abstractIntroduction The purpose of this prospective randomised study is to compare in the elderly the functional results of intertrochanteric femur fractures treated either with closed reduction and internal fixation with proximal femoral nailing or cemented hemiarthroplasty. Materials and methods The study included patients above the age of 75 who were diagnosed with intertrochanteric femur fracture and admitted to the Department of Orthopaedics and Traumatology, Ege University Hospital between October 2006 and December 2012. After informed consent was obtained from the patients, they were randomised via sealed opaque envelops into two groups. Patients in Group 1 were internally fixated utilizing proximal femoral nail, whilst the patients in Group 2 were treated with a cemented hemiarthroplasty. Complications were recorded and functional results were evaluated using the Harris Hip score. The mean time of follow up was 31.72 months (min. 18-max. 47, std. dev. ±10.68). Results A total of 54 patients were included in the study. 21 of them (38.9%) received a proximal femoral nail whilst 33 (61.1%) were treated with hemiarthroplasty. Average age of the patients was 82.24 (min. 75-max. 97). Average age in Group 1 was 79.57 (min. 75-max. 91), whilst it was 83.94 in Group 2 (min. 75-max. 97). Harris Hip score analysis revealed that the difference between the patients treated with hemiarthroplasty and proximal femoral nailing was statistically significant in favour of the hemiarthroplasty group within the first 3 months. However, this difference diminished at the 6th month time point, and even reversed as of the 12th month postoperatively. Discussion and conclusions Although cases with hemiarthroplasty achieved a better level of activity in the beginning, cases with proximal femoral nailing reached a comparable level of activity within a short period of time, faster than those treated with hemiarthroplasty, displaying a better level of activity in the end. © 2015 Elsevier Ltd. All rights reserved.
dc.identifier.DOI-ID10.1016/j.injury.2015.05.024
dc.identifier.issn00201383
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16328
dc.language.isoEnglish
dc.publisherElsevier Ltd
dc.subjectActivities of Daily Living
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectFollow-Up Studies
dc.subjectFracture Fixation, Intramedullary
dc.subjectFracture Healing
dc.subjectHealth Services for the Aged
dc.subjectHemiarthroplasty
dc.subjectHip Fractures
dc.subjectHumans
dc.subjectOperative Time
dc.subjectProspective Studies
dc.subjectRange of Motion, Articular
dc.subjectTreatment Outcome
dc.subjectTurkey
dc.subjectaged
dc.subjectarthroplasty
dc.subjectArticle
dc.subjectcontrolled study
dc.subjectelderly care
dc.subjectfemale
dc.subjectfemur intertrochanteric fracture
dc.subjectfollow up
dc.subjectfracture reduction
dc.subjectHarris hip score
dc.subjecthuman
dc.subjectinformed consent
dc.subjectintramedullary nailing
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectosteosynthesis
dc.subjectpostoperative complication
dc.subjectpostoperative infection
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectrandomized controlled trial
dc.subjectvery elderly
dc.subjectdaily life activity
dc.subjectfracture healing
dc.subjecthemiarthroplasty
dc.subjectHip Fractures
dc.subjectjoint characteristics and functions
dc.subjectoperation duration
dc.subjectpathophysiology
dc.subjecttreatment outcome
dc.subjectTurkey
dc.titleIntertrochanteric femur fractures in the elderly treated with either proximal femur nailing or hemiarthroplasty: A prospective randomised clinical study
dc.typeArticle

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