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

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dc.authoridSelçuk, Engin Burak/0000-0001-8484-0223
dc.authoridKarakaplan, Mustafa/0000-0001-9035-0319
dc.authoridKorkmaz, Mehmet Fatih/0000-0001-7498-6763
dc.authoridErdem, Mehmet Nuri/0000-0001-7377-6393
dc.authorwosidSelçuk, Engin Burak/AAR-7556-2020
dc.authorwosidKarakaplan, Mustafa/IXN-3318-2023
dc.authorwosidKorkmaz, Mehmet Fatih/AAE-6018-2020
dc.authorwosidErdem, Mehmet Nuri/J-9767-2018
dc.contributor.authorKorkmaz, Mehmet Fatih
dc.contributor.authorErdem, Mehmet Nuri
dc.contributor.authorDisli, Zeliha
dc.contributor.authorSelcuk, Engin Burak
dc.contributor.authorKarakaplan, Mustafa
dc.contributor.authorGogus, Abdullah
dc.date.accessioned2024-08-04T20:38:07Z
dc.date.available2024-08-04T20:38:07Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: 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.en_US
dc.identifier.doi10.2147/CIA.S59835
dc.identifier.endpage574en_US
dc.identifier.issn1176-9092
dc.identifier.issn1178-1998
dc.identifier.pmid24729697en_US
dc.identifier.scopus2-s2.0-84897479937en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage569en_US
dc.identifier.urihttps://doi.org/10.2147/CIA.S59835
dc.identifier.urihttps://hdl.handle.net/11616/96393
dc.identifier.volume9en_US
dc.identifier.wosWOS:000333675900001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherDove Medical Press Ltden_US
dc.relation.ispartofClinical Interventions in Agingen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectASAen_US
dc.subjectfemoral fractureen_US
dc.subjectHarris scoreen_US
dc.subjectproximal femoral nailen_US
dc.titleOutcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive casesen_US
dc.typeArticleen_US

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