A multicenter intertrochanteric fracture study in the elderly: Hemiarthroplasty versus proximal femoral nailing

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dc.authoridEKINCI, YAKUP/0000-0002-3190-0840
dc.authoridbatin, sabri/0000-0002-0078-5122
dc.contributor.authorEkinci, Yakup
dc.contributor.authorGurbuz, Kaan
dc.contributor.authorBatin, Sabri
dc.contributor.authorKahraman, Murat
dc.contributor.authorDogar, Fatih
dc.contributor.authorErten, Zeliha Kaya
dc.date.accessioned2025-02-24T17:19:09Z
dc.date.available2025-02-24T17:19:09Z
dc.date.issued2020
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü
dc.description29th Turkish National Congress of Orthopaedics and Traumatology -- OCT 22-27 -- 2019 -- Antalya -- TURKEY
dc.description.abstractObjectives: This study aims to compare the clinical and functional results of intertrochanteric femoral fractures treated with bipolar hemiarthroplasty (BHA) or proximal femoral nailing (PFN) in elderly patients. Patients and methods: This multicenter, prospectively followed-up, retrospectively compared cohort-type study included 308 patients (81 males, 227 females; mean age 78.4 +/- 7.2 years; range, 65 to 95 years) who were treated with BHA or PFN for intertrochanteric fractures by five orthopedic surgeons in four provinces and seven clinics between January 2014 and May 2018. Clinical follow-up was performed at third week, third and sixth months, and at the end of the first and second years. The American Society of Anesthesiologists for preoperative status, Singh index for bone quality, and Harris Hip Score (HHS) for functional outcomes were evaluated. Results: While 156 patients (38 males, 118 females; mean age 77.7 +/- 5.9) were treated with BHA, 152 patients (43 males, 109 females; mean age 79 +/- 6.1) were treated with PFN. While there was no significant difference between the two groups in terms of total HHS, a significant difference was found in the sub-parameters (p<0.001). Good and excellent results were found in 78.2% of BHA and 86.2% of PFN patients. Mortality rates were similar at the end of two years (14% and 13.6%, respectively). Conclusion: In general, clinical and functional outcomes of BHA and PFN are similar. The rates of pulmonary embolism and deep vein thrombosis are significantly higher in BHA. However, BHA is advantageous in terms of operation time and early weight bearing compared to PFN.
dc.identifier.doi10.5606/ehc.2020.72421
dc.identifier.endpage217
dc.identifier.issn2687-4784
dc.identifier.issn2687-4792
dc.identifier.issue2
dc.identifier.pmid32584716
dc.identifier.scopus2-s2.0-85089831673
dc.identifier.scopusqualityQ2
dc.identifier.startpage209
dc.identifier.trdizinid407643
dc.identifier.urihttps://doi.org/10.5606/ehc.2020.72421
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/407643
dc.identifier.urihttps://hdl.handle.net/20.500.14440/1030
dc.identifier.volume31
dc.identifier.wosWOS:000547420000001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Joint Diseases Foundation
dc.relation.ispartofJoint Diseases and Related Surgery
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250201
dc.subjectHarris Hip Score
dc.subjecthemiarthroplasty
dc.subjectintertrochanteric fracture
dc.subjectproximal femur nail
dc.titleA multicenter intertrochanteric fracture study in the elderly: Hemiarthroplasty versus proximal femoral nailing
dc.typeConference Object

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