Mechanical failures after fixation with proximal femoral nail and risk factors

Şemmi Koyuncu,1 Taşkın Altay,2 Cemil Kayalı,2 Fırat Ozan,3 Kamil Yamak2 1Department of Orthopedics and Traumatology, Bayburt State Hospital, Bayburt, 2Department of Orthopedics and Traumatology, İzmir Bozyaka Training and Research Hospital, İzmir, 3Department of Orthopedics and Traumatology, Kayser...

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Autores principales:	Koyuncu S, Altay T, Kayalı C, Ozan F, Yamak K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Trochanteric hip fracture proximal femoral nail fracture reduction complications risk factors intramedullary nail Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/186e7b6fdcdb460487f8fada90011d70
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spelling	oai:doaj.org-article:186e7b6fdcdb460487f8fada90011d702021-12-02T01:00:58ZMechanical failures after fixation with proximal femoral nail and risk factors1178-1998https://doaj.org/article/186e7b6fdcdb460487f8fada90011d702015-12-01T00:00:00Zhttps://www.dovepress.com/mechanical-failures-after-fixation-with-proximal-femoral-nail-and-risk-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Şemmi Koyuncu,1 Taşkın Altay,2 Cemil Kayalı,2 Fırat Ozan,3 Kamil Yamak2 1Department of Orthopedics and Traumatology, Bayburt State Hospital, Bayburt, 2Department of Orthopedics and Traumatology, İzmir Bozyaka Training and Research Hospital, İzmir, 3Department of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Kayseri, Turkey Background: This study aims at assessing the clinical results, radiographic findings, and associated complications after osteosynthesis of trochanteric hip fractures with proximal femoral nail (PFN).Methods: A total of 152 patients with hip fractures who underwent osteosynthesis with PFN were included. The hip fracture types in the patients included in the study were classified according to the American Orthopedic/Orthopedic Trauma Association (AO/OTA). AO/OTA A1, A2, and A3 type fractures were found in 24 (15.8%), 107 (70.4%), and 21 (13.8%) patients, respectively. The Baumgaertner scale was used to assess the degree of postoperative reduction. The Salvati–Wilson hip function (SWS) scoring system was used to evaluate functional results. After a follow-up period, clinical and radiographic results were evaluated and complications were assessed. The relationship between the complications and SWS score, age, sex, fracture type, reduction quality, and time from the fracture to surgery was evaluated.Results: Eighty-five (55.9%) female patients and 67 (44.1%) male patients were enrolled in the study. Seventy-nine (51.9%) patients had left hip fractures, and 73 (48.1%) had right hip fractures. The mean age was 76 (range 21–93) years, and the mean follow-up duration was 23.6 (range 7–49) months. Postoperatively, one patient (0.6%) had a poor reduction, 16 patients (10.5%) had an acceptable reduction, and 135 patients (88.9%) had a good reduction according to the above criteria. The SWS scores were excellent, good, moderate, and poor in 91 (59.8%), 45 (29.6%), 15 (9.8%), and one (0.6%) patients, respectively. Late postoperative complications were seen in 27 patients (17.7%). A total of 14 patients (9.2%) underwent a revision procedure for mechanical complications.Conclusion: The study results suggest that the quality of fracture reduction is an important factor that affects the revision rate and SWS score in patients with mechanical complications after osteosynthesis with PFN for trochanteric fractures. Keywords: trochanteric hip fracture, proximal femoral nail, fracture reduction, complications, risk factors, intramedullary nailKoyuncu SAltay TKayalı COzan FYamak KDove Medical PressarticleTrochanteric hip fractureproximal femoral nailfracture reductioncomplicationsrisk factorsintramedullary nailGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1959-1965 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Trochanteric hip fracture proximal femoral nail fracture reduction complications risk factors intramedullary nail Geriatrics RC952-954.6
spellingShingle	Trochanteric hip fracture proximal femoral nail fracture reduction complications risk factors intramedullary nail Geriatrics RC952-954.6 Koyuncu S Altay T Kayalı C Ozan F Yamak K Mechanical failures after fixation with proximal femoral nail and risk factors
description	Şemmi Koyuncu,1 Taşkın Altay,2 Cemil Kayalı,2 Fırat Ozan,3 Kamil Yamak2 1Department of Orthopedics and Traumatology, Bayburt State Hospital, Bayburt, 2Department of Orthopedics and Traumatology, İzmir Bozyaka Training and Research Hospital, İzmir, 3Department of Orthopedics and Traumatology, Kayseri Training and Research Hospital, Kayseri, Turkey Background: This study aims at assessing the clinical results, radiographic findings, and associated complications after osteosynthesis of trochanteric hip fractures with proximal femoral nail (PFN).Methods: A total of 152 patients with hip fractures who underwent osteosynthesis with PFN were included. The hip fracture types in the patients included in the study were classified according to the American Orthopedic/Orthopedic Trauma Association (AO/OTA). AO/OTA A1, A2, and A3 type fractures were found in 24 (15.8%), 107 (70.4%), and 21 (13.8%) patients, respectively. The Baumgaertner scale was used to assess the degree of postoperative reduction. The Salvati–Wilson hip function (SWS) scoring system was used to evaluate functional results. After a follow-up period, clinical and radiographic results were evaluated and complications were assessed. The relationship between the complications and SWS score, age, sex, fracture type, reduction quality, and time from the fracture to surgery was evaluated.Results: Eighty-five (55.9%) female patients and 67 (44.1%) male patients were enrolled in the study. Seventy-nine (51.9%) patients had left hip fractures, and 73 (48.1%) had right hip fractures. The mean age was 76 (range 21–93) years, and the mean follow-up duration was 23.6 (range 7–49) months. Postoperatively, one patient (0.6%) had a poor reduction, 16 patients (10.5%) had an acceptable reduction, and 135 patients (88.9%) had a good reduction according to the above criteria. The SWS scores were excellent, good, moderate, and poor in 91 (59.8%), 45 (29.6%), 15 (9.8%), and one (0.6%) patients, respectively. Late postoperative complications were seen in 27 patients (17.7%). A total of 14 patients (9.2%) underwent a revision procedure for mechanical complications.Conclusion: The study results suggest that the quality of fracture reduction is an important factor that affects the revision rate and SWS score in patients with mechanical complications after osteosynthesis with PFN for trochanteric fractures. Keywords: trochanteric hip fracture, proximal femoral nail, fracture reduction, complications, risk factors, intramedullary nail
format	article
author	Koyuncu S Altay T Kayalı C Ozan F Yamak K
author_facet	Koyuncu S Altay T Kayalı C Ozan F Yamak K
author_sort	Koyuncu S
title	Mechanical failures after fixation with proximal femoral nail and risk factors
title_short	Mechanical failures after fixation with proximal femoral nail and risk factors
title_full	Mechanical failures after fixation with proximal femoral nail and risk factors
title_fullStr	Mechanical failures after fixation with proximal femoral nail and risk factors
title_full_unstemmed	Mechanical failures after fixation with proximal femoral nail and risk factors
title_sort	mechanical failures after fixation with proximal femoral nail and risk factors
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/186e7b6fdcdb460487f8fada90011d70
work_keys_str_mv	AT koyuncus mechanicalfailuresafterfixationwithproximalfemoralnailandriskfactors AT altayt mechanicalfailuresafterfixationwithproximalfemoralnailandriskfactors AT kayalıc mechanicalfailuresafterfixationwithproximalfemoralnailandriskfactors AT ozanf mechanicalfailuresafterfixationwithproximalfemoralnailandriskfactors AT yamakk mechanicalfailuresafterfixationwithproximalfemoralnailandriskfactors
_version_	1718403366611058688

Mechanical failures after fixation with proximal femoral nail and risk factors

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