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

Mehmet Fatih Korkmaz,1 Mehmet Nuri Erdem,2 Zeliha Disli,3 Engin Burak Selcuk,4 Mustafa Karakaplan,1 Abdullah Gogus5 1Department of Orthopedics and Traumatology, Inonu University School of Medicine, Malatya, Turkey; 2Department of Orthopedics and Traumatology, Nisantasi University School of Medicine,...

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Autores principales:	Korkmaz MF, Erdem MN, Disli Z, Selcuk EB, Karakaplan M, Gogus A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Femoral fracture Harris score implant outcome proximal femoral nail Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/2920d1dc373947c2a3f3d7b33960ccde
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spelling	oai:doaj.org-article:2920d1dc373947c2a3f3d7b33960ccde2021-12-02T03:00:58ZOutcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases1178-1998https://doaj.org/article/2920d1dc373947c2a3f3d7b33960ccde2014-04-01T00:00:00Zhttps://www.dovepress.com/outcomes-of-trochanteric-femoral-fractures-treated-with-proximal-femor-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Mehmet Fatih Korkmaz,1 Mehmet Nuri Erdem,2 Zeliha Disli,3 Engin Burak Selcuk,4 Mustafa Karakaplan,1 Abdullah Gogus5 1Department of Orthopedics and Traumatology, Inonu University School of Medicine, Malatya, Turkey; 2Department of Orthopedics and Traumatology, Nisantasi University School of Medicine, Istanbul, Turkey; 3Department of Anesthesiology, Malatya Government Hospital, Malatya, Turkey; 4Department of Family Medicine, Inonu University School of Medicine, Malatya, Turkey; 5Department of Orthopedics and Traumatology, Florence Nightingale Hospital, Istanbul, Turkey 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. Keywords: ASA, femoral fracture, Harris score, proximal femoral nailKorkmaz MFErdem MNDisli ZSelcuk EBKarakaplan MGogus ADove Medical PressarticleFemoral fractureHarris scoreimplantoutcomeproximal femoral nailGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 569-574 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Femoral fracture Harris score implant outcome proximal femoral nail Geriatrics RC952-954.6
spellingShingle	Femoral fracture Harris score implant outcome proximal femoral nail Geriatrics RC952-954.6 Korkmaz MF Erdem MN Disli Z Selcuk EB Karakaplan M Gogus A Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases
description	Mehmet Fatih Korkmaz,1 Mehmet Nuri Erdem,2 Zeliha Disli,3 Engin Burak Selcuk,4 Mustafa Karakaplan,1 Abdullah Gogus5 1Department of Orthopedics and Traumatology, Inonu University School of Medicine, Malatya, Turkey; 2Department of Orthopedics and Traumatology, Nisantasi University School of Medicine, Istanbul, Turkey; 3Department of Anesthesiology, Malatya Government Hospital, Malatya, Turkey; 4Department of Family Medicine, Inonu University School of Medicine, Malatya, Turkey; 5Department of Orthopedics and Traumatology, Florence Nightingale Hospital, Istanbul, Turkey 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. Keywords: ASA, femoral fracture, Harris score, proximal femoral nail
format	article
author	Korkmaz MF Erdem MN Disli Z Selcuk EB Karakaplan M Gogus A
author_facet	Korkmaz MF Erdem MN Disli Z Selcuk EB Karakaplan M Gogus A
author_sort	Korkmaz MF
title	Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases
title_short	Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases
title_full	Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases
title_fullStr	Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases
title_full_unstemmed	Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases
title_sort	outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/2920d1dc373947c2a3f3d7b33960ccde
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Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases

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