How did the treatment modalities effect the kinesiophobia for the treatment of unstable intertrochanteric fractures? Retrospective clinical trial.

Authors : Kerim ÖNER, Ahmet Emre PAKSOY

Pages : 144-149

View : 13 | Download : 6

Publication Date : 2021-09-15

Article Type : Research Paper

Abstract :ABSTRACT How did the treatment modalities effect the kinesiophobia for the treatment of unstable intertrochanteric fractures? Retrospective clinical trial. Objectives: Kinesiophobia is the fear of pain and re-injury resulting from movement. It may occure after surgery and affect functional outcomes and patient comfort. In this study, we compared fixation with proximal femoral nail antirotation insert ignore into journalissuearticles values(PFNA); and hemiarthroplasty, which are two essential methods in treating geriatric unstable intertrochanteric femur fractures, by performing functional evaluation and kinesiophobia measurement. Patients and Methods: Patients who were treated with PFNA or hemiarthroplasty for AO 31A2 hip fracture in our clinic between January 2017 and May 2019 were retrospectively evaluated. A total of 72 patients insert ignore into journalissuearticles values(age range 60-89, mean age 75.2 ± 7.7 years); with at least 1 year follow-up were included in the study. Functional evaluation of the patients was done with the Harris Hip Score insert ignore into journalissuearticles values(HHS);, pain evaluation was performed with the Numerical Rating Scale insert ignore into journalissuearticles values(NRS);, and the kinesiophobia measurement was carried out with the Tampa Scale insert ignore into journalissuearticles values(TSK);. Results: The mean TSK scores in the PFNA and hemiarthroplasty groups were 47.9±4.9 insert ignore into journalissuearticles values(95% CI 46.4-49.5); and 51.7±5.7 insert ignore into journalissuearticles values(95% CI 49.6-53.4);, respectively insert ignore into journalissuearticles values(p<0.05);. On the other hand, while the mean HHS was 89.1±3.7 insert ignore into journalissuearticles values(95% CI 87.2-90.3); in the PFNA group, it was 86.2±4.1 insert ignore into journalissuearticles values(95% CI 84.8-87.6); in the hemiarthroplasty group insert ignore into journalissuearticles values(p<0.05);. The NRS score was 2.81±2.62 in the PFNA group and 3.11±2.81 in the hemiarthroplasty group insert ignore into journalissuearticles values(p=0.672);. There was no correlation between age and TSK, NRS, or HHS scores insert ignore into journalissuearticles values(p=0.316);. However, a significant negative correlation was observed between the HHS and TSK scores insert ignore into journalissuearticles values(r=-0.77, p<0.01);. Conclusion: Although hemiarthroplasty allows for early mobilization in geriatric unstable intertrochanteric femur fractures, it is associated with higher kinesiophobia levels. Compared to a hemiarthroplasty, fixation with PFNA is more advantageous regarding functional outcomes and kinesiophobia. Level of evidence: 4, Case-series insert ignore into journalissuearticles values(and poor-quality cohort and case-control studies);
Keywords : ıntertrochanteric fractures, Hemiarthroplasty, Kinesiophobia and PFNA, Pain