Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures

Authors : Gokhan KARADEMIR, Yücel BİLGİN, Mehmet DEMİREL, Gökhan POLAT, Ali ERŞEN, Taha KIZILKURT, Mehmet BÜGET, Önder YAZICIOĞLU

Pages : 537-542

Doi:10.31067/acusaglik.1143274

View : 23 | Download : 7

Publication Date : 2022-10-01

Article Type : Research Paper

Abstract :Purpose: The aim of the study was to investigate mobility and quality of life in patients who underwent osteosynthesis with proximal femoral nail insert ignore into journalissuearticles values(PFN);, or arthroplasty for unstable intertrochanteric fractures. Methods: Treatment outcomes of 117 patients insert ignore into journalissuearticles values(76 Female/41 Male); who were treated with PFN insert ignore into journalissuearticles values(Group 1, n=66);, hemiarthroplasty insert ignore into journalissuearticles values(Group 2, n=42);, or total hip arthroplasty insert ignore into journalissuearticles values(Group 3, n=9); between 2008 and 2014 were retrospectively evaluated. The mobility of the patients was evaluated with the Palmer and Parker mobility score, and the quality of life was evaluated with the Barthel quality of life index. Results: The mean ages in the groups were 83.51 insert ignore into journalissuearticles values(range, 75-97); years, 84.72 insert ignore into journalissuearticles values(range, 75-109); years, and 83.37 insert ignore into journalissuearticles values(range, 75-94); years; respectively. The mean follow-up periods were 23.26 insert ignore into journalissuearticles values(range, 3-43.9); months, 19.24 insert ignore into journalissuearticles values(range, 3-38); months, and 20.1 insert ignore into journalissuearticles values(range, 3-40); months; respectively. There was no statistical difference between the 3 groups in terms of age and follow-up time insert ignore into journalissuearticles values(p>0.05);. Palmer-Parker mobility scores were 6.23 for Group 1, 3.68 for Group 2, and 4.22 for Group 3. Barthel Indexes were 68.73 for Group 1, 37.75 for Group 2, and 52.77 for Group 3. Group 1 had a statistically significantly higher Palmer-Parker mobility and Barthel Index score than Group 2 and Group 3 insert ignore into journalissuearticles values(p<0.001);. Conclusion: We concluded that osteosynthesis with PFN was more advantageous than hemiarthroplasty or total hip arthroplasty in terms of mobilization and quality of life in patients who were operated on for unstable intertrochanteric fracture.
Keywords : intertrochanteric fracture, proximal femoral nail, hemiarthroplasty, total arthroplasty, mobility, quality of life