بررسي نتايج درمان جراحي شكستگي اينترتروكانتريك هيپ

Outcome of Surgical Fixation of Intertrochanteric Hip Fracture

Background: Intetrochanteric hip fracture commonly affects over 70 years old people. While the best acceptable treatment is early fixation, the complication rate is fairly high because of patientsʹ older age and associated age-related comorbidities. We would like to report our experience with the outcome of fixation of such fractures in our locality. Methods: In a descriptive study all the intertrochanteric fractures treated with compression screw-plate system during a 2 year period in two hospitals of Ahwaz were studied. 84 patients with mean age of 73.4 (range of 59 to 98 years) were assessed. 34 (40.5%) male and 50 (59.5%) female constituted the study group. Patients with a minimum of one year follow-up were evaluated. Results: The complications consisted of 8 (9.5%) varus, 8 (9.5%) shortening, 4 (4.7%) fixation "cut-out", 1 (1.1%) AVN, 13 (15.4%) wound infection and 2 (2.3%) non-union, 9 (10.7%) mortality in 24 weeks. 10 (11.9%) underwent reoperation and re-fixation. The average time to returning to pre-fracture activity was 5 months. Conclusion: Complication rate is relatively high in intetrochanteric hip fractures even after screw-plate fixation. Except for high infection rate, in our series, the overall results are similar to the other reports in the literature.