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

Gökhan KARADEMİR, (Acıbadem Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)
Yücel BİLGİN, (Bursa Uludağ Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Bursa, Türkiye)
Mehmet DEMİREL, (İstanbul Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)
Gökhan POLAT, (İstanbul Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)
Ali ERŞEN, (İstanbul Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)
Taha KIZILKURT, (İstanbul Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)
Mehmet BUGET, (İstanbul Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İstanbul, Türkiye)
Önder YAZICIOĞLU (İstanbul Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)
Acıbadem Üniversitesi Sağlık Bilimleri Dergisi
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Yıl: 2022 Cilt: 13 Sayı: 4 Sayfa Aralığı: 537 - 542 Metin Dili: İngilizce DOI: 10.31067/acusaglik.1143274 İndeks Tarihi: 06-10-2022

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

Öz:
Purpose: The aim of the study was to investigate mobility and quality of life in patients who underwent osteosynthesis with proximal femoral nail (PFN), or arthroplasty for unstable intertrochanteric fractures. Methods: Treatment outcomes of 117 patients (76 Female/41 Male) who were treated with PFN (Group 1, n=66), hemiarthroplasty (Group 2, n=42), or total hip arthroplasty (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 (range, 75-97) years, 84.72 (range, 75-109) years, and 83.37 (range, 75-94) years; respectively. The mean follow-up periods were 23.26 (range, 3-43.9) months, 19.24 (range, 3-38) months, and 20.1 (range, 3-40) months; respectively. There was no statistically significant difference between the 3 groups in terms of age and follow-up time (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 (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.
Anahtar Kelime: intertrochanteric fracture proximal femoral nail hemiarthroplasty total arthroplasty mobility quality of life

İnstabil İntertrokanterik Kırıklarda Tedavi Yönteminin Mobilite ve Yaşam Kalitesine Etkisi

Öz:
Amaç: Bu çalışmanın amacı instabil intertrokanterik kırıklarda proksimal femur çivisi (PFN) ile osteosentez veya artroplasti tedavilerinin mobilite ve yaşam kalitesini üzerine etkilerini araştırmaktı. Yöntem: 2008-2014 yılları arasında PFN (Grup 1, n=66), hemiartroplasti (Grup 2, n=42) veya total kalça artroplastisi (Grup 3, n=9) ile tedavi edilen 117 hastanın (76 Kadın/41 Erkek) tedavi sonuçları restrospektif olarak değerlendirildi. Hastaların mobiliteleri Palmer ve Parker mobilite skoru ile, yaşam kaliteleri Barthel yaşam kalitesi indeksi ile değerlendirildi. Bulgular: Grup 1, Grup 2 ve Grup 3’te ortalama yaşlar sırasıyla 83.51 (aralık, 75-97) yıl, 84.72 (aralık, 75-109) yıl ve 83.37 (aralık, 75-94) yıl idi. Ortalama takip süreleri sırasıyla 23.26 (aralık, 3-43.9) ay, 19.24 (aralık, 3-38) ay ve 20.1 (aralık, 3-40) ay idi. Her 3 grup arasında yaş ve takip süresi açısından istatistiksel anlamlı fark yoktu (p>0.05). Palmer-Parker mobilite skoru Grup 1 için 6.23, Grup 2 için 3.68 ve Grup 3 için 4.22 idi. Barthel indeksi Grup 1 için 68.73, Grup 2 için 37.75 ve Grup 3 için 52.77 idi. Grup 1, Grup 2 ve Grup 3’e kıyasla istatistiksel olarak anlamlı daha yüksek Palmer-Parker skoru ve Barthel indeksi değerine sahip idi (p<0.001). Sonuç: İnstabil intertrokanterik kırık nedeniyle opere edilen hastalarda PFN ile osteosentezin hemiartroplasti ve total kalça artroplastisine göre mobilizasyon ve yaşam kalitesi açısından daha avantajlı olduğu sonucuna varılmıştır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • [1]. B. Abrahamsen, T. Van Staa, R. Ariely, M. Olson, C. Cooper, “Excess mortality following hip fracture: a systematic epidemiological review”, Osteoporos Int, vol. 10, no.50, pp. 1633-1650, 2009. doi: 10.1007/s00198-009-0920-3
  • [2]. O. Johnell, J.A. Kanis, "An estimate of the worldwide prevalence and disability associated with osteoporotic fractures", Osteoporos Int, vol. 17, no. 12, pp. 1726-1733, 2006. doi: 10.1007/s00198-006-0172-4
  • [3]. M. Butler, M.L. Forte, S.B. Joglekar, MF Swiontkowski, RL Kane, “Evidence summary: systematic review of surgical treatments for geriatric hip fractures”, J Bone Joint Surg Am, vol. 93, no.12, pp. 1104-1115, 2011. doi: 10.2106/JBJS.J.00296
  • [4]. V.L. Tang, R. Sudore, I.S. Cenzer, W.J. Boscardin, A. Smith, C. Ritchie, M. Wallhagen, E. Finlayson, L. Petrillo, K. Covinsky, "Rates of recovery to pre-fracture function in older persons with hip fracture: an observational study", J Gen Intern Med, vol. 32, no. 2, pp. 153-158, 2017. doi: 10.1007/s11606-016-3848-2
  • [5]. G. Karademir, Y. Bilgin, A. Erşen, G. Polat, M.I. Buget, M. Demirel, H.I. Balcı, "Hip fractures in patients older than 75 years old: Retrospective analysis for prognostic factors", Int J Surg, vol. 24, part. A, pp. 101-104, 2015. doi: 10.1016/j.ijsu.2015.11.009
  • [6]. A. Karagiannis, E. Papakitsou, K. Dretakis, A. Galanos, P. Megas, E. Lambiris, G.P. Lyritis, "Mortality rates of patients with a hip fracture in a southwestern district of Greece: ten-year follow-up with reference to the type of fracture", Calcif Tissue Int, vol. 78, no.2, pp. 72-77, 2006. doi: 10.1007/s00223-005-0169-6
  • [7]. N. Fukui, Y. Watanabe, T. Nakano, T. Sawaguchi, T. Matsushita, "Predictors for ambulatory ability and the change in ADL after hip fracture in patients with different levels of mobility before injury: a 1-year prospective cohort study", J Orthop Trauma, vol. 26, no. 3, pp. 163-171, 2012. doi: 10.1097/BOT.0b013e31821e1261
  • [8]. K.J. Koval, M.L. Skovron, G.B. Aharonoff, S.E. Meadows, J.D. Zuckerman, "Ambulatory ability after hip fracture. A prospective study in geriatric patients", Clin Orthop Relat Res, vol. 310, no. 1, pp. 150-159, 1995.
  • [9]. E.E. Desteli, Y. İmren, M. Erdoğan, Ö. Aydagün, "Quality of life following treatment of trochanteric fractures with proximal femoral nail versus cementless bipolar hemiarthroplasty in elderly", Clin Invest Med, vol. 38, no.2, pp. 63-72, 2015.
  • [10]. M.J. Parker, C.R. Palmer, “A new mobility score for predicting mortality after hip fracture”, J Bone Joint Surg Br, vol. 75, no. 5, pp. 797-798, 1993.
  • [11]. F.I. Mahoney, D.W. Barthel, “Functional evaluation: the Barthel Index”, Md State Med J, vol. 14, no.1, pp. 61–65, 1965.
  • [12]. G.Holt, R. Smith, K. Duncan, D.F. Finlayson, A. Gregori, "Early mortality after surgical fixation of hip fractures in the elderly: an analysis of data from the scottish hip fracture audit", J Bone Joint Surg Br, vol. 90, no.10, pp. 1357-1363, 2008. doi: 10.1302/0301-620X.90B10.21328
  • [13]. G. Holt G, R. Smith, K. Duncan, J.D. Hutchison, A. Gregori, D. Reid, "Outcome after sequential hip fracture in the elderly", J Bone Joint Surg Am, vol. 94, no. 19, pp. 1801-1808, 2012. doi: 10.2106/JBJS.J.01539
  • [14]. M.A. Fernandez, X.L. Griffin, M.L. Costa, "Management of hip fracture", Br Med Bull, vol. 115, no. 1, pp. 165-172, 2015. doi: 10.1093/bmb/ldv036
  • [15]. M. Butler , M.L. Forte, S.B. Joglekar, MF Swiontkowski, RL Kane, “Evidence summary: systematic review of surgical treatments for geriatric hip fractures”, J Bone Joint Surg Am, vol. 93, no.12, pp. 1104-1115, 2011. doi: 10.2106/JBJS.J.00296
  • [16]. E.M. Evans, "The treatment of trochanteric fractures of the femur", J Bone Joint Surg Br, vol.31, no.1, pp. 190-203, 1949.
  • [17]. M.J. Parker, H.H. Handoll, "Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults", Cochrane Database Syst Rev, vol.9, no. CD000093, 2010. doi: 10.1002/14651858.CD000093.pub5
  • [18]. M. Bertram, R. Norman, L. Kemp, T. Vos, "Review of the long-term disability associated with hip fractures", Inj Prev, vol. 17, no.6, pp. 365-370, 2011. doi: 10.1136/ip.2010.029579
  • [19]. R.U. Haq, V. Manhas, A. Pankaj, A. Srivastava, I.K. Dhammi, A.K. Jain, "Proximal femoral nails compared with reverse distal femoral locking plates in intertrochanteric fractures with a compromised lateral wall; a randomised controlled trial", Int Orthop, vol.38, no.7, pp. 1443-1449, 2014. doi: 10.1007/s00264-014-2306-1
  • [20]. G. Okcu, N. Ozkayin, C. Okta, I. Topcu, K. Aktuglu, "Which implant is better for treating reverse obliquity fractures of the proximal femur: a standard or long nail?", Clin Orthop Relat Res, vol. 471, no. 9, pp. 2768-2775, 2013. doi: 10.1007/s11999-013-2948-0
  • [21]. M. Di Monaco, F. Vallero, R. Di Monaco, R. Tappero, A. Cavanna, "Hip-fracture type does not affect the functional outcome after acute in-patient rehabilitation: a study of 684 elderly women", Eura Medicophys, vol. 43, no. 4, pp. 439-444, 2007.
  • [22]. D.T. Wade, C. Collin, "The Barthel ADL Index: a standard measure of physical disability?", Int Disabil Stud, vol.10, no. 2, pp. 64-67, 1988.
  • [23]. C. Collin, D.T. Wade, S. Davies, V. Horne, "The Barthel ADL Index: a reliability study", Int Disabil Stud, vol. 10, no. 2, pp. 61-63, 1988.
  • [24]. R. Cornwall, M.S. Gilbert, K.J. Koval, E. Strauss, A.L. Siu, "Functional outcomes and mortality vary among different types of hip fractures: a function of patient characteristics", Clin Orthop Relat Res, vol. 425, no.1, pp. 64-71, 2004.
  • [25]. M. Mariconda, G.G. Costa, S. Cerbasi, P. Recano, G. Orabona, M. Gambacorta, M. Misasi, "Factors Predicting Mobility and the Change in Activities of Daily Living After Hip Fracture: A 1-Year Prospective Cohort Study", J Orthop Trauma, vol. 30. no.2, pp. 71-77, 2016. doi: 10.1097/BOT.0000000000000448
APA Karademir G, bilgin y, demirel m, Polat G, Ersen A, Kızılkurt T, Buget M, Yazicioglu O (2022). Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. , 537 - 542. 10.31067/acusaglik.1143274
Chicago Karademir Gokhan,bilgin yücel,demirel mehmet,Polat Gökhan,Ersen Ali,Kızılkurt Taha,Buget Mehmet I.,Yazicioglu Onder Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. (2022): 537 - 542. 10.31067/acusaglik.1143274
MLA Karademir Gokhan,bilgin yücel,demirel mehmet,Polat Gökhan,Ersen Ali,Kızılkurt Taha,Buget Mehmet I.,Yazicioglu Onder Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. , 2022, ss.537 - 542. 10.31067/acusaglik.1143274
AMA Karademir G,bilgin y,demirel m,Polat G,Ersen A,Kızılkurt T,Buget M,Yazicioglu O Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. . 2022; 537 - 542. 10.31067/acusaglik.1143274
Vancouver Karademir G,bilgin y,demirel m,Polat G,Ersen A,Kızılkurt T,Buget M,Yazicioglu O Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. . 2022; 537 - 542. 10.31067/acusaglik.1143274
IEEE Karademir G,bilgin y,demirel m,Polat G,Ersen A,Kızılkurt T,Buget M,Yazicioglu O "Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures." , ss.537 - 542, 2022. 10.31067/acusaglik.1143274
ISNAD Karademir, Gokhan vd. "Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures". (2022), 537-542. https://doi.org/10.31067/acusaglik.1143274
APA Karademir G, bilgin y, demirel m, Polat G, Ersen A, Kızılkurt T, Buget M, Yazicioglu O (2022). Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13(4), 537 - 542. 10.31067/acusaglik.1143274
Chicago Karademir Gokhan,bilgin yücel,demirel mehmet,Polat Gökhan,Ersen Ali,Kızılkurt Taha,Buget Mehmet I.,Yazicioglu Onder Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13, no.4 (2022): 537 - 542. 10.31067/acusaglik.1143274
MLA Karademir Gokhan,bilgin yücel,demirel mehmet,Polat Gökhan,Ersen Ali,Kızılkurt Taha,Buget Mehmet I.,Yazicioglu Onder Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol.13, no.4, 2022, ss.537 - 542. 10.31067/acusaglik.1143274
AMA Karademir G,bilgin y,demirel m,Polat G,Ersen A,Kızılkurt T,Buget M,Yazicioglu O Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(4): 537 - 542. 10.31067/acusaglik.1143274
Vancouver Karademir G,bilgin y,demirel m,Polat G,Ersen A,Kızılkurt T,Buget M,Yazicioglu O Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(4): 537 - 542. 10.31067/acusaglik.1143274
IEEE Karademir G,bilgin y,demirel m,Polat G,Ersen A,Kızılkurt T,Buget M,Yazicioglu O "Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures." Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13, ss.537 - 542, 2022. 10.31067/acusaglik.1143274
ISNAD Karademir, Gokhan vd. "Effect of Treatment Modality on Mobility and Quality of Life in Unstable Intertrochanteric Fractures". Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13/4 (2022), 537-542. https://doi.org/10.31067/acusaglik.1143274
Sayfa Oluşturulma Tarihi
27-04-2024 11:37

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