Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems

GÖRMELİ, Gökay; arslan, aydin; ŞİMŞEK, Sezai Aykın; GÖRMELİ, Cemile Ayşe; ADANAS, Cihan; KARATAŞ, Turgay

Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems

Gökay GÖRMELİ, (İnönü Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Malatya, Türkiye)

Mehmet Fatih KORKMAZ, (İnönü Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Malatya, Türkiye)

Cemile AYŞE GÖRMELİ, (İnönü Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Malatya, Türkiye)

Cihan ADANAS, (Van Bölge Eğitim Araştırma Hastanesi, Ortopedi Kliniği Van, Türkiye)

Turgay KARATAŞ, (Malatya Askeri Hastanesi, Malatya, Türkiye)

Sezai Aykın ŞİMŞEK (VKV Amerikan Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2015 Cilt: 21 Sayı: 6 Sayfa Aralığı: 503 - 508 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems

Öz:

BACKGROUND: The aim of this study was to compare the outcomes of intertrochanteric femur fractures treated with proximal femoral nail (PFN) and bipolar hemiarthroplasty (BPH) in elderly patients.METHODS: A total of one hundred and forty-three patients with intertrochanteric femur fractures treated surgically between January 2008 and January 2012 were included into the study. Patient demographics, 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) classification system scores; type of surgical procedure (BPH or PFN), operative details, complications and follow-up scores (Harris Hip Score [HHS]; Mean Mobility Score [MMS]) were recorded.RESULTS: The preoperative characteristics of the patients in both PFN and BPH groups were similar. BPH had higher operation times, blood loss in operation and mortality rates (p<0.005). Reoperation times were higher in PFN group (p<0.005). There were no differences with regard to the HHS and the reduction in MMS at the last follow-up with a 30.4 (10.9) months follow-up (p>0.05).CONCLUSION: Although both PFN and BPH had satisfactory outcomes in surgically treated patients with intertrochanteric femur fractures, we recommend intertrochanteric femur fractures in the elderly tobe treated with PFN; which is an effective and appropriate treatment modality with less surgery related trauma and lower mortality rates

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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Femur intertrokanterik kırıklarının tedavisinde proksimal femur çivisi
ve hemiartroplasti sistemlerinin karşılaştırılması
Dr. Gökay Görmeli,1 Dr. Mehmet Fatih Korkmaz,1 Dr. Cemile Ayşe Görmeli,2
Dr. Cihan Adanaş,3 Dr. Turgay Karataş,4 Dr. Sezai Aykın Şimşek5
İnönü Üniversitesi Tıp Fakültesi, Turgut Özal Tıp Merkezi, Ortopedi ve Travmatoloji Anabilim Dalı, Malatya
İnönü Üniversitesi Tıp Fakültesi, Turgut Özal Tıp Merkezi, Radyoloji Anabilim Dalı; Malatya
Van Bölge Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Van
Malatya Devlet Hastanesi, Genel Cerrahi Kliniği, Malatya
American Hospital, Ortopedi ve Travmatoloji Kliniği, İstanbul
AMAÇ: Çalışmamızın amacı intertrokanterik femur kırığı olan yaşlı hastalarda proksimal femur çivisi (PFÇ) ve bipolar hemiartroplasti (BPH) ile
tedavinin sonuçlarını karşılaştırmaktı.
GEREÇ VE YÖNTEM: Çalışmaya Ocak 2008-Ocak 2012 arasında femur intertrokanterik kırığı nedeni ile tedavi edilen 143 hasta dahil edildi. Hasta
ların demografik verileri; AO/ASIF (Association for Osteosynthesis/Association for the Study of Internal Fixation) sınıflamasına göre kırık tipi; ASA
(American Society of Anesthesiologists) skorları; cerrahi yöntem (PFÇ veya BPH); cerrahinin detayları; komplikasyonlar ve takip sonuçları (Harris
Kalça Skoru, Ortalama Hareketlilik Skoru) kaydedildi.
BULGULAR: Cerrahi öncesi veriler PFÇ ve BPH grubunda benzerdi. Bipolar hemiartroplasti grubunda cerrahi süresi daha uzun; cerrahi sırasındaki
kan kaybı ve mortalite oranları daha yüksekti (p_____0.005). 30.4 (10.9) aylık takip sonucunda Ortalama Hareketlilik Skoru'ndaki azalma ve Harris Kalça
Skoru'nda anlamlı fark yoktu (p>0.05).
TARTIŞMA: Cerrahi tedavi uygulanan femur intertrokanterik kırıklı yaşlı hastalarda PFÇ ve BPH sonuçlarının her ikisi de tatmin edici olsada; daha
az cerrahi ile ilişkili travma ve düşük mortalite oranları ile PFÇ'nin bu hastalarda daha etkili ve uygun tedavi yöntemi olarak tercih edilebileceğini düşünmekteyiz.
Anahtar sözcükler: Bipolar hemiartroplasti; femur intertokanterik kırığı; Harris kalça skoru; mortalite; proksimal femur çivisi.
Ulus Travma Acil Cerrahi Derg 2015;21(6):503-508 doi: 10.5505/tjtes.2015.96166

APA	GÖRMELİ G, arslan a, GÖRMELİ C, ADANAS C, KARATAŞ T, ŞİMŞEK S (2015). Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. , 503 - 508.
Chicago	GÖRMELİ Gökay,arslan aydin,GÖRMELİ Cemile Ayşe,ADANAS Cihan,KARATAŞ Turgay,ŞİMŞEK Sezai Aykın Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. (2015): 503 - 508.
MLA	GÖRMELİ Gökay,arslan aydin,GÖRMELİ Cemile Ayşe,ADANAS Cihan,KARATAŞ Turgay,ŞİMŞEK Sezai Aykın Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. , 2015, ss.503 - 508.
AMA	GÖRMELİ G,arslan a,GÖRMELİ C,ADANAS C,KARATAŞ T,ŞİMŞEK S Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. . 2015; 503 - 508.
Vancouver	GÖRMELİ G,arslan a,GÖRMELİ C,ADANAS C,KARATAŞ T,ŞİMŞEK S Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. . 2015; 503 - 508.
IEEE	GÖRMELİ G,arslan a,GÖRMELİ C,ADANAS C,KARATAŞ T,ŞİMŞEK S "Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems." , ss.503 - 508, 2015.
ISNAD	GÖRMELİ, Gökay vd. "Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems". (2015), 503-508.

APA	GÖRMELİ G, arslan a, GÖRMELİ C, ADANAS C, KARATAŞ T, ŞİMŞEK S (2015). Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. Ulusal Travma ve Acil Cerrahi Dergisi, 21(6), 503 - 508.
Chicago	GÖRMELİ Gökay,arslan aydin,GÖRMELİ Cemile Ayşe,ADANAS Cihan,KARATAŞ Turgay,ŞİMŞEK Sezai Aykın Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. Ulusal Travma ve Acil Cerrahi Dergisi 21, no.6 (2015): 503 - 508.
MLA	GÖRMELİ Gökay,arslan aydin,GÖRMELİ Cemile Ayşe,ADANAS Cihan,KARATAŞ Turgay,ŞİMŞEK Sezai Aykın Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. Ulusal Travma ve Acil Cerrahi Dergisi, vol.21, no.6, 2015, ss.503 - 508.
AMA	GÖRMELİ G,arslan a,GÖRMELİ C,ADANAS C,KARATAŞ T,ŞİMŞEK S Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. Ulusal Travma ve Acil Cerrahi Dergisi. 2015; 21(6): 503 - 508.
Vancouver	GÖRMELİ G,arslan a,GÖRMELİ C,ADANAS C,KARATAŞ T,ŞİMŞEK S Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems. Ulusal Travma ve Acil Cerrahi Dergisi. 2015; 21(6): 503 - 508.
IEEE	GÖRMELİ G,arslan a,GÖRMELİ C,ADANAS C,KARATAŞ T,ŞİMŞEK S "Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems." Ulusal Travma ve Acil Cerrahi Dergisi, 21, ss.503 - 508, 2015.
ISNAD	GÖRMELİ, Gökay vd. "Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems". Ulusal Travma ve Acil Cerrahi Dergisi 21/6 (2015), 503-508.