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Reoperation rate, mortality and ambulatory ability after internal fixation versus hemiarthroplasty for unstable intertrochanteric fractures in elderly patients: a study on Korean Hip Fracture Registry

Kim, Jin-Woo ; Shon, Hyun-Chul ; Song, Sang-Heon ; Lee, Young-Kyun ; Koo, Kyung-Hoi ; Ha, Yong-Chan

Archives of orthopaedic and trauma surgery, 2020-11, Vol.140 (11), p.1611-1618 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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Título:
Reoperation rate, mortality and ambulatory ability after internal fixation versus hemiarthroplasty for unstable intertrochanteric fractures in elderly patients: a study on Korean Hip Fracture Registry
Autor: Kim, Jin-Woo ; Shon, Hyun-Chul ; Song, Sang-Heon ; Lee, Young-Kyun ; Koo, Kyung-Hoi ; Ha, Yong-Chan
Assuntos: Aged ; Anticoagulants ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - methods ; Fracture Fixation, Internal - mortality ; Fractures ; Hemiarthroplasty - adverse effects ; Hemiarthroplasty - methods ; Hemiarthroplasty - mortality ; Hip Fractures - mortality ; Hip Fractures - surgery ; Hospitals ; Humans ; Joint replacement surgery ; Medicine ; Medicine & Public Health ; Metabolism ; Mortality ; Orthopaedic Surgery ; Orthopedics ; Patients ; Registries ; Reoperation - statistics & numerical data ; Republic of Korea ; Trauma ; Treatment Outcome
É parte de: Archives of orthopaedic and trauma surgery, 2020-11, Vol.140 (11), p.1611-1618
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: Introduction The treatment of unstable intertrochanteric fracture in elderly patients is challenging and how to treat these patients remains controversial. The purposes of this study were to compare (1) reoperation rate, (2) mortality and (3) the postoperative change of walking ability between patients undergoing internal fixation (IF) and those undergoing bipolar hemiarthroplasty (HA) due to this type of fracture based on the data from the Korean Hip Fracture Registry. Materials and methods Between July 2014 and June 2016, we extracted 623 unstable intertrochanteric fractures (616 patients aged ≥ 65 years) according to the classification of the Association for the Study of Internal Fixation-American Orthopaedic Trauma Association. Among the 564 patients, 396 were treated with IF (IF group) and 168 with bipolar HA (HA group). We compared the reoperation rate and mortality between IF group and HA group. In patients, who were followed up more than 2 years after the surgery, we compared the postoperative change of walking activity from ambulatory outdoors (Koval’s grade 1, 2, 3) to housebound (Koval’s grade 4, 5, 6). Results The rate of reoperation was higher in the IF group (24/396, 6.1%) than in the HA (4/168, 2.4%) ( p = 0.046). At the final follow-up, 79 (35.7%) of the 221 IF patients became housebound, whereas 21 (23.3%) of the 90 HA patients became housebound ( p = 0.022). Conclusion This study showed HA was associated with lower rate of reoperation and lower decrement rate of walking ability compared to IF in elderly patients with unstable intertrochanteric fractures.
Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
Idioma: Inglês

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Reoperation rate, mortality and ambulatory ability after internal fixation versus hemiarthroplasty for unstable intertrochanteric fractures in elderly patients: a study on Korean Hip Fracture Registry

Kim, Jin-Woo ; Shon, Hyun-Chul ; Song, Sang-Heon ; Lee, Young-Kyun ; Koo, Kyung-Hoi ; Ha, Yong-Chan

Berlin/Heidelberg: Springer Berlin Heidelberg

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