Musculoskeletal Function and Quality of Life in Elderly Patients After a Subtrochanteric Femoral Fracture Treated With a Cephalomedullary Nail

Miedel, Ricard; Törnkvist, Hans; Ponzer, Sari; Söderqvist, Anita; Tidermark, Jan

doi:10.1097/bot.0b013e3181eaaf52

Cited by 32 publications

(28 citation statements)

References 32 publications

(28 reference statements)

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“…Our study showed that mean preoperative EQ-5D index scores of both groups were 0.61 and 0.62 respectively. These results were consistent with prior studies [34,35]. In sequential scheduled visits, at the 3 rd , 12 th and 24 th month postoperatively, EQ-5D index scores increased significantly in both groups, indicating an increase in life quality for the patients; however, the scores never reached the preoperative levels.…”

Section: Discussionsupporting

confidence: 91%

Quality of Life Following Treatment of Trochanteric Fractures with Proximal Femoral Nail versus Cementless Bipolar Hemiarthroplasty in Elderly

Desteli¹,

İmren²,

Erdoğan³

et al. 2015

CIM

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Purpose: There is currently no gold standard treatment for unstable intertrochanteric fractures of the elderly. Internal fixation and hemiarthroplasty are two common treatment methods but studies comparing the functional outcomes of these procedures in the elderly are limited. This study evaluates the functional outcomes of hip fracture patients treated either with internal fixation or hemiarthroplasty. Methods: Eighty-six elderly (>60 years) patients who presented with isolated, unstable intertrochanteric fractures between 2009 and 2013 were included in the study. According to the classification of Association for Osteosynthesis/Orthopaedic Trauma Association; 12 of the patients had a 31A1.3 fracture type, 36 of the patients had 31A2.2 and 19 had 31A2.3 fracture type, 12 had 31A3.1 and seven had 31A3.3 fracture. Forty-two of 86 hip patients (Group 1) were treated with intramedullary nailing and antirotator proximal femoral nail implant (TST, Turkey), and 44 (Group 2) were treated with cementless bipolar hemiarthroplasty. Preoperative social function (Jensen) score, EQ-5D index score and mobility (Palmer/Parker) scores were obtained. Five dimensions of EQ-5D were obtained at every follow-up visit until 24 months postoperative. Results: There was no statistically significant difference between two groups according to preoperative demographic variables, including mean age and sex and Jensen, Palmer/Parker,EQ-5D index, five dimensions of EQ-5D and American Society of Anesthesiologists scores. At end of 24 months follow-up, health-related quality of life had increased more in Group 1 and they reported better social functioning and mobility scores (p

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Section: Discussionsupporting

confidence: 91%

Quality of Life Following Treatment of Trochanteric Fractures with Proximal Femoral Nail versus Cementless Bipolar Hemiarthroplasty in Elderly

Desteli¹,

İmren²,

Erdoğan³

et al. 2015

CIM

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“…Moreover, this technique has been shown to be associated with the development of fat embolism and adult respiratory distress syndrome (ARDS), both of which can be fatal12). Therefore, special care should be taken to avoid fatal complications following surgical treatment for subtrochanteric fracture of the femur, especially in patients with multiple trauma including lung injury345).…”

Section: Introductionmentioning

confidence: 99%

Surgical Outcomes of Biologic Fixation for Subtrochanteric Fracture Using Locking Compression Plates

Jang

Ahn²,

Lee

et al. 2017

Hip & Pelvis

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PurposeThis study aimed to evaluate the surgical outcomes of biologic plating using locking compression plate-distal femur (LCP-DF) in patients with subtrochanteric fracture of the femur.Materials and MethodsBetween January 2010 and December 2013, 28 consecutive patients with subtrochanteric fractures of the femur, treated with biologic fixation using LCP-DF, were enrolled. Preoperative values, including patient age, sex, body mass index, fracture type, type of lung injury, and surgical timing from injury to surgery, were retrospectively evaluated. Radiologic assessments included time to union, coronal alignment, rotational alignment, and complications such as implant breakage and screw breakage. Adverse events, including postoperative fat embolism and adult respiratory distress syndrome, infection during the follow-up period, and walking ability at the last follow-up visit, were assessed.ResultsUnion was achieved in 27 patients (96.4%) after a mean duration of 5.4 months (range, 3-14 months). No patients developed fat embolism or adult respiratory distress syndrome during the hospitalization period of this study.ConclusionBiologic fixation using locking compression plates may represent a safe surgical option which can be utilized in patients with subtrochanteric fracture regardless of injury severity, surgical timing, fracture type, and presence of lung injury.

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“…Miedel et al [11] too, investigated and documented a statistically significant deterioration in quality of life between prefracture and the 12 months follow-up examination of 109 unstable pertrochanteric fractures treated with a GN. Comparable to the findings of 2005 [11] Miedel et al published a study with 53 patients treated with a LGN for subtrochanteric fractures showing worse outcomes in musculoskeletal function and quality of life after a 12 months follow-up [15]. …”

Section: Discussionmentioning

confidence: 90%

“…Due to this focus, patient based outcomes such as health related quality of life have been given less attention [10-15]. …”

Section: Introductionmentioning

confidence: 99%

Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients

Giessauf

Glehr

Bernhardt

et al. 2012

BMC Musculoskelet Disord

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BackgroundIntramedullary nailing of pertrochanteric femoral fractures has grown in popularity over the past 2 decades likely because this procedure is associated with a low risk for postoperative morbidity and a fast recovery of function. The evaluation of outcomes associated with pertrochanteric nailing has mainly been based on objective measures. The purpose of the present study is to correlate patients’ health-related quality of life results after intramedullary nailing of pertrochanteric fractures with objective outcome measures.MethodsWe conducted a single-center study including 62 patients (mean age 80 ± 10 years) with pertrochanteric fractures treated with a Gamma 3 Nail. Health related quality of life was measured using the Short Form-36. These results were compared to both US and Austrian age and sex-adjusted population norms. The objective outcome measures studied at one year postoperatively included Harris Hip Score, range of motion, leg length, body mass index, neck-shaft angle and grade of osteoarthritis.ResultsAccording to the Harris Hip Score 43 patients (67%) had excellent or good results. There was no significant difference in the average neck-shaft angle comparing affected hip to non-affected hip at 12 months postoperatively. The average osteoarthritis score, for both the injured and uninjured hip, did not differ significantly. We found significant differences between the bodily pain, social functioning and mental health subscales and two summary scores of the Short-Form 36 in comparison to Austrian population norms. Complication rate was 8%.ConclusionsThe results of this study confirm that intramedullary nailing with the use of a Gamma Nail is a safe treatment option for stable and unstable pertrochanteric fractures. Despite good functional and radiographic results we noticed a substantial fall off in patients’ quality of life up to 12 months after operation.

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Musculoskeletal Function and Quality of Life in Elderly Patients After a Subtrochanteric Femoral Fracture Treated With a Cephalomedullary Nail

Cited by 32 publications

References 32 publications

Quality of Life Following Treatment of Trochanteric Fractures with Proximal Femoral Nail versus Cementless Bipolar Hemiarthroplasty in Elderly

Quality of Life Following Treatment of Trochanteric Fractures with Proximal Femoral Nail versus Cementless Bipolar Hemiarthroplasty in Elderly

Surgical Outcomes of Biologic Fixation for Subtrochanteric Fracture Using Locking Compression Plates

Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients

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