Outcome of unstable pertrochanteric fractures in high-risk geriatric treated with external fixators

Abstract

Background: To review the outcome of high-risk geriatrics with unstable pertrochanteric fractures treated with external xator. Methods: Eighteen consecutive patients with pertrochanteric fractures were operated with external xator by using closed reduction technique. AO type (A2. 2, A2.3, A3.1, A.3.2 and A.3.3)) fractures were included in the study. Accompanying diseases, operating time, transfused blood units, duration of hospitalization, complications, healing time and mortality were recorded. Patients were followed clinically and radiologically for two years at least. The Harris Hip Score was used to document hip function at each regular follow-up.Results: Fifteen patients with average age of 71.5 years were available for nal evaluation. The mean operating time was 41.1 min and union was achieved in all cases with an average time of 16 weeks. The mean Harris Hip Score at one, three, six, twelve and twenty-four month postoperatively was 42.

Percutaneous Fixation of Trochanteric Fracture Femur by External Fixator In High Risk Patients

“…According to recent trials on external fixation devices, there was no long-term knee stiffness after 12 months. 16,17,21,22 Our last follow-up found that the hip's range of motion was normal.…”

“…Our research found that the average time of stay in the hospital was 1.80±0.95 days, which is much less than the average time recorded in published studies. 16,17,18 .The short amount of time that patients spend at the hospital before being operated on in this research. All of these factors, including the quickness of the surgery and the early postoperative mobility, led to the patient being discharged from the hospital earlier, recovering quicker, suffering fewer complications and deaths, and spending less money on care overall.…”