The treatment of intertrochanteric fractures comparison of PFN and hemiar-throplasty 3-year mortality study

Basit Öğe Kaydı
dc.contributor.authorGolge, Umut Hatay
dc.contributor.authorPazarci, Ozhan
dc.contributor.authorKilinc, Seyran
dc.contributor.authorNusran, Gurdal
dc.contributor.authorKaymaz, Burak
dc.contributor.authorGoksel, Ferdi
dc.contributor.authorKomurcu, Erkam
dc.date.accessioned2025-01-27T20:53:52Z
dc.date.available2025-01-27T20:53:52Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntertrochanteric fractures in elderly patients can increase mortality due to complications and negative functional results. The aim of this study is to retrospectively compare the follow-up and mortality rates among patients given a proximal femoral nail (PFN), the current routine treatment for these types of fractures, with those given hemiarthroplasty. The study retrospectively investigated 202 patients over the age of 60 who completed at least 3 years of follow-up after hemiarthroplasty or PFN for intertrochanteric fractures between 2007 and 2012. While 132 patients underwent cemented hemiarthroplasty, 70 had PFN. The monitoring duration for those with PFN surgery was 31.25 +/- 1.3 months while the duration of follow-up for those with hemiarthroplasty surgery was 20.0 +/- 1.2 months. At the end of 3 years of monitoring of the 202 patients, 99 were deceased. There was a statistically significant difference found in terms of patient life expectancy between those with PFN and those with hemiarthroplasty; Cox regression analysis identified that the mortality rate of those with hemiarthroplasty was 5.1 times greater. As a result, patients undergoing hemiarthroplasty should be carefully chosen and if possible, PFN should be preferred.
dc.identifier.endpage515
dc.identifier.issn0001-6462
dc.identifier.issue3
dc.identifier.pmid29119891
dc.identifier.startpage508
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25881
dc.identifier.volume82
dc.identifier.wosWOS:000388272200010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherActa Medica Belgica
dc.relation.ispartofActa Orthopaedica Belgica
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectProximal femoral nail (PFN)
dc.subjecthemiarthroplasty
dc.subjectmortality
dc.subjectintertrochanteric femoral fracture
dc.titleThe treatment of intertrochanteric fractures comparison of PFN and hemiar-throplasty 3-year mortality study
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu