High comorbidity index is not associated with high morbidity and mortality when employing constrained arthroplasty as a primary treatment for intertrochanteric fractures in elderly patients
- 94 Downloads
The aim of our study is to investigate the results of constrained total hip arthroplasty as a primary treatment of intertrochanteric fractures (ITF) in elderly patients with high comorbidities.
Materials and methods
Total hip replacement (THR) with a retentive cup was performed on 73 patients with ITF over the age of 54 years who had high comorbidities and a Charlson score above five. Short- and long-term complications were determined by follow-up. Bivariate analysis was conducted in order to determine the possible determinants of mortality and factors associated with comorbidity as measured by the Charlson comorbidities index.
Patient demographics that consisted of females (58.9%) (p < 0.04) with the mean age of both males and females demonstrated no statistical significance. The mean hospitalization time and weight bearing time were 11 and 2.67 days, respectively. Only 4.1% needed re-intervention due to re-fracture and none due to prosthesis failure. There was a statistical significance between the comorbidity index and the mortality rate. However, no statistical significance was identified between the comorbidity index and the functional status after constrained THR.
High comorbidity index is not associated with high morbidity and mortality when employing constrained arthroplasty as a primary treatment for ITF in elderly patients.
KeywordsTotal hip replacement Metallic implant X-ray Intertrochanteric fractures
Compliance with ethical standards
Conflict of interest
All authors declare that there is no financial, family or any other person related to them that have had any form of involvement in the study other than the authors stated. There are no financial, academic or clinical conflicts when this study was being developed, executed, reviewed, written and submitted to this journal.
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- 2.Ercin E, Bilgili MG, Sari C, Basaran SH, Tanriverdi B, Edipoglu E, Celen KM, Cetingok H, Kural C (2016) Risk factors for mortality in geriatric hip fractures: a compressional study of different surgical procedures in 785 consecutive patients. Eur J Orthop Surg Traumatol. https://doi.org/10.1007/s00590-016-1843-2 Google Scholar
- 8.Walia JPS, Sansanwal D, Walia SK, Singh S, Gupta AC (2011) Role of primary bipolar arthroplasty or total hip arthroplasty for the treatment of intertrochanteric fracture femur in elderly. Pb J Orthop 12(1):5–9Google Scholar
- 10.Hasankhani E, Omidi-Kashani F, Hajitaghi H, Hasankhani G (2014) How to treat the complex unstable intertrochanteric fractures in elderly patients? DHS or arthroplasty. Arch Bone Joint Surg 2(3):174–179Google Scholar
- 11.Avcı CC, Sağlam N, Saka G, Kurtulmuş T, Gülabi D, Bulut G (2016) Is internal fixation of the intertrochanteric fractures reliable option in patients with cognitive dysfunction? Acta Orthop Belg 82(1):1–11Google Scholar