Proximal Femoral Fracture
Conditions
Keywords
femoral neck fracture, pertrochanteric femoral fracture, risk factor for proximal femoral fracture
Brief summary
Proximal femoral fractures are a typical pathology in elderly patients after a low-energy trauma. This study analyses preexisting risk factors for proximal femoral fractures as well as for failing to reach the previous functional level, difference in outcome between patients with femoral neck fracture compared to those with pertrochanteric fracture, surgical performance and its significance for the functional outcome, as well as the impact of proximal femoral fractures on patients' one-year independence.
Interventions
PROCEDUREsurgery for pertrochanteric femoral fracture
surgical treatment for proximal femoral fracture with intramedullary nail type Gamma® Nail or similar in case of pertrochanteric fractures
PROCEDUREsurgery for femoral neck fracture
surgical treatment for proximal femoral fracture with a partial hip arthroplasty in case of femoral neck fractures
Sponsors
University Hospital, Basel, Switzerland
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* surgery with intramedullary nail type Gamma® Nail or similar in case of pertrochanteric fractures or * with a partial hip arthroplasty in case of femoral neck fractures
Exclusion criteria
* Clinical follow up at another institution * Documented dissent in study participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Patient clinical outcome | from date of surgery until 1 year follow up period after surgery | Quantification of Rehospitalizations |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in patient clinical outcome (according Penrod score) | preoperatively and at 1 year follow up date after surgery | Penrod score reflects the patients' preoperative functional level and living. Patients are classified concerning their prefracture age (1: \<75 years, 2: 75-84 years, 3 ≥85 years, their ability in performing activities of daily life (ADL) as well as their cognitive status (dementia in clusters 2B and 3D Situation) |
| Change in radiological outcome: assessment of surgical treatment of pertrochanteric fractures | day of surgical intervention (immediately after surgery) and 1year postoperative (if n.a. min 6 months postoperative) | central positioning and insertion of the neck screw |
| radiological outcome: assessment of surgical treatment of femoral neck fractures | 1year postoperative (if n.a. min 6 months postoperative) | development of periacetabular ossification according to Brooker * A islands of bone within the soft tissues about the hip * B bone spurs originating from the pelvis or proximal end of the femur, leaving at least 1 cm between opposing bone surfaces * C bone spurs originating from the pelvis or proximal end of the femur, reducing the space between opposing bone surfaces to less than 1 cm * D bone ankylosis of the hip |
| Change in subsidence (radiological outcome: assessment of surgical treatment of femoral neck fractures) | 1year postoperative (if n.a. min 6 months postoperative) | differences in the distance between perpendicular lines drawn to the bisecting axis of the medullary canal, at the top of the femoral head and at the tip of the great trochanter in mm |
| Change in radiological outcome: assessment of surgical treatment of femoral neck fractures | day of surgical intervention (immediately after surgery) and 1year postoperative (if n.a. min 6 months postoperative) | leg-length discrepancy in mm (tangent to inferior pubic rami and tip of greater trochanter, if n.a. insertion of lesser trochanter) |
Countries
Switzerland
Outcome results
None listed