Femur Intertrochanteric Fractures
Conditions
Keywords
intertrochanteric fracture, elderly fractures, weight bearing
Brief summary
Femur intertrochanteric fractures (FITC) are one of the most common fractures of the lower extremity, caused by osteoporosis, caused by minor trauma in elderly patients. Today, it is successfully treated with proximal femoral nails (PFN) designed in different ways. After surgical fixation with PFN, patients are mobilized by placing full weight, but some complications can be seen due to the patients being osteoporotic. In this study, the investigators planned to investigate the effect of full weight bearing and partial weight bearing on complications, which were not previously described in the literature.
Detailed description
Participants over the age of 60 who underwent PFN with the diagnosis of FITK were randomized (double-blinded consecutive full load on one patient and partial weight on one patient), and mobilized a group with full weight with the help of a walker after surgical fixation, and the other group with the help of a walker to give partial weight (balance). We planned to follow up his treatment prospectively. The compatibility of the groups will be evaluated by comparing the bone mineral density, calcium, alkaline phosphatase, phosphate, vitamin D levels and ages of the patients. Fracture types and post-treatment reduction quality of patients in both groups will be compared. We planned to compare the complication rates, Barthel Index and harris hip scores in the follow-up of the patients.
Interventions
PROCEDUREGroup 1
Even numbered patients will partial weight bearing after treatment,
PROCEDUREGroup 2
patients with odd numbers will walk with full weight bearing after treatment
Sponsors
Kahramanmaras Sutcu Imam University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 95 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients over 65 years of age with intertrochanteric femoral fractures 2. Patients treated with proximal femoral nail 3. Patients able to walk before treatment 4. Patients who can be contacted
Exclusion criteria
1. Patients without regular follow-up for 1 year 2. Patients who do not walk before or after fracture 3. who have a neurological disease 4. Patients with partial hip replacement after fracture 5. Patients who cannot be contacted after treatment 6. Patients who died within 1 year after treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| demographic datas | August 2018 | Descriptive statistical data |
| comparison of groups | 1 year after surgery | harris hip score: The Turkish version of the Harris hip score with adequate internal consistency (Cronbach's alpha, 0.70) and test-retest reliability (ICC = 0.91) was used for functional outcomes. It is evaluated with scores ranging from 0 to 100. The higher the score, the better the hip function. |
Countries
Turkey (Türkiye)
Outcome results
None listed