Injury specific trauma registry: Outcomes of a prospective cohort with proximal femur fractures

Annals of Medicine and Surgery
Tashfeen AhmadAhmed Habib

Abstract

The elderly population is prone to hip fractures, and treating such patients to achieve good outcomes can be challenging. Collection of outcomes data can support clinicians to modify their treatment protocols and improve outcomes over time. The aim of this study is to compare different surgical procedures in patients with neck of femur and intertrochanteric fractures in terms of clinical, functional and radiological outcomes using injury-specific outcome scores. The study data was derived from the existing single-center, prospective orthopaedic trauma registry initiated from July 2015. Functional, clinical and radiological outcomes were assessed using Modified Harris Hip Score and The Radiographic Union Score for Hip. Mean radiological outcome scores was compared by Mann-Whitney U test and deaths by Chi-square and Odds ratio. Of the total 138 patients, 53 (38%) were neck of femur and 85 (62%) Intertrochanteric fractures with fall as leading cause of injury. At 12 months follow-up, modified Harris Hip Score showed 67% excellent-good results in both dynamic hip screw (N = 6) and total hip replacement (N = 3) followed by 50% in intramedullary nail (N = 2). Hemiarthroplasty has fair-poor outcomes with significantly higher deaths as...Continue Reading

References

Feb 1, 1996·Journal of the American Geriatrics Society·L NybergG Bucht
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Mar 17, 2010·Annals of Internal Medicine·Patrick HaentjensSteven Boonen
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Jul 22, 2011·The Journal of Bone and Joint Surgery. American Volume·Mary ButlerRobert L Kane
Sep 1, 2010·Geriatric Orthopaedic Surgery & Rehabilitation·Scott SchnellStephen L Kates

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