Treatment strategy for elderly patients with the isolated greater trochanteric fracture
Background: The objective of this study was to evaluate the risk of femur intertrochanteric fracture associated with femur trochanter major fractures in patients over 65 years of age with magnetic resonance examination for better diagnosis and treatment. Methods: Thirty-one patients who had incomple...
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doaj-1553f937a91f4b1fa15628daffa0f6f22020-11-25T01:54:17ZengSAGE PublishingSAGE Open Medicine2050-31212020-10-01810.1177/2050312120964138Treatment strategy for elderly patients with the isolated greater trochanteric fractureYunus Oc0Ali Varol1Ethem Aytac Yazar2Semih Ak3Ahmet Onur Akpolat4Bekir Eray Kilinc5Orthopedics Surgery and Traumatology Department, Bagcilar Medilife Hospital, Istanbul, TurkeyOrthopedics Surgery and Traumatology Department, Health Ministry, Silopi State Hospital, Sirnak, TurkeyOrthopedics Surgery and Traumatology Department, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TurkeyOrthopedics Surgery and Traumatology Department, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TurkeyOrthopedics Surgery and Traumatology Department, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TurkeyOrthopedics Surgery and Traumatology Department, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TurkeyBackground: The objective of this study was to evaluate the risk of femur intertrochanteric fracture associated with femur trochanter major fractures in patients over 65 years of age with magnetic resonance examination for better diagnosis and treatment. Methods: Thirty-one patients who had incomplete femur intertrochanteric fracture diagnosed were included in the study. Patients were classified according to the length of the fracture line crossing the intertrochanteric border. Fracture patterns were described on magnetic resonance imaging coronal views. Group A, pattern 1, greater trochanteric fracture extends to intertrochanteric region with both cortices; Group B, pattern 2, fracture has characteristics of pattern 1 fracture including diametaphysis fracture line; Group C, pattern 3, greater trochanteric fracture only has extending superolateral cortex fracture line of intertrochanteric region; and Group D, pattern 4, fracture has characteristics of pattern 1 fracture and including superior extension to the baso-cervical line. Surgical treatment with dynamic hip screw was applied to all patients with intertrochanteric extension after magnetic resonance examination. Results: This study included 16 women (80.3 ± 6.7 years) and 15 men (76.9 ± 10.94 years). Group A had 11 patients, group B had 8 patients, group C had 6 patients, and group D had 6 patients. Ambulation was initially prescribed for these patients 1 day after the surgery. The average surgery durations of the A, B, C, and D patterns were 44.54 ± 7.56, 49.37 ± 12.65, 49.16 ± 3.76, and 44.16 ± 5.84 min, respectively. No statistically significant differences were observed among the four patterns (P = 0.404). Conclusion: Surgical treatment of the greater trochanteric fracture which is considered an indicator of occult intertrochanteric fracture is a good choice for the treatment because of the procedure safety and early mobilization after the surgeryhttps://doi.org/10.1177/2050312120964138 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yunus Oc Ali Varol Ethem Aytac Yazar Semih Ak Ahmet Onur Akpolat Bekir Eray Kilinc |
spellingShingle |
Yunus Oc Ali Varol Ethem Aytac Yazar Semih Ak Ahmet Onur Akpolat Bekir Eray Kilinc Treatment strategy for elderly patients with the isolated greater trochanteric fracture SAGE Open Medicine |
author_facet |
Yunus Oc Ali Varol Ethem Aytac Yazar Semih Ak Ahmet Onur Akpolat Bekir Eray Kilinc |
author_sort |
Yunus Oc |
title |
Treatment strategy for elderly patients with the isolated greater trochanteric fracture |
title_short |
Treatment strategy for elderly patients with the isolated greater trochanteric fracture |
title_full |
Treatment strategy for elderly patients with the isolated greater trochanteric fracture |
title_fullStr |
Treatment strategy for elderly patients with the isolated greater trochanteric fracture |
title_full_unstemmed |
Treatment strategy for elderly patients with the isolated greater trochanteric fracture |
title_sort |
treatment strategy for elderly patients with the isolated greater trochanteric fracture |
publisher |
SAGE Publishing |
series |
SAGE Open Medicine |
issn |
2050-3121 |
publishDate |
2020-10-01 |
description |
Background: The objective of this study was to evaluate the risk of femur intertrochanteric fracture associated with femur trochanter major fractures in patients over 65 years of age with magnetic resonance examination for better diagnosis and treatment. Methods: Thirty-one patients who had incomplete femur intertrochanteric fracture diagnosed were included in the study. Patients were classified according to the length of the fracture line crossing the intertrochanteric border. Fracture patterns were described on magnetic resonance imaging coronal views. Group A, pattern 1, greater trochanteric fracture extends to intertrochanteric region with both cortices; Group B, pattern 2, fracture has characteristics of pattern 1 fracture including diametaphysis fracture line; Group C, pattern 3, greater trochanteric fracture only has extending superolateral cortex fracture line of intertrochanteric region; and Group D, pattern 4, fracture has characteristics of pattern 1 fracture and including superior extension to the baso-cervical line. Surgical treatment with dynamic hip screw was applied to all patients with intertrochanteric extension after magnetic resonance examination. Results: This study included 16 women (80.3 ± 6.7 years) and 15 men (76.9 ± 10.94 years). Group A had 11 patients, group B had 8 patients, group C had 6 patients, and group D had 6 patients. Ambulation was initially prescribed for these patients 1 day after the surgery. The average surgery durations of the A, B, C, and D patterns were 44.54 ± 7.56, 49.37 ± 12.65, 49.16 ± 3.76, and 44.16 ± 5.84 min, respectively. No statistically significant differences were observed among the four patterns (P = 0.404). Conclusion: Surgical treatment of the greater trochanteric fracture which is considered an indicator of occult intertrochanteric fracture is a good choice for the treatment because of the procedure safety and early mobilization after the surgery |
url |
https://doi.org/10.1177/2050312120964138 |
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