• editor.aipublications@gmail.com
  • Track Your Paper
  • Contact Us
  • ISSN: 2456-8015

International Journal Of Medical, Pharmacy And Drug Research(IJMPD)

Analytical study to find out the effect of subtrochanteric fractures on Iraqi elderly patients

Hasan Abdul Hadi Mohammed , Raid Mubarak Ali , Canaan Sattar Shuqoor Khalaf


International Journal of Medical, Pharmacy and Drug Research(IJMPD), Vol-6,Issue-5, September - October 2022, Pages 8-11 , 10.22161/ijmpd.6.5.2

Download | Downloads : | Total View : 580

Article Info: Received: 27 Aug 2022; Received in revised form: 18 Sep 2022; Accepted: 22 Sep 2022; Available online: 30 Sep 2022

Share

Objective: This study aims to find out the effect of subtrochanteric fractures on Iraqi elderly patients Materials and methods: A cross-sectional observational study was established for patients over 75 years of age who were admitted to different hospitals in Iraq with a hip fracture in the period 2018-2020. The clinical history of each patient was reviewed, and demographic data, medical history, comorbidities, age, admission status, surgery data, and presence of complications were extracted. Results: During the study period, 100 patients were analyzed; the mean age was 83.92 ± 5.5 for the Subtrochanteric group and 82.1 ± 4.99 for the Per trochanteric group Forty-eight patients were males, with 68.5% of the population, and 22 female patients, with 31.4%. For the Subtrochanteric group, the mean length of HS was 13.22 (±6.1), and for the Pertrochanteric group, the mean length of HS was 10.1 (±2.2) with a statistically significant relationship at 0.001 p-values. Conclusion: Age, increased risk of anesthesia, need for supplemental oxygen during the postoperative period, and length of hospital stay were the main independent factors for the presence of in-hospital complications

Per trochanteric, Subtrochanteric, WHO, VAP, mortality

[1] Crilly RG, Kloseck M, Mequanint S (2016) Hip Fracture Types in Canadian Men and Women Change Differently with Age: A Population-Level Analysis. Clin Med Insights Arthritis Musculoskelet Disord 9: 75-79.
[2] Bjørgul K, Reikerås O (2007) Incidence of hip fracture in southeastern Norway: a study of 1,730 cervical and trochanteric fractures. International orthopaedics 31 (5): 665-669.
[3] Clark P, Lavielle P, Franco Marina F, Ramírez E, Salmerón J, et al. (2005) Incidence rates and life-time risk of hip fractures in Mexicans over 50 years of age: a population-based study. Osteoporosis international 16 (12): 2025-2030.
[4] Chong CP, Savige JA, Lim WK (2010) Medical problems in hip fracture patients. Archives of orthopaedic and trauma surgery 130 (11): 1355-1361.
[5] Bergström U, Jonsson H, Gustafson Y, Pettersson U, Stenlund H (2009) The hip fracture incidence curve is shifting to the right. Acta Orthop 80 (5): 520-524.
[6] Ojeda-Thies C, Saez-Lopez P, Currie CT, Tarazona-Santalbina FJ, Alarcon T, et al. on behalf of the participants in the RNFC (2019) Spanish National Hip Fracture Registry (RNFC): analysis of its first annual report and international comparison with other established registries. Osteoporos Int. 30 (6):1243–54. Doi: HTTPS:// doi. org/ 10. 1007/ s00198-019-04939-2
[7] Fischer K, Trombik M, Freystätter G, Egli A, Theiler R, Bischoff-Ferrari HA (2019) Timeline of functional recovery after hip fracture in seniors aged 65 and older: a prospective observational analysis. Osteoporos Int 30 (7):1371–1381. https:// doi. org/ 10. 1007/ s00198-019-04944-5
[8] Horner NS, Samuelsson K, Solyom J, Bjørgul K, Ayeni OR, Östman B (2017) Implant-related complications and mortality after use of short or long gamma nail for intertrochanteric and subtrochanteric fractures: a prospective study with minimum 13-year follow-up. JB JS Open Access 2 (3): e0026. HTTPS:// doi. org/ 10. 2106/ JBJS. OA. 17. 00026
[9] Fielding JW (1973) Subtrochanteric fractures. Clin Orthop 92:86–99. HTTPS:// doi. org/ 10. 1097/ 00003 086-19730 5000-00008
[10] Huang SY, Grimsrud CD, Provus J, Hararah M, Chandra M, Ettinger B, et al. (2012) The impact of subtrochanteric fracture criteria on hip fracture classification. Osteoporos Int 23 (2):743–750. HTTPS:// doi. org/ 10. 1007/s00198-011-1622-1
[11] Abey Nesbit R, Schluter PJ, Wilkinson T, Thwaites JH, Berry SD (2019) Risk factors for hip fracture in New Zealand older adults seeking home care services: a national population cross-sectional study. BMC geriatrics 19 (1): 93.
[12] Metcalfe D (2008) The pathophysiology of osteoporotic hip fracture. Mcgill J Med 11 (1): 51-57.
[13] Keyak JH, Sigurdsson S, Karlsdottir G, Oskarsdottir D, Sigmarsdottir A, et al. (2011) Male-female differences in the association between incident hip fracture and proximal femoral strength: a finite element analysis study. Bone 48 (6): 1239-1245.
[14] Maggi S, Siviero P, Gonnelli S, Caffarelli C, Gandolini G, et al. (2011) The burden of previous fractures in hip fracture patients. The Break Study. Aging clinical and experimental research 23 (3): 183-186.
[15] Melton LJ, Kearns AE, Atkinson EJ, Bolander ME, Achenbach SJ, et al. (2009) Secular trends in hip fracture incidence and recurrence. Osteoporos Int 20 (5): 687-694.
[16] Vala CH, Kärrholm J, Kanis JA, Johansson H, Sten S, et al. (2020) Risk for hip fracture before and after total knee replacement in Sweden. Osteoporos Int 31 (5): 887-895.