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RMJ. 2019; 44(1): 83-85


Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system

Ashraf Mohamad Jbarat Mohammad Muneer Obeidat Omar Alajoulin Raad Alzaben Belal Mofareh Altarawneh.

Abstract
Objective: To evaluate the intertrochanteric local specific fracture factors influence on the postoperative results of such fractures managed using intertrochanteric intensity scoring system.
Methodology: This prospective and double blind study enrolled 101 patients with intertrochantric fractures aged 55-70 years and of both genders at Prince Hashim Military Hospital, Zarqa, Jordan from June 2016 to February 2018. Local specific fracture factors were evaluated with the postoperative results separately or in combination. Factors such as loss of medial buttress, displacement, reverse obliquity, osteoporosis, comminution and lateral wall thickness were evaluated radiologically. The postoperative result was classified as good, acceptable and poor. An intertrochanteric intensity scoring system evaluated the postoperative result in terms of local specific fracture factors. Intertrochntric intensity score (0-8) included 3 elements of postoperative results: united not collapsed (0-7 with a median of 4), collapsed united (3-7 with a median of 5) and fracture failure (5-8 with a median of 7). The Radiological result was evaluated after a follow-up of 2 months. Statistical analysis was achieved with Chi‑square test while comparison between groups was performed with Mann Whitney test. P

Key words: Intertrochanteric fractures, hip screw, intensity score, local factors.



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