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BTDMJB. 2013; 9(1): 28-32


The treatment of intertrochanteric femur fractures in geriatric patients with external fixator

Erdem Edipoğlu, Mustafa Gökhan Bilgili, Cihangir Sarı, Serdar Hakan Başaran, Cemal Kural, Mustafa Cevdet Avkan.

Abstract
Objective: We evaluated the results of osteosynthesis with external fixation for intertrochanteric hip fractures in elderly patients with a high anesthesia risk.
Material and Methods: Sixty-eight patients with closed intertrochanteric femur fractures (48 women, 20 men, mean age: 77 years; range between 65-84 years) were treated with an unilateral external fixator under epidural anesthesia combined with mild sedation. According to AO/OTA classification A1.1, A1.2, A1.3 and A2.1 types were accepted as stabil, (Group 1), A2.2, A2.3, A3.1, A3.2 and A3.3 type fractures (Group 2) were accepted as unstabil fracture types. In first group there were 39 patients and in the second group there was 29 patients. The mean follow up was 12 months (9 to 18). In all patients, an AO tubular external fixator was used. Operation time, hospitalization period, healing time, complication rate and postoperative activity level were evaluated. Statistical evaluation was done by Mann-Whitney U-test.
Results: The mean operation time was 24 minutes (17-60) in the firstgroup and 38 minutes (26-70) in the second group (p

Key words: Intertrochanteric femur fracture; external fixators; osteoporosis/complications



Geriatrik hastalardaki intertrokanterik femur kırıklarının eksternal fiksatörle tedavisi

Özet
Amaç: Bu çalışmada anestezi riski yüksek yaşlı hastalarda intertrokanterik kırıklar için eksternal fiksatörle osteosentezin sonuçları değerlendirildi.
Gereç ve Yöntem: Kapalı intertrokanterik femur kırığı olan 68 hastaya (48 kadın, 20 erkek, ortalama yaş 77; dağılım 65-84) kapalı redüksiyon ve eksternal fiksatör uygulandı Kırıklar AO sınışamasına göre değerlendirildi. A1.1, A1.2, A1.3 ve A2.1 tip kırıklar stabil (Grup 1), A2.2, A2.3, A3.1, A3.2 ve A3.3 tip kırıklar (Grup 2) instabil olarak sınışandı. 1. Grupta 39, 2. Grupta 29 hasta olduğu görüldü. Hastaların tamamına, hafif sedasyonla kombine epidural anestezi uygulandı. Hastaların ortalama takip süresi 12 (9-18) aydı Tüm olgular AO tipi tübüler eksternal fiksatörle opere edildi. Hastaların operasyon ve hastanede yatış süresi, kaynama süresi, komplikasyon oranı ve hastaların ameliyat sonrası günlük aktivite düzeyleri araştırıldı. İstatistiksel analizler Mann-Whitney U-testi ile yapıldı.
Bulgular: Ortalama ameliyat süresi 1. grupta 24 (17-60), 2. grupta 38 dakika (26-70) (p

Anahtar Kelimeler: İntertrokanterik femur kırığı, eksternal fiksatör, osteoporoz/komplikasyon



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