J Korean Fract Soc.  1996 Apr;9(2):392-400.

Operative Treatment of Intertrochanteric Fractures in Elderly Patients oyer 65 Years old

• Chung JC
• Koh JY
• Lee SJ
• Lee EJ

Abstract

The incidence of intertrochanteric fracture of femur is much higher than past because of recent prolongation of average life span and increased activity. The goal of treatment of an intertrochanteric fracture must be restoration of the patient to his or her preoperative status at the earliest possible time. The authors analysed the 51 patients of the intertrochanteric fracture over 65 years old age who were operatively treated from Jan. 1989 to Dec. 1994. The results obtained were as follows 1. According to Tronzo classiffication, the most common type was type 3 in 3B cases (61%), and according to Evans classification, unstable fracture were more common (65%). 2. The degree of osteoporosis by Singh index were 27 cases (53%) in Grade III, 15 cases (29%) in Grade II, 7 cases (14%) in Grade IV, and 2 cases (4%) in Grade V. The osteoporotic group (Singh index I, II, III) had statistically significant correlation with unstable type fracture. 3. The patterns of reduction were anatomical reduction in 33 cases (66%), and valgus reduction (9 cases ; 18%), varus reduction (6 cases ; 12%), medialization (2 cases ,4%). 4. The mean union time was 14.1 weeks on compression hip screw group, and 15.7 weeks on Ender nail group, 15.4 weeks on Gamma nail group, 16.2 weeks on multiple pinning gloup. The authors couldnt find significant difference among the each groups. 5. Postoperative complications were occurred in 23 cases(45%) and more frequently in unstable type fracture(19 cases).

Keyword

Intertrochanteric fracture of femur; Over 65 years; Operative treatment

MeSH Terms

Aged*
Classification
Femur
Hip
Hip Fractures*
Humans
Incidence
Osteoporosis
Postoperative Complications