J Korean Orthop Assoc.  2016 Aug;51(4):273-280. 10.4055/jkoa.2016.51.4.273.

The Influence of Stroke on Postoperative Prognosis of Femoral Intertrochanteric Fractures

• Hwang YS
• Moon KP
• Kim KT
• Park WS
• Song JY
• Chae JH

• KMID: 2348632
• DOI: http://doi.org/10.4055/jkoa.2016.51.4.273

Abstract

PURPOSE
The purpose of this study was to compare the general characteristics that affect the prognosis and evaluate the influence of stroke on one-year postoperative mortality and recovery of ambulatory status in elderly patients over 65 years old with femoral intertrochanteric fracture.
MATERIALS AND METHODS
This study included 80 patients who were followed-up for one year after proximal femoral nailing for femur intertrochanteric fracture between January 2008 and December 2013. We analyzed the relationship among the one-year postoperative mortality, recovery of ambulatory status and the associated factors (age, gender, associated underlying disease, American Society of Anesthesiologists [ASA] grade, comminution of the fracture, dementia).
RESULTS
The one-year postoperative mortality rate in all patients and patients with stroke was 28.8% and 42.9%, respectively. The one-year postoperative mortality rate was significantly higher in patients with stroke, high ASA grade, and unstable fracture. Decrease of the one-year postoperative ambulatory status was 50.9% in all patients and was significantly associated with grade III or IV ASA rating. No significant relationships were observed between the one-year postoperative recovery of ambulatory status and stroke.
CONCLUSION
Stroke, ASA grade, and unstable fracture were prognostic factors associated with one-year postoperative mortality following intertrochanteric fracture. ASA rating was the only prognostic factor affecting one-year postoperative recovery of ambulatory status.

Keyword

intertrochanteric fractures; stroke; prognosis

MeSH Terms

Aged
Femur
Hip Fractures*
Humans
Mortality
Prognosis*
Stroke*

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