Research Article
BibTex RIS Cite
Year 2021, Volume: 5 Issue: 1, 75 - 79, 01.01.2021
https://doi.org/10.28982/josam.787253

Abstract

References

  • 1. Singer BR, McLauchlan GJ, Robinson CM, Christie J. Epidemiology of fractures in 15,000 adults: the influence of age and gender. J Bone Joint Surg Br. 1998;80(2):243-8.
  • 2. Baron JA, Karagas M, Barrett J, Kniffin W, Malenka D, Mayor M, et al. Basic epidemiology of fractures of the upper and lower limb Measuring Recovery After a Hip Fracture 301 among Americans over 65 years of age. Epidemiology. 1996;7:612–8.
  • 3. Dennison E, Mohamed MA, Cooper C. Epidemiology of osteoporosis. Rheum Dis Clin North Am. 2006;32(4):617-29.
  • 4. Canale ST(ed): Campbell’s Operative Orthopaedics, 10 th ed.St Louis, Mosby, 2003. Hip Fracture. David G. Lavelle Chapter 52, p 2873-2938
  • 5. Sanz-Reig J, Salvador Marín J, Pérez Alba JM, Ferrández Martínez J, Orozco Beltrán D, Martínez López JF. Risk factors for in-hospital mortality following hip fracture. Factores de riesgo de mortalidad intrahospitalaria en la fractura proximal de fémur. Rev Esp Cir Ortop Traumatol. 2017;61(4):209–15. doi:10.1016/j.recot.2017.03.003
  • 6. Arican, M, Yildiz KI, Karaduman ZO, Bulut M, Özkan S. DLT (TM) çivisi uygulanan intertrokanterik femur kiriklarinin tedavi sonuçlari/Treatment outcomes of intertrochanteric femur fractures treated with DLT (TM) nail. Dicle Tip Dergisi. 2015;42(4):495.
  • 7. Giessauf C, Glehr M, Bernhardt GA, Seibert FJ, Gruber K, Sadoghi P, et al. Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients. BMC musculoskeletal disorders. 2012;13(1):214.
  • 8. Guzon-Illescas O, Perez Fernandez E, Crespí Villarias N, et al. Mortality after osteoporotic hip fracture: incidence, trends, and associated factors. J Orthop Surg Res. 2019;14(1):203. Published 2019 Jul 4. doi: 10.1186/s13018-019-1226-6
  • 9. Shigeyuki M. Hip Fracture--Epidemiology, Management and Liaison Service. Mortality and functional disability after hip fracture. Clinical calcium. 2015;25.4:511-8.
  • 10. Bai J, Zhang P, Liang X, Wu Z, Wang J, Liang Y. Association between dementia and mortality in the elderly patients undergoing hip fracture surgery: a meta-analysis. J Orthop Surg Res. 2018;13(1):298. Published 2018 Nov 23. doi:10.1186/s13018-018-0988-6
  • 11. Kannus P, Parkkari J, Sievänen H, Heinonen A, Vuori I, Järvinen M. Epidemiology of hipfractures. Bone. 1996;18(1 Suppl):57S-63S.
  • 12. Hinton RY, Smith GS. Theassociation of age, race, andsexwiththelocation of proximalfemoralfractures in theelderly. J Bone Joint Surg Am. 1993;75:752-9.
  • 13. Katsoulis M, Benetou V, Karapetyan T, et al. Excess mortality after hip fracture in elderly persons from Europe and the USA: the CHANCES project. J Intern Med. 2017;281(3):300–10. doi:10.1111/joim.12586
  • 14. Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009;20(10):1633–50. doi: 10.1007/s00198-009-0920-3
  • 15. Vosoughi AR, Emami MJ, Pourabbas B, Mahdaviazad H. Factors increasing mortality of the elderly following hip fracture surgery: role of body mass index, age, and smoking. Musculoskelet Surg. 2017;101(1):25–9. doi:10.1007/s12306-016-0432-1
  • 16. Chang W, Lv H, Feng C, et al. Preventable risk factors of mortality after hip fracture surgery: Systematic review and meta-analysis. Int J Surg. 2018;52:320–8. doi:10.1016/j.ijsu.2018.02.061
  • 17. Lips P, Schoor NM. Quality of life in patients with osteoporosis. Osteoporosis international. 2005;16(5):447-55.
  • 18. Ghafoori S, Keshtkar A, Khashayar P. The risk of osteoporotic fracture sandits associating risk factors according to the FRAX model in the Iranian patients: a follow- up cohort. J Diabetes Metab Disord. 2014:22;13:93.
  • 19. Uğurlu M, Yılmaz S, Deveci A, et al. The epidemiologic characteristics of patients that underwent surgery for hip fracture Turk J Med Sci. 2012;42:299-305.
  • 20. Wu CC, Wang CJ, Shyu YI. More aggravated osteoporosis in lateral trochanter compared to femoral neck withage: contributing age difference between inter-trochanteric and femoral neck fractures in elderly patients. Injury. 2009;40:1093-7.
  • 21. Yoon BH, Lee YK, Kim SC, Kim SH, Ha YC, Koo KH. Epidemiology of proximal femoral fractures in South Korea. Archives of osteoporosis. 2013;8(1-2):157.
  • 22. Frost SA, Nguyen ND, Black DA, Eisman JA, Nguyen TV. Risk factors for in-hospital post-hip fracture mortality. Bone. 2011 Sep;49:553-8.
  • 23. Kaya Ş, Özdemir H, Dabak A. İleri Yaş Hastalarda Çimentolu ve Çimentosuz Hemiartroplasti Sonuçlarının Karşılaştırılması. Dicle Tıp Dergisi. 2017;44(3):233-41. doi: 10.5798/dicletip.338986.
  • 24. Öztürk İ, Toker S, Ertürer E, Aksoy B, Seçkin F. Kalça kırığı nedeniyle ameliyat edilen 65 yaş üstü hastalarda mortaliteye etki eden risk faktörlerinin değerlendirilmesi. Acta Orthop Traumatol Turc. 2008;42(1):16-21.
  • 25. Cenzer IS, Tang V, Boscardin WJ, et al. One-Year Mortality After Hip Fracture: Development and Validation of a Prognostic Index. J Am Geriatr Soc. 2016;64(9):1863–68. doi: 10.1111/jgs.14237.
  • 26. Maheshwari K, Planchard J, You J, et al. Early Surgery Confers 1-Year Mortality Benefit in Hip-Fracture Patients. J Orthop Trauma. 2018;32(3):105–10. doi: 10.1097/BOT.0000000000001043
  • 27. Kuru T, Olçar HA. Effects of early mobilization and weight bearing on postoperative walking ability and pain in geriatric patients operated due to hip fracture: a retrospective analysis. Turk J Med Sci. 2020;50(1):117–25. Published 2020 Feb 13. doi:10.3906/sag-1906-57
  • 28. Kesmezacar H, Ogut T, Bilgili MG, Gokay S, Tenekecioglu Y. Treatment of intertrochanteric femur fractures in elderly patients: internal fixation or hemiarthroplasty. Acta Orthop Traumatol Turc. 2005;39(4):287-94.
  • 29. Socci AR, Casemyr NE, Leslie MP, et al. Implant options for the treatment of intertrochanteric fractures of the hip: rationale, evidence, and recommendations. Bone Joint J. 2017;99-B1:128–33.
  • 30. Bhandari M, Devereaux PJ, Swiontkowski MF, Tornetta P 3rd, Obremskey W, Koval KJ, et al. Internal fixation compared with arthroplasty for displaced fractures of the femoral neck. A meta-analysis. J Bone Joint Surg Am 2003;85- A(9):1673-81.

Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients

Year 2021, Volume: 5 Issue: 1, 75 - 79, 01.01.2021
https://doi.org/10.28982/josam.787253

Abstract

Background/Aim: Among all orthopedic injuries, hip fractures continue to have high morbidity and mortality. While the epidemiological features of proximal femoral fractures (PFF) have often been defined, there are studies which examine the relationship between the complications of the types of PFF and mortality. The aim of this study was to determine the frequency of PFF types and investigate the relationship between complications of subtypes and mortality.
Methods: This study included 380 patients aged >40 years who underwent surgery for a PFF. The fractures were classified according to localization as intertrochanteric femur fracture (ITFF), femoral neck fracture (FNF) and subtrochanteric fracture (STF). Patient demographic data (age, gender, comorbidities) were recorded, and modified Charlson comorbidity scores were calculated. Major surgical complications (infection, dislocation, implant failure) were defined as those requiring additional surgery, and minor surgical complications (cellulitis, wound site problems, pressure sores, deep vein thrombosis) as those not requiring surgery. Mortality rates were examined at 1, 3 and 12 months postoperatively. The fracture subtypes were compared with respect to surgical complications (major and minor), non-surgical complications and mortality rates. Mortality risk factors were determined according to final mortality status.
Results: The patients included 235 females and 136 males (F/M=2/1) with a mean age of 78.5 (12.1) years. Three hundred and thirty (86.5%) patients were aged >65 years and 50 (13.5%) were aged <65 years. The fractures were classified as 225 (60%) ITFF, 120 (32%) FNF, and 26 (7%) STF. Surgical complications and complications not related to surgery were seen in 35 (9.2%) and 25 (6%) patients, respectively. Mortality occurred within one month in 17 (4.6%) patients, in three months in 32 (8.6%) and within the first year in 97 (26%). No significant difference was found between fracture types with respect to mortality in 1, 3, and 12 months (P=0.51, P=0.641, P=0.2 respectively). The mortality rates of ITFF and FNF were highly similar (1, 3, 12-month mortality: P=0.943, P=0.939, P=0.946 respectively). In the comparison between the surviving and non-surviving groups, age, Charlson comorbidity index, prolonged stay in intensive care, and non-surgical complications were significantly increased in the non-surviving group (P<0.001, P<0.001, P=0.03, P=0.005 respectively).
Conclusion: ITFF is common among PFF. While there was no relationship between fracture types in PFF, complication and mortality, a correlation was found between mortality and age, Charlson comorbidity score, prolonged stay in intensive care, and non-surgical complications.

References

  • 1. Singer BR, McLauchlan GJ, Robinson CM, Christie J. Epidemiology of fractures in 15,000 adults: the influence of age and gender. J Bone Joint Surg Br. 1998;80(2):243-8.
  • 2. Baron JA, Karagas M, Barrett J, Kniffin W, Malenka D, Mayor M, et al. Basic epidemiology of fractures of the upper and lower limb Measuring Recovery After a Hip Fracture 301 among Americans over 65 years of age. Epidemiology. 1996;7:612–8.
  • 3. Dennison E, Mohamed MA, Cooper C. Epidemiology of osteoporosis. Rheum Dis Clin North Am. 2006;32(4):617-29.
  • 4. Canale ST(ed): Campbell’s Operative Orthopaedics, 10 th ed.St Louis, Mosby, 2003. Hip Fracture. David G. Lavelle Chapter 52, p 2873-2938
  • 5. Sanz-Reig J, Salvador Marín J, Pérez Alba JM, Ferrández Martínez J, Orozco Beltrán D, Martínez López JF. Risk factors for in-hospital mortality following hip fracture. Factores de riesgo de mortalidad intrahospitalaria en la fractura proximal de fémur. Rev Esp Cir Ortop Traumatol. 2017;61(4):209–15. doi:10.1016/j.recot.2017.03.003
  • 6. Arican, M, Yildiz KI, Karaduman ZO, Bulut M, Özkan S. DLT (TM) çivisi uygulanan intertrokanterik femur kiriklarinin tedavi sonuçlari/Treatment outcomes of intertrochanteric femur fractures treated with DLT (TM) nail. Dicle Tip Dergisi. 2015;42(4):495.
  • 7. Giessauf C, Glehr M, Bernhardt GA, Seibert FJ, Gruber K, Sadoghi P, et al. Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients. BMC musculoskeletal disorders. 2012;13(1):214.
  • 8. Guzon-Illescas O, Perez Fernandez E, Crespí Villarias N, et al. Mortality after osteoporotic hip fracture: incidence, trends, and associated factors. J Orthop Surg Res. 2019;14(1):203. Published 2019 Jul 4. doi: 10.1186/s13018-019-1226-6
  • 9. Shigeyuki M. Hip Fracture--Epidemiology, Management and Liaison Service. Mortality and functional disability after hip fracture. Clinical calcium. 2015;25.4:511-8.
  • 10. Bai J, Zhang P, Liang X, Wu Z, Wang J, Liang Y. Association between dementia and mortality in the elderly patients undergoing hip fracture surgery: a meta-analysis. J Orthop Surg Res. 2018;13(1):298. Published 2018 Nov 23. doi:10.1186/s13018-018-0988-6
  • 11. Kannus P, Parkkari J, Sievänen H, Heinonen A, Vuori I, Järvinen M. Epidemiology of hipfractures. Bone. 1996;18(1 Suppl):57S-63S.
  • 12. Hinton RY, Smith GS. Theassociation of age, race, andsexwiththelocation of proximalfemoralfractures in theelderly. J Bone Joint Surg Am. 1993;75:752-9.
  • 13. Katsoulis M, Benetou V, Karapetyan T, et al. Excess mortality after hip fracture in elderly persons from Europe and the USA: the CHANCES project. J Intern Med. 2017;281(3):300–10. doi:10.1111/joim.12586
  • 14. Abrahamsen B, van Staa T, Ariely R, Olson M, Cooper C. Excess mortality following hip fracture: a systematic epidemiological review. Osteoporos Int. 2009;20(10):1633–50. doi: 10.1007/s00198-009-0920-3
  • 15. Vosoughi AR, Emami MJ, Pourabbas B, Mahdaviazad H. Factors increasing mortality of the elderly following hip fracture surgery: role of body mass index, age, and smoking. Musculoskelet Surg. 2017;101(1):25–9. doi:10.1007/s12306-016-0432-1
  • 16. Chang W, Lv H, Feng C, et al. Preventable risk factors of mortality after hip fracture surgery: Systematic review and meta-analysis. Int J Surg. 2018;52:320–8. doi:10.1016/j.ijsu.2018.02.061
  • 17. Lips P, Schoor NM. Quality of life in patients with osteoporosis. Osteoporosis international. 2005;16(5):447-55.
  • 18. Ghafoori S, Keshtkar A, Khashayar P. The risk of osteoporotic fracture sandits associating risk factors according to the FRAX model in the Iranian patients: a follow- up cohort. J Diabetes Metab Disord. 2014:22;13:93.
  • 19. Uğurlu M, Yılmaz S, Deveci A, et al. The epidemiologic characteristics of patients that underwent surgery for hip fracture Turk J Med Sci. 2012;42:299-305.
  • 20. Wu CC, Wang CJ, Shyu YI. More aggravated osteoporosis in lateral trochanter compared to femoral neck withage: contributing age difference between inter-trochanteric and femoral neck fractures in elderly patients. Injury. 2009;40:1093-7.
  • 21. Yoon BH, Lee YK, Kim SC, Kim SH, Ha YC, Koo KH. Epidemiology of proximal femoral fractures in South Korea. Archives of osteoporosis. 2013;8(1-2):157.
  • 22. Frost SA, Nguyen ND, Black DA, Eisman JA, Nguyen TV. Risk factors for in-hospital post-hip fracture mortality. Bone. 2011 Sep;49:553-8.
  • 23. Kaya Ş, Özdemir H, Dabak A. İleri Yaş Hastalarda Çimentolu ve Çimentosuz Hemiartroplasti Sonuçlarının Karşılaştırılması. Dicle Tıp Dergisi. 2017;44(3):233-41. doi: 10.5798/dicletip.338986.
  • 24. Öztürk İ, Toker S, Ertürer E, Aksoy B, Seçkin F. Kalça kırığı nedeniyle ameliyat edilen 65 yaş üstü hastalarda mortaliteye etki eden risk faktörlerinin değerlendirilmesi. Acta Orthop Traumatol Turc. 2008;42(1):16-21.
  • 25. Cenzer IS, Tang V, Boscardin WJ, et al. One-Year Mortality After Hip Fracture: Development and Validation of a Prognostic Index. J Am Geriatr Soc. 2016;64(9):1863–68. doi: 10.1111/jgs.14237.
  • 26. Maheshwari K, Planchard J, You J, et al. Early Surgery Confers 1-Year Mortality Benefit in Hip-Fracture Patients. J Orthop Trauma. 2018;32(3):105–10. doi: 10.1097/BOT.0000000000001043
  • 27. Kuru T, Olçar HA. Effects of early mobilization and weight bearing on postoperative walking ability and pain in geriatric patients operated due to hip fracture: a retrospective analysis. Turk J Med Sci. 2020;50(1):117–25. Published 2020 Feb 13. doi:10.3906/sag-1906-57
  • 28. Kesmezacar H, Ogut T, Bilgili MG, Gokay S, Tenekecioglu Y. Treatment of intertrochanteric femur fractures in elderly patients: internal fixation or hemiarthroplasty. Acta Orthop Traumatol Turc. 2005;39(4):287-94.
  • 29. Socci AR, Casemyr NE, Leslie MP, et al. Implant options for the treatment of intertrochanteric fractures of the hip: rationale, evidence, and recommendations. Bone Joint J. 2017;99-B1:128–33.
  • 30. Bhandari M, Devereaux PJ, Swiontkowski MF, Tornetta P 3rd, Obremskey W, Koval KJ, et al. Internal fixation compared with arthroplasty for displaced fractures of the femoral neck. A meta-analysis. J Bone Joint Surg Am 2003;85- A(9):1673-81.
There are 30 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Research article
Authors

Yüksel Uğur Yaradılmış 0000-0002-7606-5690

Mustafa Caner Okkaoğlu This is me 0000-0002-9149-1858

Ahmet Ateş This is me 0000-0002-7576-0026

Alparslan Kılıç This is me 0000-0002-3721-7006

İsmail Demirkale 0000-0001-7230-1599

Murat Altay This is me 0000-0002-1898-3733

Publication Date January 1, 2021
Published in Issue Year 2021 Volume: 5 Issue: 1

Cite

APA Yaradılmış, Y. U., Okkaoğlu, M. C., Ateş, A., Kılıç, A., et al. (2021). Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients. Journal of Surgery and Medicine, 5(1), 75-79. https://doi.org/10.28982/josam.787253
AMA Yaradılmış YU, Okkaoğlu MC, Ateş A, Kılıç A, Demirkale İ, Altay M. Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients. J Surg Med. January 2021;5(1):75-79. doi:10.28982/josam.787253
Chicago Yaradılmış, Yüksel Uğur, Mustafa Caner Okkaoğlu, Ahmet Ateş, Alparslan Kılıç, İsmail Demirkale, and Murat Altay. “Proximal Femur Fracture, Analysis of Epidemiology, Complications, and Mortality: A Cohort With 380 Patients”. Journal of Surgery and Medicine 5, no. 1 (January 2021): 75-79. https://doi.org/10.28982/josam.787253.
EndNote Yaradılmış YU, Okkaoğlu MC, Ateş A, Kılıç A, Demirkale İ, Altay M (January 1, 2021) Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients. Journal of Surgery and Medicine 5 1 75–79.
IEEE Y. U. Yaradılmış, M. C. Okkaoğlu, A. Ateş, A. Kılıç, İ. Demirkale, and M. Altay, “Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients”, J Surg Med, vol. 5, no. 1, pp. 75–79, 2021, doi: 10.28982/josam.787253.
ISNAD Yaradılmış, Yüksel Uğur et al. “Proximal Femur Fracture, Analysis of Epidemiology, Complications, and Mortality: A Cohort With 380 Patients”. Journal of Surgery and Medicine 5/1 (January 2021), 75-79. https://doi.org/10.28982/josam.787253.
JAMA Yaradılmış YU, Okkaoğlu MC, Ateş A, Kılıç A, Demirkale İ, Altay M. Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients. J Surg Med. 2021;5:75–79.
MLA Yaradılmış, Yüksel Uğur et al. “Proximal Femur Fracture, Analysis of Epidemiology, Complications, and Mortality: A Cohort With 380 Patients”. Journal of Surgery and Medicine, vol. 5, no. 1, 2021, pp. 75-79, doi:10.28982/josam.787253.
Vancouver Yaradılmış YU, Okkaoğlu MC, Ateş A, Kılıç A, Demirkale İ, Altay M. Proximal femur fracture, analysis of epidemiology, complications, and mortality: A cohort with 380 patients. J Surg Med. 2021;5(1):75-9.