MANAGEMENT OF INTERTROCHANTERIC FRACTURES IN ELDERLY HIGH-RISK PATIENTS: EXTERNAL FIXATION VS. SKELETAL TRACTION

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KAZEMIAN GH.; MANAFI A.R.; NAJAFI F.; NAJAFI M.A.

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Journal: Feyz Medical Sciences Journal Year:2014 | Volume:18 | Issue:2 Page(s): 182-188

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Title

MANAGEMENT OF INTERTROCHANTERIC FRACTURES IN ELDERLY HIGH-RISK PATIENTS: EXTERNAL FIXATION VS. SKELETAL TRACTION

Author(s)

KAZEMIAN GH. | MANAFI A.R. | NAJAFI F. | NAJAFI M.A. | Issue Writer Certificate

Keywords

INTERTROCHANTERIC FRACTURESQ2

EXTERNAL FIXATORQ3

SKELETAL TRACTIONQ2

HARRIS HIP SCOREQ2

Abstract

Background: There are several methods to manage INTERTROCHANTERIC FRACTURES. The external fixation device could produce favorable clinical outcomes. Furthermore, it has a lower rate of morbidity. Therefore, this study aimed to compare two different methods for the reduction of the intertrochanteric fracture in elderly high-risk patients: EXTERNAL FIXATOR vs. SKELETAL TRACTION.Materials and Methods: In this randomized clinical trial, 60 elderly patients (mean age, 78 years) with a pertrochanteric fracture were randomly assigned to the two groups and treated with either SKELETAL TRACTION (group A) or external fixation (group B).Results: Significant improvements were observed in all fractures; acceptable reduction was achieved in 8 patients in group A and 26 patients in group B. The mean length of hospitalization was 14.3 days for group A and 2.2 for the group B. There was a significant difference between the two groups regarding the acceptable reduction of fracture and duration of hospitalization (P<0.05). At 12 months after surgery, the mean HARRIS HIP SCOREs were 57 and 66 in the group A and B, respectively.Conclusion: Management with EXTERNAL FIXATOR is an effective method for INTERTROCHANTERIC FRACTURES in elderly high-risk patients. Its advantages include quick and simple application, minimal blood loss, less radiation exposure, early discharge from hospital, low costs and favorable functional outcomes.

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APA: Copy

KAZEMIAN, GH., MANAFI, A.R., NAJAFI, F., & NAJAFI, M.A.. (2014). MANAGEMENT OF INTERTROCHANTERIC FRACTURES IN ELDERLY HIGH-RISK PATIENTS: EXTERNAL FIXATION VS. SKELETAL TRACTION. FEYZ, 18(2), 182-188. SID. https://sid.ir/paper/40790/en

Vancouver: Copy

KAZEMIAN GH., MANAFI A.R., NAJAFI F., NAJAFI M.A.. MANAGEMENT OF INTERTROCHANTERIC FRACTURES IN ELDERLY HIGH-RISK PATIENTS: EXTERNAL FIXATION VS. SKELETAL TRACTION. FEYZ[Internet]. 2014;18(2):182-188. Available from: https://sid.ir/paper/40790/en

IEEE: Copy

GH. KAZEMIAN, A.R. MANAFI, F. NAJAFI, and M.A. NAJAFI, “MANAGEMENT OF INTERTROCHANTERIC FRACTURES IN ELDERLY HIGH-RISK PATIENTS: EXTERNAL FIXATION VS. SKELETAL TRACTION,” FEYZ, vol. 18, no. 2, pp. 182–188, 2014, [Online]. Available: https://sid.ir/paper/40790/en

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