Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

ISSN:1897-2276
e-ISSN: 2449-9145

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Outcomes of surgical management of per-trochanteric fractures: About 363 cases

Author(s): Chaibou Badarou*, Espoir Amour Mokoko Louckou, Harouna Ide Zakariyaou, Eldrissi Mohammed, Shimi Mohammed, Elibrahimi Abdelhalim and Elmrini Abdelmajid

Background: Per trochanteric fractures are undoubtedly the lesions most frequently encountered in traumatology, particularly in the elderly, where they retain a high mortality rate The aim of our study was to evaluate the functional and radiological results of the surgical management of per trochanteric fractures.

Materials and methods: This was a retrospective study of 363 cases of per trochanteric fractures taken care of and followed from January 2012 to December 2016. The average age was 68.89 years (23-100 years) with 59.2% men and 40.8% women. 97.5% had support (protected or not) before trauma compared with 2.5% non-autonomous. The evolution of the consolidation and functional score of Parker and Palmer was evaluated at 1; 3; 6 and 12 months.

Results: 99.2% consolidation at 3.8 months (3-8 months). The cervico-diaphyseal angle variation was 4.2° (0°17.2°) for the overall population (p=0.0057); 4.3° (0°-17.2°) for Gamma Nail (GN) And 4.2° (0°-17°) for Dynamic Hip Screw (DHS). 94.16% had provided support (alone or protected). The mean Parker functional score at 12 months was 6.6 (0-9) overall (p<0.0001) and 6.67 (0-9) for GN and 6.65 (0-9) For DHS. Only 35% of patients had fully recovered their initial score. We had recorded 01 cases (0.27%) of deaths, 01 cases of nonunion, 04 cases of sweeping, 04 cases of late infection.

Conclusion: Our study shows that the consolidation of the fracture is not synonymous with functional recovery and autonomy. In the management of these fractures, emphasis should be placed on early support and functional rehabilitation.


Select your language of interest to view the total content in your interested language

20+ Million Readerbase
Indexed in

Embase/EXPERTA MEDICA Road Directory of Open Access
Scholarly Resources
Publons MIAR GBL Ministry of Science and Higher
Education
Index Copernicus
Google Scholar citation report
Citations : 281

Journal of Orthopaedics Trauma Surgery and Related Research received 281 citations as per Google Scholar report

Journal of Orthopaedics Trauma Surgery and Related Research peer review process verified at publons
SCImago Journal & Country Rank
Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
Submit your Manuscript