Geriatric Intertrochanteric Fractures: What Is the Optimal Follow-Up Period?
J Orthop Trauma
; 37(11): 557-561, 2023 11 01.
Article
in En
| MEDLINE
| ID: mdl-37491707
OBJECTIVE: Evaluate patients with intertrochanteric fractures who were treated operatively to determine optimal follow-up to ensure complete fracture healing and recognize complications. DESIGN: Retrospective review. SETTING: Academic Level 1 trauma center. PATIENTS/PARTICIPANTS: Inclusion criteria included isolated intertroch fractures (not pathologic) and complete radiographic and clinical data, with at least 1-year follow-up. Four hundred ninety-seven patients were identified. Two hundred forty-nine patients met inclusion criteria with 194 patients studied. INTERVENTION: Operative fixation with either CMN or SHS. MAIN OUTCOME MEASUREMENTS: Radiographic parameters included time to union, neck-shaft angle, tip apex distance, and femoral neck screw telescoping (shortening) for both CMS and SHS combined. Postoperative complications were recorded. RESULTS: Union was achieved at a mean of 64.8 ± 30.7 days. Mortality (n = 12), infection (n = 4), and implant failure (n = 5) occurred within 3 months. Neck-shaft angle was changed before 3 months. Significant neck shortening for both CMN and SHS occurred within 6 weeks ( P =<0.001). Major complications occurred early, within 3 months. CONCLUSIONS: Most fractures healed by 3 months and the remainder by 6 months. Routine follow-up for 6 months is more than sufficient for most of these fractures. LEVEL OF EVIDENCE: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Fracture Fixation, Intramedullary
/
Hip Fractures
Type of study:
Prognostic_studies
Limits:
Aged
/
Humans
Language:
En
Journal:
J Orthop Trauma
Journal subject:
ORTOPEDIA
/
TRAUMATOLOGIA
Year:
2023
Document type:
Article
Country of publication: