Factors related to the treatment of internal fixation in patients with intertrochanteric femur fractures
Keywords:
Factors affect treatment outcome, Intertrochanteric femur fracture, Internal fixationAbstract
Reasons and objectives: To investigate the factors affecting the treatment outcomes of patients with intertrochanteric of femur fracture.
Method: A case-control study was conducted using secondary data from 130 patients aged 50 years and older who had intertrochanteric of femur fracture and were treated with internal fixation surgery between 2020 and 2023 at Pakchong Nana Hospital. The relationship between variables was analyzed using multiple logistic regression.
Results: More than half (61.5%) of the 130 patients had a non-excellent outcome (Harris Hip Score: HHS < 90), while 38.5% had an excellent outcome (HHS ≥ 90). The most common fracture patterns in both groups were AO31-A2.2, AO31-A2.3, and AO31-A1.2. There was no statistically significant difference in fracture patterns between the two groups. Multivariate analysis revealed that the presence of comorbidities (ORAdjusted = 2.04; 95% CI: 1.29, 3.23) and prolonged surgery (ORAdjusted = 1.32; 95% CI: 1.03, 1.70) were associated with non-excellent outcomes.
Conclusion: The presence of comorbidities and prolonged surgery adversely affect treatment outcomes in patients with proximal femur fractures. Strategies to reduce the risk before surgery should focus on three areas: patient preparation, risk assessment for physicians, and the development of screening systems.
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