The Influence of Stroke on Postoperative Prognosis of Femoral Intertrochanteric Fractures.
10.4055/jkoa.2016.51.4.273
- Author:
Youn Soo HWANG
1
;
Kyu Pill MOON
;
Kyung Taek KIM
;
Won Seok PARK
;
Joon Yeon SONG
;
Jeong Hoon CHAE
Author Information
1. Department of Orthopaedic Surgery, Dong-Eui Medical Center, Busan, Korea. moonkp@hanmail.net
- Publication Type:Original Article
- Keywords:
intertrochanteric fractures;
stroke;
prognosis
- MeSH:
Aged;
Femur;
Hip Fractures*;
Humans;
Mortality;
Prognosis*;
Stroke*
- From:The Journal of the Korean Orthopaedic Association
2016;51(4):273-280
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to compare the general characteristics that affect the prognosis and evaluate the influence of stroke on one-year postoperative mortality and recovery of ambulatory status in elderly patients over 65 years old with femoral intertrochanteric fracture. MATERIALS AND METHODS: This study included 80 patients who were followed-up for one year after proximal femoral nailing for femur intertrochanteric fracture between January 2008 and December 2013. We analyzed the relationship among the one-year postoperative mortality, recovery of ambulatory status and the associated factors (age, gender, associated underlying disease, American Society of Anesthesiologists [ASA] grade, comminution of the fracture, dementia). RESULTS: The one-year postoperative mortality rate in all patients and patients with stroke was 28.8% and 42.9%, respectively. The one-year postoperative mortality rate was significantly higher in patients with stroke, high ASA grade, and unstable fracture. Decrease of the one-year postoperative ambulatory status was 50.9% in all patients and was significantly associated with grade III or IV ASA rating. No significant relationships were observed between the one-year postoperative recovery of ambulatory status and stroke. CONCLUSION: Stroke, ASA grade, and unstable fracture were prognostic factors associated with one-year postoperative mortality following intertrochanteric fracture. ASA rating was the only prognostic factor affecting one-year postoperative recovery of ambulatory status.
