Predictors for Ambulatory Recovery after Fixation of Intertrochanteric Fracture with Proximal Femoral Nail in the Elderly.
10.4055/jkoa.2017.52.5.428
- Author:
Jin Wan KIM
1
;
Kyu Pill MOON
;
Youn Soo HWANG
;
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 fracture;
proximal femoral nail;
ambulatory recovery
- MeSH:
Aged*;
Dementia;
Humans;
Linear Models;
Methods;
Retrospective Studies
- From:The Journal of the Korean Orthopaedic Association
2017;52(5):428-434
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to compare with general characteristics affecting ambulatory recovery at one-year after the fixation of intertrochanteric fracture with proximal femoral nail (PFN) of elderly patients over the age of 65 years. MATERIALS AND METHODS: Between September 2008 and September 2015, 152 patients were diagnosed with femoral intertrochanteric fracture in Dong-Eui Medical Center. Of these patients, 75 were available in this retrospective study. Multivariate linear regression analysis, using a stepwise selection method, were performed to identify the prognostic factors affecting one-year postoperative recovery of ambulatory status, such as pre-injury ambulatory status, gender, age, fracture type, associated underlying disease, American Society of Anesthesiologists (ASA) grade, dementia, and complication. RESULTS: A decrease in the one-year postoperative ambulatory status was 68% and pre-injury ambulatory status was regained in 32% of patients. The pre-injury ambulatory status was the most important determinant of one-year postoperative recovery of ambulatory status. The ASA grade and complication were also predictors of recovery of ambulatory status. CONCLUSION: Pre-injury ambulatory status, ASA grade and complication were prognostic factors associated with one-year postoperative recovery of ambulatory status after fixating the intertrochanteric fracture using PFN in elderly patients over the age of 65 years.
