Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patientsReport as inadecuate




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BMC Musculoskeletal Disorders

, 13:214

Orthopedics and biomechanics

Abstract

BackgroundIntramedullary nailing of pertrochanteric femoral fractures has grown in popularity over the past 2 decades likely because this procedure is associated with a low risk for postoperative morbidity and a fast recovery of function. The evaluation of outcomes associated with pertrochanteric nailing has mainly been based on objective measures. The purpose of the present study is to correlate patients’ health-related quality of life results after intramedullary nailing of pertrochanteric fractures with objective outcome measures.

MethodsWe conducted a single-center study including 62 patients mean age 80 ± 10 years with pertrochanteric fractures treated with a Gamma 3 Nail. Health related quality of life was measured using the Short Form-36. These results were compared to both US and Austrian age and sex-adjusted population norms. The objective outcome measures studied at one year postoperatively included Harris Hip Score, range of motion, leg length, body mass index, neck-shaft angle and grade of osteoarthritis.

ResultsAccording to the Harris Hip Score 43 patients 67% had excellent or good results. There was no significant difference in the average neck-shaft angle comparing affected hip to non-affected hip at 12 months postoperatively. The average osteoarthritis score, for both the injured and uninjured hip, did not differ significantly. We found significant differences between the bodily pain, social functioning and mental health subscales and two summary scores of the Short-Form 36 in comparison to Austrian population norms. Complication rate was 8%.

ConclusionsThe results of this study confirm that intramedullary nailing with the use of a Gamma Nail is a safe treatment option for stable and unstable pertrochanteric fractures. Despite good functional and radiographic results we noticed a substantial fall off in patients’ quality of life up to 12 months after operation.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-214 contains supplementary material, which is available to authorized users.

Christian Giessauf, Mathias Glehr contributed equally to this work.

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Author: Christian Giessauf - Mathias Glehr - Gerwin A Bernhardt - Franz J Seibert - Karl Gruber - Patrick Sadoghi - Andreas Leith

Source: https://link.springer.com/







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