Return to Previous Activities and Quality of Life in Patients with Femoral Intertrochanteric Fracture Surgery

Document Type : Original Article

Authors

1 Professor in Ortopedia.Department of Ortopedia, School of Medical, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 General Practitioner.General Practitioner.

3 Assistant Professor in Ortopedia. Department of Ortopedia, School of Medical, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background and Objective: The aim of this study was to asses and document the functional outcome and quality of life (QoL) in intertrochanteric fractures, one of three types of hip farctures requiring surgical treatment. These fractures have high mortality rate and can lead to discomfort and disability, and affect quality of life of patients. On this base we planned this comprehensive study to assess the quality of life among hospitalized patients in Imam Khomeini hospital, the main center of Orthopedic in the South West of the Iran.
Subjects and Methods: Eighty one intertrochanteric fracture cases were enrolled in this study and their follow-up was conducted to evaluate the quality of life (QoL) based on SF36 questionnaire. In addition, demographic data and clinical information include surgical procedures and the time between fractures and surgical treatments (fracture interval to surgery) were collected. Data were analyzed using SPSS V22 software.
Results: Average quality of life for patients based on questionnaires was 48.5 ± 17.7. Quality of life in patients with age, economic status of patients and fracture-surgery interval were statistically significant. Multiple regression analysis showed that age, economic status of patients and fracture-surgery interval were
significantly related to quality of life (P<0.001, P<0.0001, P <0.001 respectivel).
Conclusion: The QoL of patients with femoral intertrochanteric fracture is moderate to low. These results show requiring follow-up and care as well as psychosocial support for patients especially in the older patients.
 
 

Keywords

References

1-Netter FN. The ciba collection of medical illustrations. Vol 8. Ciba pharmaceutical Co; 1987:Part 1:85-103
2-Netter FN. The ciba collection of medical illustrations. Vol 8. Ciba pharmaceutical Co; 1987:Part 3:92
3-Kaplan K, Miyamoto R, Levine BR, Egol KA, Zuckerman JD. Surgical management of hip fractures: and evidence based review of the literature. J Am Acad Orthop Surg. 2008;16(11):665-73
4-Lasanianos, Nick G, Kanakaris, Nikolaos K. Intertrochanteric Hip Fractures. In: Trauma and Orthopedic Classifications. Springer London, 2015. pp. 313-5.‏
5-Della Rocca GJ, Moylan KC, Crist BD. Comanagement of geriatric patients with hip fracture: a retrospective, controlled, cohort study. Geriatr Orthop Surg Rehabil. 2013;4(1):10-5
6-Bojan AJ, Beimel C, Speitling A. 3066 consecutive gamma nails. 12 years experience at a single center. BMC Musculoskelet Disord. 2010;11:133
7-Yang E, Qureshi S, Trokhan S, Joseph D. Gottfried percutaneous compression plating compared with sliding hip screw fixation of intertrochanteric hip fractures. J Bone Joint Surg Am. 2011;93(10):942-7
8-Schnell S, Friedman SM, Mendelson DA, Bingham KW, Kates SL. The 1 year mortality if patients treated in a hip fracture program for elders. Geriatr Otrhop Surg Rehabil. 2013; 1(1):6-14
9-Bhandari M. Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis. Journal of orthopedic trauma, 2009, 23.6: 460-4
10-Barton TM, Gleeson R, Topliss C. A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective randomized trial. J Bone Joint Surg Am. 2010;92(4):792-8
11-Mangione KK, Craik RL, Palmbaro KM, Tomlinson SS, Hoffmann MT. Home-based leg-strengthening exercise improves function 1 year after hip fracture: a randomize controlled study. J Am Geriatr Soc. 2010. 58(10):1911-7
12-Sedighi A, Sales JG, Alavi S. The prognostic value of tip-to-apex distance (TAD index) in intertrochanteric fractures fixed by dynamic hip screw. Orthop Rev (Pavia). 2012; 4(4):32.
13-Papaioannou A. The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study. Osteoporosis International, 2009, 20.5: 703-14.‏
14-Boonen S, Autier P, Barette M, Vanderschueren D, Lips P. Functional outcome and quality of life following hip fracture in elderly women: a prospective controlled study. Osteoporosis International. 2004;15(2):87-94
15-Lingard, Elizabeth A. Pitfalls of using patient recall to derive preoperative status in outcome studies of total knee arthroplasty. J Bone Joint Surg Am, 2001; 83(8): 1149-56.‏
16-Vidal E, Iglesias O. Hip fracture in the elderly: does counting time from fracture to surgery or from hospital admission to surgery matter when studying in-hospital mortality?. Osteoporosis international, 2009; 20(5): 723-9.‏
17-Valizadeh, M. Mortality after low trauma hip fracture: a prospective cohort study. BMC musculoskeletal disorders, 2012; 13(1): 143.‏
Jundishapur Scientific Medical Journal
Volume 15, Issue 4 - Serial Number 103
September and October 2017
Pages 415-422

Files

History

  • Receive Date: 04 April 2016
  • Revise Date: 08 June 2016
  • Accept Date: 24 June 2016

Share

How to cite

Statistics