Introduction: This study aimed to compare the surgical stress and immunoinflammatory response caused by proximal femoral nail and hemiarthroplasty in patients with unstable intertrochanteric fractures.
Materials and Methods: We retrospectively evaluated 344 patients who had undergone surgery for intertrochanteric fractures. Inclusion criteria were defined as being between the ages of 65 and 80, having an American Society of Anesthesiology physical status classification system score of 3, and the time between fracture formation and surgery being less than 72 hours. Proximal femoral nail was performed in 42 of the patients whereas hemiarthroplasty was performed in 40 patients. Data of age, gender, pre-operative waiting and operation times, length of hospital stay, change in haemoglobin levels, and erythrocyte suspension need were recorded. Venous blood samples were collected from all the patients at the first admission to the emergency department, 6 hours after the operation, and 3 days after the operation. Neutrophil-lymphocyte ratio and systemic immune-inflammation index were compared between the two procedures at three different time.
Results: The operation and hospitalisation duration, erythrocyte suspension use were significantly higher (p
Key words: Intertrochanteric Fractures; Neutrophil to lymphocyte ratio ; Systemic immune-inflammation index (SII); Postoperative inflammation index
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