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BTDMJB. 2013; 9(1): 28-32

The treatment of intertrochanteric femur fractures in geriatric patients with external fixator

Erdem Edipoğlu, Mustafa Gökhan Bilgili, Cihangir Sarı, Serdar Hakan Başaran, Cemal Kural, Mustafa Cevdet Avkan.

Objective: We evaluated the results of osteosynthesis with external fixation for intertrochanteric hip fractures in elderly patients with a high anesthesia risk.
Material and Methods: Sixty-eight patients with closed intertrochanteric femur fractures (48 women, 20 men, mean age: 77 years; range between 65-84 years) were treated with an unilateral external fixator under epidural anesthesia combined with mild sedation. According to AO/OTA classification A1.1, A1.2, A1.3 and A2.1 types were accepted as stabil, (Group 1), A2.2, A2.3, A3.1, A3.2 and A3.3 type fractures (Group 2) were accepted as unstabil fracture types. In first group there were 39 patients and in the second group there was 29 patients. The mean follow up was 12 months (9 to 18). In all patients, an AO tubular external fixator was used. Operation time, hospitalization period, healing time, complication rate and postoperative activity level were evaluated. Statistical evaluation was done by Mann-Whitney U-test.
Results: The mean operation time was 24 minutes (17-60) in the firstgroup and 38 minutes (26-70) in the second group (p

Key words: Intertrochanteric femur fracture; external fixators; osteoporosis/complications

Article Language: Turkish English

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