Evaluation of External Fixation Results in High-risk Older Patients with Intertrochanteric Femur FracturesMusa Uğur Mermerkaya1, Fatih Karaaslan1*, Erkan Alkan2, Mehmet Ayvaz3 and Şenol Bekmez4
- *Corresponding Author:
- Dr. Fatih Karaaslan
Bozok Universitesi Tip Fakültei
Ortopedi ve Travmatoloji Bolumu, Yozgat, Turkey
Tel: +90 354 212 70 60
E-mail: [email protected]
Received Date: May 25, 2014; Accepted Date: August 25, 2014; Published Date: September 20,2014
Citation: Mermerkaya MU, Karaaslan F, Alkan E, Ayvaz M, Bekmez S. Evaluation of External Fixation Results in High-risk Older Patients with Intertrochanteric Femur Fractures. Journal of Surgery [Jurnalul de chirurgie] 2014; 10(3):217-219 doi: 10.7438/1584-9341-10-3-7
Copyright: © 2014 Mermerkaya MU, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Intertrochanteric femur fractures are common in older people. In high-risk patients, especially American Society of Anesthesiologists (ASA) scores 3 and 4, surgery with internal fixation can cause excessive stresses. Therefore, external fixation is another option for treating these patients.
Objective: To evaluate the results and complications of external fixation in elderly patients with intertrochanteric fractures.
Methods: Twenty-six surgically high-risk patients with intertrochanteric fractures admitted to our clinic were treated with external fixation (January 2010- November 2011). Epidemiological and radiological data and also complications were recorded at each follow-up.
Results: No complications occurred in 13 patients. The remaining 13 patients had complications after surgery: Of the patients, 10 had implant failure (6 pin migration and 4 pin cut-out) and 3 had pin tract infections. Six patients who had implant failure (2 pin migration and 4 pin cut-out) underwent revision. Unrevised complicated patients (4 pin migration) and 2 of 3 patients with pin tract infections had malunion and shortening. High risk older patients with external fixation had a high complication and morbidity rate.
Conclusion: We do not recommend using pertrochanteric external fixators in high-risk patients due to the high revision rate and serious complications.