QUALITY OF LIFE IN PATIENTS WITH FRACTURES OF THE UPPER PART OF THE FEMORAL BONE OPERATED WITH PLATE AND INTRAMEDULLARY FIXATION
Journal
International Journal of Recent Research in Arts and Sciences
Date Issued
2022
Author(s)
Gjorgjieska K
Trajanovski A
Bozinovska B
Dalipi R
Karapandzevska S
Budikj B
Sejfula E
Abstract
Abstract.
Pertrochanteric hip fractures are probably the most frequent type of fractures mainly in
elderly patients, and were treated with different types of fixation. Intramedullary nail is a
possible treatment of choice for pertrochanteric femoral fractures, treatment that was grown in its
popularity over the past 2 decades, most likely because of the low risk for postoperative
morbidity. It has been shown in studies that these types of patients experience postoperative fast
recovery of maximal function. The purpose of this study is to correlate the quality of patients
health after using the intramedullary nail, with its objective outcome measures. From decades,
the implant of choice was the dynamic hip screw. Reports of high failure rates, especially in the
treatment of unstable pertrochanteric fractures with significant loss of medial support and
complications due to major surgical trauma, have led to the introduction of intramedullary
devices. This implant combines the advantages of minimally invasive surgery and early
postoperative weight bearing, leading to faster recovery of function. A possible mechanical
advantage over external fixation devices is that the nail is closer to the axis of weight bearing
through the femoral head, and therefore reduced support. Despite the theoretical advantages,
several studies have reported high rates of complications associated with intramedullary nail use.
It’s modifications has been significantly reduced the risk of postoperative femoral fracture.
Pertrochanteric hip fractures are probably the most frequent type of fractures mainly in
elderly patients, and were treated with different types of fixation. Intramedullary nail is a
possible treatment of choice for pertrochanteric femoral fractures, treatment that was grown in its
popularity over the past 2 decades, most likely because of the low risk for postoperative
morbidity. It has been shown in studies that these types of patients experience postoperative fast
recovery of maximal function. The purpose of this study is to correlate the quality of patients
health after using the intramedullary nail, with its objective outcome measures. From decades,
the implant of choice was the dynamic hip screw. Reports of high failure rates, especially in the
treatment of unstable pertrochanteric fractures with significant loss of medial support and
complications due to major surgical trauma, have led to the introduction of intramedullary
devices. This implant combines the advantages of minimally invasive surgery and early
postoperative weight bearing, leading to faster recovery of function. A possible mechanical
advantage over external fixation devices is that the nail is closer to the axis of weight bearing
through the femoral head, and therefore reduced support. Despite the theoretical advantages,
several studies have reported high rates of complications associated with intramedullary nail use.
It’s modifications has been significantly reduced the risk of postoperative femoral fracture.
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