Abstract
Purpose
The purpose of this study was to compare the general characteristics that affect the prognosis and evaluate the influence of stroke on one-year postoperative mortality and recovery of ambulatory status in elderly patients over 65 years old with femoral intertrochanteric fracture.
Materials and Methods
This study included 80 patients who were followed-up for one year after proximal femoral nailing for femur intertrochanteric fracture between January 2008 and December 2013. We analyzed the relationship among the one-year postoperative mortality, recovery of ambulatory status and the associated factors (age, gender, associated underlying disease, American Society of Anesthesiologists [ASA] grade, comminution of the fracture, dementia).
Results
The one-year postoperative mortality rate in all patients and patients with stroke was 28.8% and 42.9%, respectively. The one-year postoperative mortality rate was significantly higher in patients with stroke, high ASA grade, and unstable fracture. Decrease of the one-year postoperative ambulatory status was 50.9% in all patients and was significantly associated with grade III or IV ASA rating. No significant relationships were observed between the one-year postoperative recovery of ambulatory status and stroke.
Figures and Tables
Table 1
Analysis of Ambulatory Status by Koval*
![jkoa-51-273-i001](/upload/SynapseData/ArticleImage/0043jkoa/jkoa-51-273-i001.jpg)
*Categories of Walking Ability by Koval. 1) Community ambulator: independent community ambulator, community ambulator with cane, community ambulator with walker/crutches. 2) Household ambulator: independent household ambulator, household ambulator with cane, household ambulator with walker/crutches. 3) Nonfunctional ambulator.
Table 5
Logistic Regression Analysis of Various Characteristics on One-Year Mortality (Final Model by Backward Elimination Method)
![jkoa-51-273-i005](/upload/SynapseData/ArticleImage/0043jkoa/jkoa-51-273-i005.jpg)
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