The Daily Life Functions of Elderly Peritrochanteric Fracture Patients after Surgical Treatment

Dae Moo Shim; Tae Kyun Kim; Jong Yun Kim; Duk Hwa Choi; Joung Suk Lee; Seong In Lee

doi:10.12671/jkfs.2012.25.1.8

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Shim, Kim, Kim, Choi, Lee, and Lee: The Daily Life Functions of Elderly Peritrochanteric Fracture Patients after Surgical Treatment

Original Article

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2012; 25(1): 8-12.

Published online: 31 January 2012

DOI: https://doi.org/10.12671/jkfs.2012.25.1.8

The Daily Life Functions of Elderly Peritrochanteric Fracture Patients after Surgical Treatment

Dae Moo Shim, M.D., Ph.D., Tae Kyun Kim, M.D., Ph.D., Jong Yun Kim, M.D., Ph.D., Duk Hwa Choi, M.D., Ph.D.^*, Joung Suk Lee, Ph.D.^†, Seong In Lee, M.D.

Department of Orthopaedic Sugery, Wonkwang University College of Medicine, Iksan, Korea.

^*Department of Anesthesiology, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea.

^†Department of Nursing Survice, Gunsan Medical Center of Wonkwang University Hospital, Gunsan, Korea.

Address reprint requests to: Tae Kyun Kim, M.D., Ph.D. Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital, 344-2, Shinyong-dong, Iksan 570-711, Korea. Tel: 82-63-859-1363, Fax: 82-63-852-9329, osktg@wonkwang.ac.kr

Received 10 June 2011 Revised 26 September 2011 Accepted 20 October 2011

Abstract

Purpose

Although most peritrochanteric fractures in old age necessitates surgical treatment, daily life functions are still impaired after discharge. We assessed the types of peritrochanteric fracture, risk factors, and functional recovery in elderly patients who were over 65 years old. We also tried to determine factors for recovery to daily life.

Materials and Methods

From January 2006 to December 2007, among 61 patients who were over 65 years old with the possibility of 1 year follow-up, 50 patients were selected through interviews. After verifying age, sex, mode, types of fracture, and method, we analyzed daily living activities with a functional recovery index and estimated recovery of daily life functions after surgery, assuming a score increase if functional recovery was good.

Results

The mean age was 75.8 years, and females (31 patients, 62%) exceeded males. Slipping (27 patients, 54%) was the most common cause of fracture, and the intertrochanteric femur fracture was the most common fracture type (34, 68%). The average functional recovery index decreased 16.24% compared with the pre-operation value, having a tendency to decrease more in old age and female patients. Subtrochanteric femur fracture showed a 17.6% decrease in functional recovery index among the fracture types.

Conclusion

In elderly patients over 65 years, the functional recovery index after peritrochanteric fracture decreased 16.24% on average compared with the preoperation state. The largest decrease was in basic life ability. The functional recovery index decreased more in old age, females, and subtrochanteric femur fracture, which indicates these factors influence functional recovery.

Keywords: Intertrochanteric femur fracture, Functional recovery index, Elderly

Figures and Tables

Fig. 1

Fuctional recovery index checklist.

Fig. 2

78 years old female was taken internal fixation using gamma nailing.

(A) Preoperation radiograph.

(B) At 36 month after nailing, bone union was not made completely.

(C) Bone densitomet shows osteoporosis (T-score: -4.8).

Table 1

Around hip joint fracture functional recovery index

p>0.05.

Table 2

Gender functional recovery index

p>0.05.

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