The effect of preexisting radiographic hip osteoarthritis on the functional recovery after surgical treatment of intertrochanteric fractures in elderly patients.

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2022-11-01 DOI:10.5152/j.aott.2022.22076
Fırat Fidan, Abdülkadir Polat
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Abstract

Objective: The aim of this study was to evaluate the effect of the grade of preexisting radiographic hip osteoarthritis on the functional outcome of elderly patients with intertrochanteric fractures treated by intramedullary fixation.

Methods: We retrospectively examined the impact of the grade of preexisting osteoarthritis on the functional outcome of 88 patients older than 60 years with intertrochanteric fractures treated by intramedullary fixation. The patients were divided into 2 groups accord ing to the grade of osteoarthritis: group 1, including 52 patients (32 females and 20 males) with Kellgren-Lawrence grades 1 and 2, and group 2, including 36 patients (24 females and 12 males) with Kellgren-Lawrence grades 3 and 4. Functional outcomes were evaluated using the Harris hip score, visual analog scale, EuroQoL general health questionnaire, and the Barthel index.

Results: The mean age was 74.8 ± 5.5 (range=63-87) years in group 1 and 75.06 ± 5.3 (range=64-87) years in group 2. At the last follow-up, the mean Harris hip score was significantly higher in group 1 (71.3 ± 4.3) than that of group 2 (69.5 ± 3.5) (P=.047). There was no signifi cant difference between the groups in terms of the visual analog scale (P=.102), EuroQoL general health questionnaire (P=.144), and the Barthel index (P=.261) scores. The EuroQoL general health questionnaire and Barthel index scores were worse with increasing age.

Conclusion: As the grade of hip osteoarthritis increases, it may adversely affect the specific hip score, but this parameter alone may not be a poor prognostic factor that affects the quality of life and daily activity level.

Level of evidence: Level III, Prognostic Study.

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老年患者股骨粗隆间骨折手术治疗后,既往髋关节骨性关节炎对术后功能恢复的影响。
目的:本研究的目的是评估先前存在的髋关节骨性关节炎的分级对经髓内固定治疗的老年股骨粗隆间骨折患者功能结局的影响。方法:我们回顾性研究了88例60岁以上股骨粗隆间骨折经髓内固定治疗的患者,先前存在的骨关节炎的等级对其功能结局的影响。根据骨关节炎的分级将患者分为2组:1组52例(女性32例,男性20例),Kellgren-Lawrence分级为1级和2级;2组36例(女性24例,男性12例),Kellgren-Lawrence分级为3级和4级。功能结果采用Harris髋关节评分、视觉模拟量表、EuroQoL一般健康问卷和Barthel指数进行评估。结果:1组患者平均年龄为74.8±5.5(范围=63 ~ 87)岁,2组患者平均年龄为75.06±5.3(范围=64 ~ 87)岁。末次随访时,组1患者Harris髋关节评分(71.3±4.3)分明显高于组2患者(69.5±3.5)分(P= 0.047)。两组在视觉模拟量表(P= 0.102)、EuroQoL一般健康问卷(P= 0.144)和Barthel指数(P= 0.261)评分方面差异无统计学意义。EuroQoL一般健康问卷和Barthel指数得分随年龄增长而变差。结论:随着髋关节骨关节炎级别的增加,可能会对髋关节特异性评分产生不利影响,但该参数本身可能不是影响生活质量和日常活动水平的不良预后因素。证据等级:III级,预后研究。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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