Femur intertrochanteric fractures (FITC) are one of the most common fractures of the lower extremity, caused by osteoporosis, caused by minor trauma in elderly patients. Today, it is successfully treated with proximal femoral nails (PFN) designed in different ways. After surgical fixation with PFN, patients are mobilized by placing full weight, but some complications can be seen due to the patients being osteoporotic. In this study, the investigators planned to investigate the effect of full weight bearing and partial weight bearing on complications, which were not previously described in the literature.
Participants over the age of 60 who underwent PFN with the diagnosis of FITK were randomized (double-blinded consecutive full load on one patient and partial weight on one patient), and mobilized a group with full weight with the help of a walker after surgical fixation, and the other group with the help of a walker to give partial weight (balance). We planned to follow up his treatment prospectively. The compatibility of the groups will be evaluated by comparing the bone mineral density, calcium, alkaline phosphatase, phosphate, vitamin D levels and ages of the patients. Fracture types and post-treatment reduction quality of patients in both groups will be compared. We planned to compare the complication rates, Barthel Index and harris hip scores in the follow-up of the patients.
Study Type
OBSERVATIONAL
Enrollment
133
Even numbered patients will partial weight bearing after treatment,
patients with odd numbers will walk with full weight bearing after treatment
Duran Topak
Kahramanmaraş, Eyalet/Yerleşke, Turkey (Türkiye)
demographic datas
Descriptive statistical data
Time frame: August 2018
comparison of groups
harris hip score: The Turkish version of the Harris hip score with adequate internal consistency (Cronbach's alpha, 0.70) and test-retest reliability (ICC = 0.91) was used for functional outcomes. It is evaluated with scores ranging from 0 to 100. The higher the score, the better the hip function.
Time frame: 1 year after surgery
comparison of groups
Barthel Index: The Turkish version of the Barthel index, which was developed by Mahoney and Barthel in 1965, and edited by Küçükdeveci et al., was used to evaluate the degree of independence of patients in activities of daily living. In this scale, where the possible score is between 0-100, the high score means that the patient is independent from other people and can run his own business; 0-20 points are defined as fully dependent, 21-61 points severely dependent, 62-90 points moderately dependent, 91-99 points mildly dependent, and 100 points fully independent
Time frame: 6 month after operative treatment
comparison of groups
age (year)
Time frame: At the beginning of the study
comparison of groups
Vit D (microgram\\L)
Time frame: before surgery
comparison of groups
Complication (cut out, Z effect, infection, implant failure)
Time frame: august 2022
comparison of groups
Union time (week): Fracture union was defined radiologically as visible callus formation and reduction in pain in the groin.
Time frame: On completion of the study, an average of 1 year
comparison of groups
Following time (month): The time elapsed between the date the patient came for the last control and the first application
Time frame: patient's last control date, at least 1 year later
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