PREDICTION OF OUTCOME IN PATIENTS WITH FRACTURES OF THE PROXIMAL FEMUR DEPENDING ON MEDICAL AND EPIDEMIOLOGICAL AND ANAMNESTIC CHARACTERISTICS

The paper shows the results of a study related to the possibilities of predicting the outcome in patients with fractures of the proximal femur depending on the medical-epidemiological and anamnestic characteristics. It was determined that fractures of the proximal femur are among the most common types of fractures and rank third among the most common types of fractures; they have high relevance and medical and social significance. Objective: study the possibilities of predicting treatment outcomes in patients with fractures of the proximal femur depending on the medical-epidemiological and anamnestic characteristics. In order to achieve this purpose, a retrospective study of the treatment outcome in patients with fractures of the proximal femur was conducted using the data of seven medical institutions in Kharkiv for six years (from January 01, 2011 to December 31, 2016). According to the results of the study, a significant direct correlation of healed fractures and healing fractures with a likelihood of surgical treatment was determined: they were 2.40 and 4.15 times higher, respectively, versus the comparison group. A significant inverse correlation with the conservative treatment of pseudarthrosis and other types of lesions, together with fractures of the proximal femur (reduced likelihood of surgical treatment by 79.50% and 66.90%, respectively) was found. There was a significant inverse correlation between age characteristics and the conservative treatment, with 23.10% increase by every 10 years and a direct correlation between functional characteristics according to the ASA classification and surgical treatment. A significant direct correlation of increased likelihood for operative treatment of fractures of all types according to AO classification in comparison with type 31A1 was defined. Significant correlation with the place of residence was established: increased likelihood of conservative treatment (by 75.00% in patients from other cities of Kharkiv region); increased likelihood of surgical treatment (residents of villages of Kharkiv region – 12.78 times, residents of villages of other regions – 5.20 times, residents of cities of other regions – 7.87 times, persons of no fixed abode – 5.11 times). A significant correlation between the characteristics of patients' admission to the clinic and the use of surgical treatment were recorded: in self-treatment (2.29 times) and in referral to outpatient and inpatient facilities (2.44 times). Keywords proximal femur fractures, clinical and epidemiological characteristics, concomitant pathology, comorbid burden, age-sexual characteristics, functional status, odds ratio, confidence intervals.

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MEDICAL AND EPIDEMIOLOGICAL CHARACTERISTICS OF PROXIMAL FEMUR FRACTURES IN CITY OF KHARKIV AND KHARKIV REGION POPULATION

International Medical Journal ◽

10.37436/2308-5274-2020-2-16 ◽

2020 ◽

pp. 81-88

Author(s):

T. S. Hurbanova

Keyword(s):

Functional Status ◽

Proximal Femur ◽

Significant Proportion ◽

Sex Characteristics ◽

Proximal Femur Fractures ◽

Femur Fractures ◽

Sexual Characteristics ◽

The Right ◽

Epidemiological Characteristics

Regional clinical and epidemiological characteristics of the patients with the proximal femur fractures have been determined. To perform the research, the following tasks were solved: to establish the prevalence of fractures of the proximal femur depending on age and sex characteristics, place of residence, lesion, features of admission to the clinic, mechanisms of referral, timing of admission, concomitant pathology and comorbid burden, functional level, type of fracture and treatment tactics. The regional epidemiological characteristics of patients with these fractures were retrospectively studied using the date of seven medical institutions of the city of Kharkiv during 2011−2016. The predominance of women with a total average age of all the patients of 70.36±0.20 years and the one of the contingent of the patients aged 71−80 years and older 80 years and older were found. There was a significant prevalence of urban dwellers among the patients. The predominance of patients admitted to trauma departments by ambulance crews was determined. It was stated that the vast majority of respondents received medical care in the first 6 hours after injury. A significant proportion of comorbidly burdened patients with a predominance of the patients with one or two concomitant diseases was identified. Almost identical injuries of both the right and left extremities with a significant predominance of closed fractures and those of type 31A1 and 31B1 according to the classification of the Society for the Study of Osteosynthesis. A certain decrease in functional status was determined according to the classification of the American Society of Anesthesiologists. Conservative treatment was used more often than surgical treatment. Key words: proximal femur fractures, clinical and epidemiological characteristics, concomitant pathology, comorbid burden, age−sexual characteristics, functional status.

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Trends in the surgical treatment of pathological proximal femur fractures in the United States

Journal of Surgical Oncology ◽

10.1002/jso.25669 ◽

2019 ◽

Vol 120 (6) ◽

pp. 994-1007 ◽

Cited By ~ 4

Author(s):

Nathan H. Varady ◽

Bishoy T. Ameen ◽

Pierre‐Emmanuel Schwab ◽

Caleb M. Yeung ◽

Antonia F. Chen

Keyword(s):

United States ◽

Surgical Treatment ◽

Proximal Femur ◽

The United States ◽

Proximal Femur Fractures ◽

Femur Fractures

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Trends in the Surgical Treatment of Pathologic Proximal Femur Fractures Among Musculoskeletal Tumor Society Members

Clinical Orthopaedics and Related Research ◽

10.1007/s11999-012-2724-6 ◽

2013 ◽

Vol 471 (6) ◽

pp. 2000-2006 ◽

Cited By ~ 44

Author(s):

Matthew Steensma ◽

John H. Healey

Keyword(s):

Surgical Treatment ◽

Proximal Femur ◽

Musculoskeletal Tumor ◽

Musculoskeletal Tumor Society ◽

Proximal Femur Fractures ◽

Femur Fractures

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Outcome of non-surgical treatment of proximal femur fractures in the fragile elderly population

Injury ◽

10.1016/j.injury.2019.05.022 ◽

2019 ◽

Vol 50 (7) ◽

pp. 1347-1352 ◽

Cited By ~ 5

Author(s):

Tal Frenkel Rutenberg ◽

Aseel Assaly ◽

Maria Vitenberg ◽

Shai Shemesh ◽

Alon Burg ◽

...

Keyword(s):

Surgical Treatment ◽

Proximal Femur ◽

Elderly Population ◽

Proximal Femur Fractures ◽

Femur Fractures ◽

Non Surgical Treatment

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Clinical and radiographical outcome after surgical treatment of periprosthetic type B proximal femur fractures: a retrospective study

MUSCULOSKELETAL SURGERY ◽

10.1007/s12306-020-00676-6 ◽

2020 ◽

Author(s):

G. Agostini ◽

I. Angelini ◽

C. Citarelli ◽

L. Andreani ◽

F. Carmassi ◽

...

Keyword(s):

Retrospective Study ◽

Surgical Treatment ◽

Proximal Femur ◽

Type B ◽

Proximal Femur Fractures ◽

Femur Fractures

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Analysis of surgical treatment in elderly and senile patients with proximal femur fractures by extracortical plate osteosynthesis

TRAUMA ◽

10.22141/1608-1706.3.18.2017.105365 ◽

2017 ◽

Vol 18 (3) ◽

pp. 80-85 ◽

Cited By ~ 3

Author(s):

А.V. Kalchenko ◽

V.А. Babalyan ◽

А.N. Khvysyuk ◽

Т.S. Gurbanova ◽

V.V. Cherepov

Keyword(s):

Surgical Treatment ◽

Proximal Femur ◽

Plate Osteosynthesis ◽

Proximal Femur Fractures ◽

Femur Fractures

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THE USE OF THE PROXIMAL FEMORAL NAIL IN THE TREATMENT OF PROXIMAL FEMUR FRACTURES IN THE OLD PATIENTS

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2010-0-2-27-31 ◽

2010 ◽

Vol 16 (2) ◽

pp. 27-31

Author(s):

V. N. Borovkov ◽

A. A. Khrupalov ◽

G. V. Sorokin

Keyword(s):

Surgical Treatment ◽

Proximal Femur ◽

Proximal Femoral Nail ◽

Municipal Hospital ◽

Old Patients ◽

Proximal Femur Fractures ◽

Femur Fractures ◽

Femoral Nail ◽

Analysis Of Results ◽

Proximal Femur Nail

The analysis of results of surgical treatment of 157 patients with proximal femur fractures was presented. In all cases the osteosynthesis using fixator PFN was performed in clinic of traumatology amd orthopedics of Moscow Municipal Hospital N 71 from 2005 till 2009. The authors concluded: proximal femur nail is mini-invasive and mini-traumatic fixator that is essential at treatment of elderly and old patients.

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Long-term results of conservative and surgical treatment of patients with diffuse toxic goiter

Problems of Endocrinology ◽

10.14341/probl11878 ◽

2000 ◽

Vol 46 (6) ◽

pp. 12-18

Author(s):

N. D. Petrova ◽

V. N. Khomyakova ◽

G. A. Melnichenko

Keyword(s):

Surgical Treatment ◽

Conservative Treatment ◽

Continuous Treatment ◽

Long Term Results ◽

Thyroid Ultrasonography ◽

Medical Institutions ◽

Toxic Goiter ◽

Conservative And Surgical Treatment ◽

Made In

The disease history, levels of ТЗ, T4, ТТН were investigated and thyroid ultrasonography was made in 111 patients with diffuse toxic goiter (DTG) admitted to hospital in 1984—1993. Of them, '83 had primary DTG, 28 had recurrent thyrotoxicosis. The diagnosis was made in 1978—1993, the treatment was performed in different medical institutions according to the patients ’ residence. The analysis showed that endocrinologists of different clinics practice different policy of thyrostatic treatment (different initial doses of the drugs, different duration of their administration). Out of 98 patients treated with mercasolil recurrence arose in 68%, persistent euthyrosis in 35%, hypothyroidism in 2%>. It is demonstrated that outcome of the conservative treatment does not depend on the initial dose of mercasolil or adjuvant levo-thyroxine but solely on the duration of continuous treatment. After 52 operations recurrences occurred in 35%, hypothyroidism in 36%, euthyrosis in 29%. Recurrent thyrotoxicosis developed as a rule within a year after thyrostatic treatment (84%) and within 5 years after operation (94%).

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