Version 1
: Received: 5 January 2024 / Approved: 17 January 2024 / Online: 18 January 2024 (03:25:05 CET)
How to cite:
Kaya, O.; Kundakçı, B.; Önder, C.; Kurt, V.; Atmaca, E.; Tunç, F. The Effect of the Preoperative Position on the Success of Intertrochanteric Fracture Surgery. Preprints2024, 2024011314. https://doi.org/10.20944/preprints202401.1314.v1
Kaya, O.; Kundakçı, B.; Önder, C.; Kurt, V.; Atmaca, E.; Tunç, F. The Effect of the Preoperative Position on the Success of Intertrochanteric Fracture Surgery. Preprints 2024, 2024011314. https://doi.org/10.20944/preprints202401.1314.v1
Kaya, O.; Kundakçı, B.; Önder, C.; Kurt, V.; Atmaca, E.; Tunç, F. The Effect of the Preoperative Position on the Success of Intertrochanteric Fracture Surgery. Preprints2024, 2024011314. https://doi.org/10.20944/preprints202401.1314.v1
APA Style
Kaya, O., Kundakçı, B., Önder, C., Kurt, V., Atmaca, E., & Tunç, F. (2024). The Effect of the Preoperative Position on the Success of Intertrochanteric Fracture Surgery. Preprints. https://doi.org/10.20944/preprints202401.1314.v1
Chicago/Turabian Style
Kaya, O., Emre Atmaca and Fatih Tunç. 2024 "The Effect of the Preoperative Position on the Success of Intertrochanteric Fracture Surgery" Preprints. https://doi.org/10.20944/preprints202401.1314.v1
Abstract
Background and objectives: The incidence of hip fractures in advanced age is increasing due to the aging society. In trochanteric region fractures of the femur, patient positioning can be performed various ways. The aim of this study is to clinically and radiologically compare the use of the supine hemilithotomy position, the lateral decubitus position, and the traction table when performing PFN surgery for femoral intertrochanteric fractures in the geriatric age group.Materials and Methods: A total of 170 older patients with femoral intertrochanteric fractures were included in this cross-sectional study. The patients were divided into three groups the supine hemilithotomy group, lateral decubitus group and fracture table. For the postoperative period, complications, length of stay in the intensive care unit, and length of stay in hospital were examined, while in postoperative radiographs, tip-apex distance (TAD), collodiaphyseal angle (CDA), and Cleveland-Bosworth quadrants were examined to evaluate the placement of the lag screw in the femoral head. Quality of fracture reduction was evaluated according to the modified Baumgaertner criteria.Results: The mean age of the patients was 77.77±8.8; 57.6% of patients were female. According to the modified Baumgaertner criteria, it was determined that patients with ‘poor’ reduction quality had an approximately ten times higher risk of cut-out than those with ‘good’ reduction quality. (OR = 10.111, p = 0.002, 95% confidence interval; 2.313-44.207). The duration of surgery of patient in the fracture table group was found to be higher than in the other groups, the CDA in the supine position group were found lower than in the other groups, and the TAD in the supine position group was found higher than in the other groups. Complications were mostly detected in patients who underwent surgery in the lateral decubitus position. (p<0,05)
Conclusion: We believe that it is necessary to be familiar with all methods, since it is very difficult to choose the most appropriate method according to the surgeon’s experience, the hospital’s facilities and conditions, and the patient’s clinical status.
Medicine and Pharmacology, Orthopedics and Sports Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
