Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients

BMC Musculoskeletal Disorders

Research Article

Andreas Leithner¹  Patrick Sadoghi¹  Mathias Glehr¹  Gerald Gruber¹  Karl Gruber²  Gerwin A Bernhardt³  Franz J Seibert⁴  Christian Giessauf⁴ 

[1] Department of Orthopedic Surgery, Medical University Graz, Graz, Austria;Department of Surgery, District Hospital Weiz, Weiz, Austria;Department of Surgery, Medical University Graz, Graz, Austria;Department of Trauma Surgery, UKH, Graz, Austria;

关键词: Intramedullary Nailing;    Mental Component Summary Score;    Physical Component Summary Score;    Uninjured Side;    Pertrochanteric Fracture;   

DOI  :  10.1186/1471-2474-13-214

 received in 2011-10-25, accepted in 2012-10-17,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundIntramedullary nailing of pertrochanteric femoral fractures has grown in popularity over the past 2 decades likely because this procedure is associated with a low risk for postoperative morbidity and a fast recovery of function. The evaluation of outcomes associated with pertrochanteric nailing has mainly been based on objective measures. The purpose of the present study is to correlate patients’ health-related quality of life results after intramedullary nailing of pertrochanteric fractures with objective outcome measures.MethodsWe conducted a single-center study including 62 patients (mean age 80 ± 10 years) with pertrochanteric fractures treated with a Gamma 3 Nail. Health related quality of life was measured using the Short Form-36. These results were compared to both US and Austrian age and sex-adjusted population norms. The objective outcome measures studied at one year postoperatively included Harris Hip Score, range of motion, leg length, body mass index, neck-shaft angle and grade of osteoarthritis.ResultsAccording to the Harris Hip Score 43 patients (67%) had excellent or good results. There was no significant difference in the average neck-shaft angle comparing affected hip to non-affected hip at 12 months postoperatively. The average osteoarthritis score, for both the injured and uninjured hip, did not differ significantly. We found significant differences between the bodily pain, social functioning and mental health subscales and two summary scores of the Short-Form 36 in comparison to Austrian population norms. Complication rate was 8%.ConclusionsThe results of this study confirm that intramedullary nailing with the use of a Gamma Nail is a safe treatment option for stable and unstable pertrochanteric fractures. Despite good functional and radiographic results we noticed a substantial fall off in patients’ quality of life up to 12 months after operation.

【 授权许可】

Unknown   
© Giessauf et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.