Different Methods of Treatment of Trochanteric Fractures in Elderly

Abstract

Background: Trochanteric femoral fractures constitute 3% of all fractures and a large portion of fractures after the age of 60. Trochanteric femoral fractures in elderly usually occur due to a low-energy trauma and can be treated successfully with internal fixation or prosthesis depending on the patient's age and general condition and also the quality of the bone. Aim and Objective: This is a systematic review to evaluate different techniques of fixation used in management of intertrochanteric fracture, regarding the efficacy results and complication of each technique in the literature. Methods: A review was performed using the Cochrane Central Register of Controlled Trials, PubMed, and MEDLINE as database for search. Results: the results of the study revealed that the percent of changes were 44.69% of RT side group A, 45.26% of RT side group B, 40.86% of LT side group A, and 45.90% of LT side group B with no significant difference between the studied groups. included studies focusing on intertrochanteric fracture fixation in elderly patients as the main research point, if it was not the main point, paper was excluded. Conclusion: Prosthetic replacements can treat unstable intertrochanteric fracture well, if operative indication is correctly selected. It is suitable for elderly patients and the operation should be performed by experienced surgeons.

Meta-analysis of new intervention measures for preventing side effects of artificial joint replacement

“…In recent years, traction therapy and surgical treatment have commonly been used. Traction therapy is less harmful to patients than surgical treatment but its effect is not ideal, and patients need to stay in bed for a long time, resulting in serious complications such as urinary tract infection, deep vein thrombosis and avascular necrosis of the femoral head[ 3 ]. Although artificial joint replacement can reduce mortality in patients with intertrochanteric fracture and deformation of the fracture site, according to recent clinical feedback, artificial joint replacement is often accompanied by many side effects in the recovery process of patients with intertrochanteric fracture, and the most common is venous thromboembolism[ 4 , 5 ].…”