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European Journal of Orthopaedic Surgery & Traumatology

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01-07-2019 | Hip-TEP | Original Article • HIP - FRACTURES

High comorbidity index is not associated with high morbidity and mortality when employing constrained arthroplasty as a primary treatment for intertrochanteric fractures in elderly patients

Authors: Gilbert Maroun, Raja Chaftari, Jad Chokr, Charbel Maroun, Moussa El-Jerdi, Charbel Saade

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 5/2019

Abstract

Aim

The aim of our study is to investigate the results of constrained total hip arthroplasty as a primary treatment of intertrochanteric fractures (ITF) in elderly patients with high comorbidities.

Materials and methods

Total hip replacement (THR) with a retentive cup was performed on 73 patients with ITF over the age of 54 years who had high comorbidities and a Charlson score above five. Short- and long-term complications were determined by follow-up. Bivariate analysis was conducted in order to determine the possible determinants of mortality and factors associated with comorbidity as measured by the Charlson comorbidities index.

Results

Patient demographics that consisted of females (58.9%) (p < 0.04) with the mean age of both males and females demonstrated no statistical significance. The mean hospitalization time and weight bearing time were 11 and 2.67 days, respectively. Only 4.1% needed re-intervention due to re-fracture and none due to prosthesis failure. There was a statistical significance between the comorbidity index and the mortality rate. However, no statistical significance was identified between the comorbidity index and the functional status after constrained THR.

Conclusion

High comorbidity index is not associated with high morbidity and mortality when employing constrained arthroplasty as a primary treatment for ITF in elderly patients.

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Title: High comorbidity index is not associated with high morbidity and mortality when employing constrained arthroplasty as a primary treatment for intertrochanteric fractures in elderly patients
Authors: Gilbert Maroun
Raja Chaftari
Jad Chokr
Charbel Maroun
Moussa El-Jerdi
Charbel Saade
Publication date: 01-07-2019
Publisher: Springer Paris
Keywords: Hip-TEP
Hip-TEP
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 5/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02394-7

At a glance: The ONWARDS insulin icodec trials

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High comorbidity index is not associated with high morbidity and mortality when employing constrained arthroplasty as a primary treatment for intertrochanteric fractures in elderly patients

Abstract

Aim

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

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Abstract

Aim

Materials and methods

Results

Conclusion

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