The epidemiology and functional outcomes of operative fixation of extracapsular proximal femoral fractures (AO 31-A) in young adults
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- 作者：D. N. Ramoutar ; P. Kodumuri ; J. N. Rodrigues…
- 关键词：Young adult hip fracture ; Proximal femur ; Extracapsular fracture
- 刊名：European Journal of Orthopaedic Surgery & Traumatology
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：27
- 期：2
- 页码：267-272
- 全文大小：
- 刊物类别：Medicine
- 刊物主题：Surgical Orthopedics; Traumatic Surgery;
- 出版者：Springer Paris
- ISSN：1432-1068
- 卷排序：27
文摘
Proximal femoral fractures in adults under 50 years are not as common as in the elderly, but may have just as significant an impact. There is little in the literature describing the functional outcomes of fixation in this age group. Our aim was to assess the clinical and functional outcomes of operative management of extracapsular proximal femoral fractures (AO 31-A) in the young adult (<50 years). Consecutive skeletally mature patients <50 years undergoing operative fixation of these fractures were obtained from a prospective database over a 12-year period. Complications and mortality data were obtained from this database and case note review. Outcome scores were obtained via postal questionnaires. Eighty-eight patients were included in the study of which 74 (84%) had fixation with the dynamic hip screw. The mean age was 39 years (range 17–50) with a male preponderance (73.8%). Mean hospital stay was 14 days (range 2–94). Seventeen (19.3%) patients had died at a mean of 40 months from their operation date. The 1-year mortality was 4.5%. There were five complications (5.7%). SF-36 and EuroQol 5D scores showed that 5–10% had severe problems with a 20% decrease in quality of life compared to population norms. The biggest differences were in the physical function modalities. One-third had fair to poor hip function as assessed by the Oxford Hip Score. Though these injuries are relatively rare in this age group, they do have significant mortality and functional impairment reflecting a higher energy of injury rather than the frailty seen in the elderly.