Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center Study
Background: Although hip fractures are common among the elderly population, there are still limited studies on neck-trochanteric fractures, one of the less common types of hip fractures. This study aims to describe the characteristics of patients and their management in patients with neck trochanter...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universitas Airlangga
2024-10-01
|
| Series: | Journal Orthopaedi and Traumatology Surabaya |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/61256 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823856499165757440 |
|---|---|
| author | Ndilalah Pulungan Yusa Muhammad Thoriq Felix Giovanni Hartono Muhammad Luthfi Adnan Dadang Rona Sasetyo |
| author_facet | Ndilalah Pulungan Yusa Muhammad Thoriq Felix Giovanni Hartono Muhammad Luthfi Adnan Dadang Rona Sasetyo |
| author_sort | Ndilalah Pulungan |
| collection | DOAJ |
| description | Background: Although hip fractures are common among the elderly population, there are still limited studies on neck-trochanteric fractures, one of the less common types of hip fractures. This study aims to describe the characteristics of patients and their management in patients with neck trochanteric fractures.
Methods: This retrospective cross-sectional study analyzed medical records of patients aged >18 years with trochanteric fractures from a tertiary hospital in Central Java, Indonesia, between January and December 2021. Fracture types were identified and classified using the Garden, Pauwels, and AO/OTA classifications. Demographic data, risk factors, fracture locations, and treatment types were also collected. Statistical analysis was performed using SPSS 21.0 to describe patient characteristics.
Results: The total sample was 77 patients, most were female (n = 55 (71.4%)) and aged > 60 years. More than a third of diagnosed fractures were neck of the femur fractures in 33 patients (42.9%). Among the most common classification types of fractures were Garden Type 3, Pauwels Type 3, and AO/OTA type A1.1. A total of 33 patients (42.9%) underwent open reduction of the fracture with internal fixation.
Conclusions: Our findings show that the prevalence of neck-trochanteric fractures mostly occurs in patients > 60 years of age and in females. Although open reduction with internal fixation is generally performed, there are several cases of fractures that are not classifiable due to limited imaging examinations. Further research on a wider population is needed to confirm the findings of this study. |
| format | Article |
| id | doaj-art-6412625ee1434adeb4178f47545e4e1f |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-6412625ee1434adeb4178f47545e4e1f2025-02-12T07:26:42ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422024-10-01132616810.20473/joints.v13i2.2024.61-6859423Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center StudyNdilalah Pulungan0https://orcid.org/0009-0005-9314-9473Yusa Muhammad Thoriq1https://orcid.org/0000-0003-4036-7600Felix Giovanni Hartono2https://orcid.org/0000-0001-5496-0312Muhammad Luthfi Adnan3https://orcid.org/0000-0003-0733-1948Dadang Rona Sasetyo4https://orcid.org/0000-0002-9862-7527Merah Putih General Regional Public Hospital, Magelang, IndonesiaGunawarman Medical Center, South Jakarta, IndonesiaSoeharso General Regional Public Hospital, Surakarta, IndonesiaMardi Rahayu Hospital, Kudus, IndonesiaSiloam Asri Hospital, South Jakarta, IndonesiaBackground: Although hip fractures are common among the elderly population, there are still limited studies on neck-trochanteric fractures, one of the less common types of hip fractures. This study aims to describe the characteristics of patients and their management in patients with neck trochanteric fractures. Methods: This retrospective cross-sectional study analyzed medical records of patients aged >18 years with trochanteric fractures from a tertiary hospital in Central Java, Indonesia, between January and December 2021. Fracture types were identified and classified using the Garden, Pauwels, and AO/OTA classifications. Demographic data, risk factors, fracture locations, and treatment types were also collected. Statistical analysis was performed using SPSS 21.0 to describe patient characteristics. Results: The total sample was 77 patients, most were female (n = 55 (71.4%)) and aged > 60 years. More than a third of diagnosed fractures were neck of the femur fractures in 33 patients (42.9%). Among the most common classification types of fractures were Garden Type 3, Pauwels Type 3, and AO/OTA type A1.1. A total of 33 patients (42.9%) underwent open reduction of the fracture with internal fixation. Conclusions: Our findings show that the prevalence of neck-trochanteric fractures mostly occurs in patients > 60 years of age and in females. Although open reduction with internal fixation is generally performed, there are several cases of fractures that are not classifiable due to limited imaging examinations. Further research on a wider population is needed to confirm the findings of this study.https://e-journal.unair.ac.id/JOINTS/article/view/61256femur fracturehip fracturehuman and medicinemanagementneck-trochanteric fracturesurgery |
| spellingShingle | Ndilalah Pulungan Yusa Muhammad Thoriq Felix Giovanni Hartono Muhammad Luthfi Adnan Dadang Rona Sasetyo Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center Study Journal Orthopaedi and Traumatology Surabaya femur fracture hip fracture human and medicine management neck-trochanteric fracture surgery |
| title | Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center Study |
| title_full | Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center Study |
| title_fullStr | Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center Study |
| title_full_unstemmed | Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center Study |
| title_short | Characteristics and Management of Neck and Trochanteric Femur Fractures at a Tertiary Hospital in Indonesia: A Retrospective, Single-Center Study |
| title_sort | characteristics and management of neck and trochanteric femur fractures at a tertiary hospital in indonesia a retrospective single center study |
| topic | femur fracture hip fracture human and medicine management neck-trochanteric fracture surgery |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/61256 |
| work_keys_str_mv | AT ndilalahpulungan characteristicsandmanagementofneckandtrochantericfemurfracturesatatertiaryhospitalinindonesiaaretrospectivesinglecenterstudy AT yusamuhammadthoriq characteristicsandmanagementofneckandtrochantericfemurfracturesatatertiaryhospitalinindonesiaaretrospectivesinglecenterstudy AT felixgiovannihartono characteristicsandmanagementofneckandtrochantericfemurfracturesatatertiaryhospitalinindonesiaaretrospectivesinglecenterstudy AT muhammadluthfiadnan characteristicsandmanagementofneckandtrochantericfemurfracturesatatertiaryhospitalinindonesiaaretrospectivesinglecenterstudy AT dadangronasasetyo characteristicsandmanagementofneckandtrochantericfemurfracturesatatertiaryhospitalinindonesiaaretrospectivesinglecenterstudy |