Abstract:
Background. Trochanteric fracture involves greater/lesser
trochanters of femur mainly affecting elderly due to osteoporosis with serious risk of loss of independence. It affects
over 1.5 million people worldwide were the absolute majority fall in risk of morbidity and mortality. The objective
of the study. to analyze the proper treatment of trochanteric fractures in elderly patients. Material and methods.
The study presents a retrospective analysis of clinical and
radiological data of 30 patients with trochanteric fractures
in the Department of traumatology nr.2, Institute of Emergency Medicine during the year 2023. There were 19 females (63,3%) and 11 males (36,7%) aged from 58 till 90,
the mean age was 74 years. All the patients underwent a
complex examination including X-rays, ECG, consultation
of traumatologist and other specialists. Low energy trauma was the cause of trochanteric fractures in 29 cases, traffic
accident – 1. According to Evans classification there was a
domination of type III and V fractures (87%). Results. The
patients underwent complex and individual treatment according to fracture type, age, comorbidities. Surgical treatment was performed in 23 cases (77%) by ORIF (with bone
graft in 1 case) that allowed early rehabilitation of the patients and prevention of complications. Antiosteoporosis
treatment (Ca +vitamin D, antiresorptive drugs) was recommended to continue in outpatient department, active
lifestyle, prophylaxis of recurrent fractures. Conclusions.
Treatment of osteoporotic trochanteric fractures should be
done without any delay to decrease the mortality rate and
to improve the independence and quality of patient’s life.
Description:
Studiu realizat cu suportul proiectului 160101 „Managementul politraumatismului: acordarea asistenței medicale specializate pacienților cu leziuni multiple
și asociate ale aparatului locomotor în urma accidentelor rutiere în Republica Moldova” din cadrul Programului instituționale cercetare (2024-2027),
coordonator de proiect: KUSTUROVA Anna, dr. șt. med., conf. univ., autoritatea contractantă: Ministerul Sănătății.