Intertrochanteric hip fracture surgery in Chinese: risk factors for predicting mortality.
Surgery is the preferred treatment for intertrochanteric fractures. This study aimed to analyze risk factors for predicting mortality after intertrochanteric hip fracture surgery by arthroplasty and internal fixation. We performed a retrospective analysis of 1,263 patients who received surgical treatment for intertrochanteric fractures from January 2005 to December 2010. The clinical and follow-up data from 491 eligible patients were collected and analyzed. The age, activity before surgery, activity after surgery, anesthesia, medical illness, and the time between fracture and surgery were significantly associated with the mortality as single factor. Multifactor analysis showed that the activity after surgery, medical illness, and the time between fracture and surgery were correlated with postoperative mortality. In conclusion, these data suggest that the age, activity after surgery, medical illness could affect postoperative mortality of patients of intertrochanteric fractures. These factors may be used to predict the postoperative mortality of intertrochanteric fractures.
Department of Orthopaedics, Xiaoshan Traditional Chinese Medical Hospitalc Xiaoshan 311200, China.
Peng
P
Zhao
Department of Orthopaedics, Hangzhou First People's Hospital Hangzhou 310000, China.
Xiao
X
Lian
Department of Orthopedics and Joint Surgery, Zhejiang Provincial People's Hospital Hangzhou 310014, China.
Xiaofan
X
Dou
Department of Orthopedics and Joint Surgery, Zhejiang Provincial People's Hospital Hangzhou 310014, China.
Qing
Q
Bi
Department of Orthopaedics, Xiaoshan Traditional Chinese Medical Hospitalc Xiaoshan 311200, China.
Renfu
R
Quan
The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine) Hangzhou 310006, China ; Zhejiang Chinese Medical University, Institute of Orthopaedics and Traumatology Hangzhou 310053, China.
Peijian
P
Tong
Zhejiang Chinese Medical University, Institute of Orthopaedics and Traumatology Hangzhou 310053, China.
Luwei
L
Xiao
Zhejiang Chinese Medical University, Institute of Orthopaedics and Traumatology Hangzhou 310053, China.
Yan
Y
Zhao
Wen Ling Hospital of Traditional Chinese Medicine Wenling 317500, China.
Jijun
J
Li
Jin Hua Municipal Central Hospital Jinhua 321000, China.
Jianshuang
J
Li
Department of Orthopedics and Joint Surgery, Zhejiang Provincial People's Hospital Hangzhou 310014, China.
Bing
B
Xia
Department of Orthopedics and Joint Surgery, Zhejiang Provincial People's Hospital Hangzhou 310014, China.
Jinping
J
Chen
Department of Orthopedics and Joint Surgery, Zhejiang Provincial People's Hospital Hangzhou 310014, China.
Shuijun
S
Zhang
Mortality; arthroplasty; internal fixation; intertrochanteric hip fracture