title: Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems.
abstract: BACKGROUND
  The aim of this study was to compare the outcomes of intertrochanteric femur fractures treated with proximal femoral nail (PFN) and bipolar hemiarthroplasty (BPH) in elderly patients.
  
  
  METHODS
  A total of one hundred and forty-three patients with intertrochanteric femur fractures treated surgically between January 2008 and January 2012 were included into the study. Patient demographics, type of fracture according to Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF) classification, and the American Society of Anesthesiologists (ASA) classification system scores; type of surgical procedure (BPH or PFN), operative details, complications and follow-up scores (Harris Hip Score [HHS]; Mean Mobility Score [MMS]) were recorded.
  
  
  RESULTS
  The preoperative characteristics of the patients in both PFN and BPH groups were similar. BPH had higher operation times, blood loss in operation and mortality rates (p<0.005). Reoperation times were higher in PFN group (p<0.005). There were no differences with regard to the HHS and the reduction in MMS at the last follow-up with a 30.4 (10.9) months follow-up (p>0.05).
  
  
  CONCLUSIONS
  Although both PFN and BPH had satisfactory outcomes in surgically treated patients with intertrochanteric femur fractures, we recommend intertrochanteric femur fractures in the elderly tobe treated with PFN; which is an effective and appropriate treatment modality with less surgery related trauma and lower mortality rates.
authors.affiliation: Department of Orthopedics and Traumatology, İnönü University Faculty of Medicine, Turgut Özal Medical Center, Malatya, Turkey.
authors.forename: Gökay
authors.initials: G
authors.lastname: Görmeli
authors.affiliation: Department of Orthopedics and Traumatology, İnönü University Faculty of Medicine, Turgut Özal Medical Center, Malatya, Turkey.
authors.forename: Mehmet Fatih
authors.initials: MF
authors.lastname: Korkmaz
authors.affiliation: Department of Radiology, İnönü University Faculty of Medicine, Turgut Özal Medical Center, Malatya, Turkey.
authors.forename: Cemile Ayşe
authors.initials: CA
authors.lastname: Görmeli
authors.affiliation: Department of Orthopedics and Traumatology, Van Training and Research Hospital, Van, Turkey.
authors.forename: Cihan
authors.initials: C
authors.lastname: Adanaş
authors.affiliation: Department of General Surgery, Malatya State Hospital, Malatya, Turkey.
authors.forename: Turgay
authors.initials: T
authors.lastname: Karataş
authors.affiliation: Department of Orthopedics and Traumatology, American Hospital, İstanbul, Turkey.
authors.forename: Sezai Aykın
authors.initials: SA
authors.lastname: Şimşek
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000401:mortality / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods; D006299:Health Services for the Aged; D062785:Hemiarthroplasty; D006620:Hip Fractures / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D061646:Operative Time; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D014421:Turkey