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Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system

Ashraf Mohamad Jbarat, Mohammad Muneer Obeidat, Omar Alajoulin, Raad Alzaben, Belal Mofareh Altarawneh.

Abstract
Objective: To evaluate the intertrochanteric local specific fracture factors influence on the postoperative results of such fractures managed using intertrochanteric intensity scoring system.
Methodology: This prospective and double blind study enrolled 101 patients with intertrochantric fractures aged 55-70 years and of both genders at Prince Hashim Military Hospital, Zarqa, Jordan from June 2016 to February 2018. Local specific fracture factors were evaluated with the postoperative results separately or in combination. Factors such as loss of medial buttress, displacement, reverse obliquity, osteoporosis, comminution and lateral wall thickness were evaluated radiologically. The postoperative result was classified as good, acceptable and poor. An intertrochanteric intensity scoring system evaluated the postoperative result in terms of local specific fracture factors. Intertrochntric intensity score (0-8) included 3 elements of postoperative results: united not collapsed (0-7 with a median of 4), collapsed united (3-7 with a median of 5) and fracture failure (5-8 with a median of 7). The Radiological result was evaluated after a follow-up of 2 months. Statistical analysis was achieved with Chi‑square test while comparison between groups was performed with Mann Whitney test. P<0.05 was considered statistically significant.
Results: Out of 101 patients, 79 (78.2%) experienced displacement with comminution. P was less than 0.05 only in reverse obliquity, reduction and displacement when comparing local specific fracture factors separately with postoperative results. Postoperatively, 38 patients (48.1%) of 79 patients experienced united not collapsed, 30 patients (37.97%) experienced united collapsed and 11 patients (13.9%) experienced fracture failures (P<0.05).
Conclusion: Intertrochantric intensity score may evaluate the result of surgical treatment of intertrochanteric fractures.

Key words: Intertrochanteric fractures, hip screw, intensity score, local factors.


 
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How to Cite this Article
Pubmed Style

Jbarat AM, Obeidat MM, Alajoulin O, Alzaben R, Altarawneh BM. Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system. RMJ. 2019; 44(1): 83-85.


Web Style

Jbarat AM, Obeidat MM, Alajoulin O, Alzaben R, Altarawneh BM. Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system. http://www.rmj.org.pk/?mno=296590 [Access: October 16, 2019].


AMA (American Medical Association) Style

Jbarat AM, Obeidat MM, Alajoulin O, Alzaben R, Altarawneh BM. Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system. RMJ. 2019; 44(1): 83-85.



Vancouver/ICMJE Style

Jbarat AM, Obeidat MM, Alajoulin O, Alzaben R, Altarawneh BM. Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system. RMJ. (2019), [cited October 16, 2019]; 44(1): 83-85.



Harvard Style

Jbarat, A. M., Obeidat, . M. M., Alajoulin, . O., Alzaben, . R. & Altarawneh, . B. M. (2019) Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system. RMJ, 44 (1), 83-85.



Turabian Style

Jbarat, Ashraf Mohamad, Mohammad Muneer Obeidat, Omar Alajoulin, Raad Alzaben, and Belal Mofareh Altarawneh. 2019. Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system. Rawal Medical Journal, 44 (1), 83-85.



Chicago Style

Jbarat, Ashraf Mohamad, Mohammad Muneer Obeidat, Omar Alajoulin, Raad Alzaben, and Belal Mofareh Altarawneh. "Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system." Rawal Medical Journal 44 (2019), 83-85.



MLA (The Modern Language Association) Style

Jbarat, Ashraf Mohamad, Mohammad Muneer Obeidat, Omar Alajoulin, Raad Alzaben, and Belal Mofareh Altarawneh. "Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system." Rawal Medical Journal 44.1 (2019), 83-85. Print.



APA (American Psychological Association) Style

Jbarat, A. M., Obeidat, . M. M., Alajoulin, . O., Alzaben, . R. & Altarawneh, . B. M. (2019) Results of intertrochanteric fracture fixation according to the intertrochanteric intensity scoring system. Rawal Medical Journal, 44 (1), 83-85.








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