Analysis of clinical outcomes following greater trochanteric fracture fixation in patients with proximal femur fractures at a tertiary care hospital

Abstract

Introduction: Proximal femoral fractures, especially in older adults, are a significant clinical concern due to their frequency and impact on patient morbidity and mortality. These fractures are predominantly caused by osteoporosis and minor falls, with projections estimating up to 21.3 million cases globally by 2050. Surgical interventions, such as tension band wiring (TBW) and stainless steel fixation, play a critical role in improving patient outcomes.
Aim: To assess the clinical outcomes of greater trochanteric fracture fixation among patients with proximal femur fractures in a tertiary care hospital.
Methods: A prospective study was conducted over a one-year period at Sree Balaji Medical College & Hospital, involving patients with proximal femur fractures. Demographic, clinical, and surgical data were collected. The Harris hip score (HHS) was used to assess functional outcomes at 6 and 12 months post-surgery.
Results: A total of 20 patients were included with the mean age of 67.7 years, with equal gender distribution. Intertrochanteric fractures were the most common (55%), followed by intertrochanteric fractures with subtrochanteric extension (25%). Intraoperative bleeding ranged from 51-100 ml in 60% of patients, and operative times were mostly between 51-100 minutes. At 6 months, 65% of patients achieved good outcomes (HHS 81-90), with 35% improving to excellent outcomes (HHS 91-100) at 1 year.
Conclusion: This study highlights favorable functional outcomes in patients treated with stainless steel fixation and TBW for greater trochanteric fractures, emphasizing the importance of early intervention and tailored management strategies in optimizing recovery and rehabilitation.