Intertrochanteric fractures were associated with older age, limited ambulation, and ADL dependence compared to femoral neck fractures, though these differences remained significant only in women.
Cohort (n=680)
Are there differences in demographic profile and functional status between geriatric patients with femoral neck fractures and those with intertrochanteric fractures?
Geriatric women with intertrochanteric fractures tend to be older and have worse baseline functional status compared to those with femoral neck fractures, whereas men show no such differences.
A prospective analysis was performed involving 680 geriatric patients with hip fractures to determine whether the demographic profile of patients with femoral neck fractures was similar to that of patients with intertrochanteric fractures. All patients were community dwelling, cognitively intact, previously ambulatory elderly with femoral neck or intertrochanteric fracture. Three hundred fifty-eight patients (52.6%) sustained a femoral neck fracture; 322 (47.4%), an intertrochanteric fracture. Patients with an intertrochanteric fracture were significantly older, more likely to be limited to home ambulation, and were more dependent regarding basic and instrumental activities of daily living. After stratification by gender and adjustment for age, these differences remained significant in women only. There were no differences in age, prefracture ambulatory ability, or dependence in activities of daily living in men with either type of fracture.
Koval et al. (Sun,) conducted a cohort in Hip fractures (n=680). Intertrochanteric fracture vs. Femoral neck fracture was evaluated on Demographic profile, ambulatory ability, and dependence in activities of daily living. Intertrochanteric fractures were associated with older age, limited ambulation, and ADL dependence compared to femoral neck fractures, though these differences remained significant only in women.