Key result
In a survey of 159 Turkish orthopedic surgeons, primary arthroplasty was preferred in 24.1% of scenarios for patients >71 years compared to 8.4% for patients aged 50-70 years.
Why the study?
The study aimed to examine the primary arthroplasty attitudes of Turkish orthopedics and traumatology specialists and residents for patients with intertrochanteric fractures across various ages, comorbidity situations, and fracture types.
What are the primary arthroplasty attitudes of Turkish orthopedics and traumatology specialists and residents to patients with intertrochanteric fractures?
Cross-Sectional (n=159)
What are the primary arthroplasty attitudes of Turkish orthopedics and traumatology specialists and residents to patients with intertrochanteric fractures?
Turkish orthopedic surgeons consider primary arthroplasty a valuable alternative for older adult patients with unstable intertrochanteric fractures, particularly those needing early mobilization and with high ASA scores.
Turkish surgeons favor fixation over arthroplasty across fracture types; leaves open need for standardized guidelines or trials.
This study aimed to examine the primary arthroplasty attitudes of Turkish orthopedics and traumatology specialists and residents to patients with intertrochanteric fractures, of various ages, comorbidity situations and fracture types, using an internet-based questionnaire. Between March and April 2021, a cross-sectional survey was conducted with a total of 159 orthopedics and traumatology specialists and residents in Turkey, using an online questionnaire that consisted of 16 different patient scenarios of varying intertrochanteric fracture types, ages, and comorbidity conditions. Respondents’ preference ratio for primary arthroplasty was 24.1% in the scenarios with patients over the age of 71, while it was 8.4% in the scenarios with patients aged between 50 and 70. The ratios of primary arthroplasty preference were 12.4%, 21% and 27.3% in 2-part, 3-part and 4-part fracture scenarios, respectively. The primary arthroplasty preferences of respondents with 10 years or more of professional experience were observed to be statistically significantly different to those of the respondents with 1 to 10 years of experience in the 4-part fracture scenario where the patient was aged 71 years and above with an ASA (American Society of Anesthesiologists) score of 3–4 (p < 0.05). Despite varying opinions in the literature in recent years, primary arthroplasty can be considered a valuable alternative approach for Turkish surgeons, and in older adult patients with unstable intertrochanteric fractures, particularly those who need early mobilization and have high ASA scores.
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Cici et al. (2022) conducted a cross-sectional in Intertrochanteric femur fractures (n=159). Patient scenarios of varying intertrochanteric fracture types, ages, and comorbidity conditions was evaluated on Preference ratio for primary arthroplasty (p=< 0.05). In a survey of 159 Turkish orthopedic surgeons, primary arthroplasty was preferred in 24.1% of scenarios for patients >71 years compared to 8.4% for patients aged 50-70 years.
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