Prognostic factors for quality of life after trochanteric fracture : Inter-regional study S.O.T.EST.
Fiche publication
Date publication
septembre 1996
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
Auteurs
Membres identifiés du Cancéropôle Est :
Pr GUILLEMIN Francis, Pr MAINARD Didier
Tous les auteurs :
Guillemin F, Cao MM, Delagoutte JP, Mainard D
Lien Pubmed
Résumé
The aim of the study was to determine factors influencing functional ability and quality of life 6 months after surgically treated trochanteric fractures.A multicenter cohort included 459 patients (365 females, 103 males, mean age 80.5 years) in Eastern France. They presented with stable (62%) and unstable (38%) fractures. Six months after surgery, functional ability and quality of life were assessed by Merle d'Aubigné, Harris and Duke Health profile scores, or return to home.In logistic regression analysis, age was the most prominent factor predicting low functional ability and quality of life. The implant material similarly predicted poor functional ability and level of quality of life, probably through the different strategies for care management they involved. The quality of fracture reduction assessed on lateral radiograph as well as post-operative complications were predictors of a better functional ability. A delayed weight bearing was also suggested to predict better quality of life in these patients.
Mots clés
Functional ability, Prognosis, Quality of life, Trochanteric fracture
Référence
Eur J Orthop Surg Traumatol. 1996 Sep;6(3):157-164