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EVALUATION OF DISABILITY AND MORTALITY RATES AFTER SURGICAL TREATMENT OF INTER TROCHANTERIC FRACTURES AMONG PATIENTS HAVING MINIMUM 60 YEAR OF AGE

Dr Muhammad Ali

Objective: This research work aimed to evaluate the disability and mortality rates after the surgical intervention in the patients having more than sixty year of age for intertrochanteric fractures of femur. Methodology: In this research work, three hundred and eighty-five patients having age of sixty years or more who got admission in Qazi Hussain Ahmad Medical Complex, Nowshera from April 2015 to November 2019 and underwent surgical intervention were the participants of this research work. The treatment of all the patients carried out by internal fixation and open reduction with the help of dynamic hip screw. There were 53.50% (n: 206) male and 46.40% (n: 179) female patients. The range of the age of the patients was from 60.0 to 89.0 years with an average age of 75.20 years. The minimum duration needed after surgical intervention to enter this very research work was 1 year. We gathered the results depending upon the patient’s examination or calling those patients or their family members on their phone numbers. Result: Mortality rate was 36.90% in this research work with 54.90% for males and 41.90% for females. In 11 (2.84%) patients, there was loss of initial reduction due to the failure of device of fixation. We re-operated these patients and seven patients among them expired within an average duration of 10.10 months after re-operation. The delay of time for the surgery after fracture was from two to fifteen days with a mean duration of 4.80 days. Twenty-four (6.230%) patients underwent surgery one week later after fracture and seven among them expired. There was highest rate of mortality in the age group of 80 to 89 years with (63.02% (n: 50) patients and there was lowest mortality rate in age group of 60 to 69 years with 4.67% (n: 3) patients only. We measured the disability rate and QoL of patients with the use of MHHS (Modified Harris Hip Score) and we separated them into fair, good and weak groups. Conclusion: The rate of mortality of intertrochanteric fractures is very high even after the surgical intervention and it has strong relation with the patient’s age. Furthermore, QoL (Quality of Life) of the patients after surgical intervention is very low and there should be an improvement in the follow ups of these patients to overcome this issue. KEYWORDS: Intertrochanteric Fracture, Life Quality, Morbidity, Osteoporosis’s, Trauma Injuries.