INTRODUCTION: Intertrochanteric (IT) femur @entity174 are common in elderly @entity1 who are often in poor general health. Intertrochanteric @entity174 are classified as stable or unstable, taking into account @entity174 morphology and involvement of the posteromedial calcar. The purpose of this study is to determine whether IT @entity174 stability can be used as a marker for general health or as a predictor of postoperative medical complications in elderly @entity1 . MATERIALS AND METHODS: We reviewed the records of all @entity1 treated for IT @entity174 at our institution over the past 7 years. We excluded @entity1 who were younger than 60 years, polytraumatized, involved in high-energy mechanisms of injury, managed nonoperatively, with hardware from previous surgery, or missing preoperative radiographs. Ninety-three @entity1 were included in the present series. Three orthopedic surgeons independently reviewed all preoperative radiographs and classified each @entity174 as either stable or unstable. Interrater reliability was .77 (substantial) and consensus designation was assigned by majority. We reviewed charts for age, gender, time to surgery, length of hospital stay, type of surgery, estimated @entity190 , American Society of Anesthesiologists (ASA) classification, and postoperative medical complications. Univariate and multivariate statistical analyses were conducted to determine the relationship of @entity174 stability on ASA class and medical complications. RESULTS: Intertrochanteric @entity174 stability had no detectable relationship with ASA class (P = .497). On univariate analysis, stability was not significantly related to medical complications (P = .421). Our multivariate analysis found that only ASA was related to medical complications (P = .004), and @entity174 stability was not related to complications (P = .538). CONCLUSION: Intertrochanteric @entity174 stability does not appear to be a marker for poor general health or to predict postoperative medical complications in elderly @entity1 in this limited study. ASA class was predictive of medical complications. Interestingly, medical complications were 8% greater in @entity1 with unstable @entity174 than in @entity1 with stable @entity174 .

Intertrochanteric Femur Fracture Stability: A Surrogate for General Health in Elderly XXXX ?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture']
@entity1 :: (9606,Species) :: ['Patients']
