ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2014
Epidemiology of pertrochanteric fractures: our institutional experience.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Association of Charlson Comorbidity Index and ASA Score with Postoperative Mobility in Geriatric Hip Fracture Patients.Journal of clinical medicine · 2026Article
- Effect of Lesser Trochanter Fixation on Functional Outcomes Following Hemiarthroplasty for Unstable Intertrochanteric Fractures in Elderly Patients: A Retrospective Cohort Study.Clinical interventions in aging · 2026Article
- Fluoroscopic Evaluation of Reduction and Plate Positioning in Proximal Humerus Fractures: A Case-Control Study Comparing CFR-PEEK and Metallic Plates.The archives of bone and joint surgery · 2026Article
- Hemiarthroplasty vs. proximal femoral nail fixation in unstable pertrochanteric fractures: an updated systematic review and meta-analysis.Frontiers in surgery · 2026Review
- Extra-capsular proximal femoral fractures: a cohort comparison of union and complication rates after ballistic versus blunt trauma.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Assessing potential factors leading to perioperative peri-implant fracture in femoral pertrochanteric fracture osteosynthesis using the proximal femoral nail antirotation 2: A retrospective study.BMC musculoskeletal disorders · 2024Article
- Article
- The Efficiency of Antiosteoporosis Medicine after Intertrochanteric Fracture Surgery: A Retrospective Study of Refracture Rate, Function Recovery, Complications, and Mortality in the Chinese Elderly Population.Surgery journal (New York, N.Y.) · 2024Article
- Blood-Transfusion Risk Factors after Intramedullary Nailing for Extracapsular Femoral Neck Fracture in Elderly Patients.Journal of functional morphology and kinesiology · 2023Article
- Evaluation of the effect of proximal femur geometry on results of geriatric intertrochanteric fracture surgery.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- Comparison of Curative Effect between PFNA and PCCP in the Treatment of Femoral Intertrochanteric Fractures.Emergency medicine international · 2022Article
- [Comparison of the predictive value of tip-apex distance and calcar referenced tip-apex distance in treatment of femoral intertrochanteric fractures with Asian type proximal femoral nail fixation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- [Analysis of risk factors for necrosis of femoral head after internal fixation surgery in young and mid-aged patients with femoral neck fracture].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2020Article
- Hip Fractures: Therapy, Timing, and Complication Spectrum.Orthopaedic surgery · 2019Article
- The influence of ageing on the incidence and site of trauma femoral fractures: a cross-sectional analysis.BMC musculoskeletal disorders · 2019Article
- A biomechanical comparison of three fixation techniques in osteoporotic reverse oblique intertrochanteric femur fracture with fragmented lateral cortex.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
- No difference in flexion power despite iliopsoas fatty degeneration in healed hip fractures with large lesser trochanter displacement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
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Authors and funding
4 authors.
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Abstract
purposeHip fractures, a common manifestation of fragility fractures, represent a major cause of morbidity and mortality in the elderly population and may have devastating consequences to the patient, their family, and society thereafter. We attempted to define the epidemiology of pertrochanteric fractures treated at a large university teaching hospital in the UK and compared our findings with the national and international literature.
methodsBetween April 2008 and March 2013, we conducted a retrospective cohort study at our institution. All adult patients sustaining a proximal femoral fracture were included in our study. The following parameters were collected and evaluated: (1) demographics, (2) fracture pattern, (3) American Society of Anaesthesiologists (ASA) grade, (4) type of pre-injury mobilization, and (5) method of stabilization. Our findings were then compared to the national data as published in the National Hip Fracture Database (NHFD).
resultsOver a period of 5 years, 3,036 proximal femoral fractures were managed at our institution, with 916 (30.2 %) being classified as pertrochanteric fractures (250 male; mean age 82.0, SD 11.2). No significant change in the incidence of pertrochanteric fractures was evident during the same period. Between 2012 and 2013, 51,705 proximal femoral fractures were recorded in England, of which 19,569 (37.8 %) were classified as pertrochanteric fractures. Comparison between pertrochanteric and intracapsular fractures with respect to their demographics did not reveal any significant difference. In female patients, the relative incidence of pertrochanteric fractures was shown to increase with age. However, this was not the case in the male population.
conclusionsThe incidence of pertrochanteric fractures remained unchanged over the last 5 years. The relative incidence of pertrochanteric fractures is higher in elderly females; this may be explained by reduced bone mineral density and reduced trochanteric bone strength. Rigorous preventive treatments of osteoporosis should be considered in high-risk patients, along with improved safety measures to reduce falls.
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