engleski

Similarities and differences of selected clinical variables of AO/ASIF 31-B2.1 and 31- A1.1 fracture patients

Aim: To determine similarities and differences of clinical variables attributed to patients who sustained AO/ASIF 31-B2.1 or 31-A1.1 fractures for the purposes of a more reliable choice of implants used to treat the two radiologically similar and adjacent fractures. Methods: We analysed hip fractures patients surgically treated between the beginning of 2001 and the end of 2010 in traumatology department, General County Hospital of Požega, Croatia, who sustained the 31-B2.1 and 31-A1.1 type fractures due to a simplefall, and who were 65 or older. Reviewed variables comprise: age, gender, body mass index (BMI), ADL (activities of daily living) -Katz score prior to the injury, American Society of Anesthesiologists (ASA) score, implant type used, verticalization and early mobilisation assessment conforming to an original scale. Results: Age, BMI was statistical significance mostly different (p<0.001), then the gender, ADL score, assessment of verticalisation (p<0.05). Five different implant types were used, in both groups differently (p<0.05). No statistically significant differences between the ASA score of fractured group of patients (p=0.2). Conclusion: The 31-B2.1 and 31-A1.1 classifications differ in respect of the selected clinical variables, while remaining nearlyindistinguishable in pre-operative radiological diagnostic results. A synthesis of the radiological results and clinical pictures defined by the selected variables facilitates a more uniform and more reliable application of recommended implants in cases of doubt regarding the AO/ASIF 31-B2.1 and 31-A1 fractures.

fractures

nije evidentirano