The aim of the study was to determine factors influencing functional ability and quality of life six months after trochanteric fracture treated surgically.
Patients and method: A multicentre cohort included 459 patients (356 females and 103 males, mean age 80 years) in Eastern France. Sixty-two percent of the fractures were stable and 38% were unstable. Determinants of functional ability assessed by the Merle d'Aubigné and Harris scores, of quality of life by the Duke Health profile, and of return to home at 6 months after surgery were considered using logistic regression analyses.
Result
Older age was the most prominent factor predicting bad functional ability (p<.001) and quality of life (p<.05). The material for surgery predicted 6-month poor functional ability (p<.001), probably through the different strategies for care management involved. The quality of fracture reduction assessed on lateral radiographs, as well as post-operative complications were predictors of a better functional ability (p<.001) and less frequent return to home (p<.001).
Conclusion
Age and surgical management procedure are determinants of outcome at 6 month after trochanteric fracture.
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