Analyzing the Key Predictors of Implant Cut Out in DHS-Treated Intertrochanteric Fractures: A Comprehensive Investigation

Abstract

Intertrochanteric fractures are osteoporotic fractures in nature that mainly affect elderly people and lead to disability annually. This creates a burden on the healthcare system and results in significant resource usage, attention to medical needs, and rehabilitative care. Objective: To identify and analyze the key factors associated with intertrochanteric fractures. Methods: A cross-sectional study was conducted at Khawaja Muhammad Safdar Medical College (KMSMC) in Sialkot, Pakistan. This observational study enrolled 137 patients, with 63 males (46%) and 74 females (54%). Results: The average age of the selected group was 64.55±14.26 years. It was highlighted that most of the fractures (52%) were on the right side, this features a potential asymmetry in fracture development. Secondly, falls were recognized as the prime reason for intertrochanteric fractures, as it accounts for 65% of the cases. As per fracture classification taken into account, stable fractures (64%) were the most common type noticed. Furthermore, a large part of patients (76%) encountered a positive outcome in terms of union, mentioning a successful healing of the fractures. Besides, a notable percentage (52%) of the cases exhibit good reduction, demonstrating functional alignment of fractured bone segments in the course of the treatment procedure. Conclusions: The present study deduced that a remarkable number of fractures were observed on the right side, specifying a possible imbalance in fracture occurrence. Furthermore, falls were regarded as the primary cause of intertrochanteric fractures. Majority were stable in nature with positive union outcomes and showed a good reduction.