Influence of early postoperative complication on the operative results in elderly intertrochanteric fractured patients

ObjectiveEarly complications were analyzed in those with Evans III type of intertrochanteric fracture treated with operation or nonoperative approaches.Methods59 cases with Evans III type of intertrochanteric fracture between June, 1999 to July, 2006 were admitted in our department. 38 patients were complicated with cardiovascular diseases, such as hypertension and arrhythmia. All the cases were operated.Results58 cases were operated successfully. One died of pulmonary interstitial fibrosis. Grade data of different age brackets indicated that early infective complications had apparent differences between the operation and the control group. Compared with the control group, the operation group had benefits such as fewer complications, especially the infective complications, and incidence of lower extremities venous thrombosis, and the results showed notable differences.ConclusionIn elderly patients with Evans III type of intertrochanteric fracture, the incidence of pulmonary infection was the highest. Venous thrombosis in lower extremities was the most serious complication. So it will be helpful to perform the quadriceps femories function exercise. The post-operative effect is also related with the operation approach.