Predictive Factors for Cut-Out Risks of Unstable Trochanteric Fractures

Fractures of the trochanteric mass represent a significant proportion of hip fractures. These fractures often occur in the elderly due to compromised bone quality, leading to a high predisposition for instability at the fracture site. The study was conducted through a retrospective analysis of 1,259 hospitalizations in the Department of Orthopedics and Traumatology of the Bucharest University Emergency Hospital between 2022 and 2023, including patients with various types of trochanteric mass fractures: basicervical, per trochanteric, intertrochanteric, subtrochanteric, and trochanter-diaphyseal fractures. In the selection process, 59 patients who met the specific inclusion criteria for the study were chosen. The study population included 59 patients selected based on the afore-mentioned inclusion and exclusion criteria. For these patients, the demographic and clinical data revealed the following: the age of the patients varied between 26 and 91 years, with a mean of 74.69 years, a median of 80 years, and a standard deviation of 14.94 years. The first quartile was at 71 years, and the third quartile was at 84.5 years, resulting in an interquartile range of 13.5 years. The article aims to study prognostic factors for the risk of cut-out in the surgical treatment of unstable trochanteric fractures. A systematic evaluation of patient characteristics, fracture types, and surgical treatment options could establish the relevant factors in predicting the occurrence of cut-out. The results of this research have the potential to facilitate clinical decision-making, optimize treatment strategies, and improve outcomes for patients with unstable trochanteric fractures undergoing surgery.