High comorbidity index is not associated with high morbidity and mortality when employing constrained arthroplasty as a
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ORIGINAL ARTICLE • HIP - FRACT URE S
High comorbidity index is not associated with high morbidity and mortality when employing constrained arthroplasty as a primary treatment for intertrochanteric fractures in elderly patients Gilbert Maroun1 · Raja Chaftari2 · Jad Chokr1 · Charbel Maroun3 · Moussa El‑Jerdi2 · Charbel Saade1 Received: 3 September 2018 / Accepted: 4 February 2019 © Springer-Verlag France SAS, part of Springer Nature 2019
Abstract Aim The aim of our study is to investigate the results of constrained total hip arthroplasty as a primary treatment of intertrochanteric fractures (ITF) in elderly patients with high comorbidities. Materials and methods Total hip replacement (THR) with a retentive cup was performed on 73 patients with ITF over the age of 54 years who had high comorbidities and a Charlson score above five. Short- and long-term complications were determined by follow-up. Bivariate analysis was conducted in order to determine the possible determinants of mortality and factors associated with comorbidity as measured by the Charlson comorbidities index. Results Patient demographics that consisted of females (58.9%) (p
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