Unlocking the Influence of Age and Fracture Side on Recovery inUnstable Proximal Femoral Fractures: Insights from a Tertiary CareHospital in a Developing Country

Abstract

Objective: The aim of our research is to identify the clinical and demographic characteristics that affect the functional results in patients with proximal femur fractures who are treated with dynamic condylar screws.

Method: A descriptive cross-sectional survey conducted from September 2019 to March 2022, enrolled 115 patients aged 20-60 years with unstable proximal femoral fractures managed with dynamic condylar screws. The data was collected 12 weeks following the surgery to assess the factors influencing the Harris Hip Score. The data on clinical, demographic, and surgical detail was collected and analyzed employing the SPSS version 22, using the Shapiro-Wilk test.

Results: The study revealed significant functional improvement associated with the age group 41-60 years, additionally, patients with left-sided fracture showed statistically significant functional outcomes in comparison to patients with right-sided fractures. No significant association of HHS score was found in relation to clinical, surgical, socioeconomic or occupational factors on postoperative outcomes. The findings highlight a complex interplay of demographic factors following the fracture management for unstable PFF.

Conclusion: The uni-variant results yield higher age and left-sided fracture associated with higher functional outcomes following an unstable proximal femur fracture managed with dynamic condylar screws. The statistical results showed no significant association of clinical factors influencing the functional status. The unique demographic finding needs further larger multi-variant research to establish the clinical and demographic factors influencing the functional outcomes following the dynamic condylar screw in patients with proximal femur fracture.