Mortality Rate Following Intertrochanteric Fracture Surgery in One Year:  A Retrospective Study

Talebi, Shahin; Shayesteh Azar, Masoud; Ghaffari, Salman; Razavipour, Mehran; Alaee, Abdulrasool; Zandi, Reza; Heidarian, Hasan

doi:10.22034/ijos.2025.547943.1167

Mortality Rate Following Intertrochanteric Fracture Surgery in One Year: A Retrospective Study

Document Type : Original Article

Authors

Shahin Talebi ¹ ^¶

Masoud Shayesteh Azar ²

Salman Ghaffari ²

Mehran Razavipour ²

Abdulrasool Alaee ²

Reza Zandi ¹

Hasan Heidarian ³

¹ Musculoskeletal Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

² Orthopedic Research Center, Faculty of Medicine, Mazandaran University of Medical science, Sari, Iran.

³ . 3. Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.

https://doi.org/10.22034/ijos.2025.547943.1167

Abstract

Abstract
Introduction: Intertrochanteric femoral fractures are common and can be associated with significant complications and mortality. This study aimed to assess the mortality rate and related factors in patients undergoing surgical treatment for intertrochanteric fractures.
Materials & Methods: This retrospective descriptive-analytical study included patients with intertrochanteric hip fracture who underwent surgery between 2017 and 2018 in a teaching hospital .The demographic data were collected from patients’ records, with specific attention to age, osteoporosis, previous fracture history, cognitive disorders, hypertension, delay in surgery, and the type of fixation implant. Mortality status was assessed through follow-up phone calls. Data were analyzed using STATA software and logistic regression analysis.
Results & Discussion: 227 case within one year were studied. The overall mortality rate was 16.3%. In the deceased (p<0.05). Logistic regression revealed that advanced age, osteoporosis, previous fracture history, cognitive disorders, history of falling, surgical delay, and type of surgery were independent predictors of mortality (p<0.05).
Conclusion: Postoperative mortality following intertrochanteric fracture surgery is influenced by a range of clinical and modifiable factors. Timely selection of an appropriate surgical method and identification of high-risk patients can play a significant role in improving treatment outcomes.

Keywords

Intertrochanteric fractures

Mortality

Risk factors

Subjects