Date of Award

9-1-2017

Document Type

Thesis

Degree Name

Master of Medical Science (MMSc)

First Advisor

Adrienne Socci, MD

Abstract

Hip fracture care costs our health care system billions of dollars annually and is a primary cause of morbidity and mortality in older adults. Less than thirty-five percent of patients regain their pre-fracture mobility status. Intertrochanteric hip fractures are the most common fracture type in older adults. Standard treatment requires surgical fixation with either intramedullary or extramedullary implant. We propose a prospective, randomized controlled trial of older adults with 31-A1 and A2 intertrochanteric fractures surgically treated with intramedullary or extramedullary implant. The primary outcome of interest is mobility, measure by the modified Harris Hip Score, at 12-months post-operation. Fixation resulting in earlier and greater return to pre-fracture mobility and function improves patient independence and reduces disease burden on the healthcare system.

Comments

This thesis is restricted to Yale network users only.

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