...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Injury >High incidence of complications and poor clinical outcome in the operative treatment of periprosthetic femoral fractures: An analysis of 71 cases.
【24h】

High incidence of complications and poor clinical outcome in the operative treatment of periprosthetic femoral fractures: An analysis of 71 cases.

机译：假体周围股骨骨折手术并发症多发，临床预后差：71例分析。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: The purpose of this observational study was to determine the clinical results of the operative treatment of periprosthetic femoral fractures over a long period of time. METHODS: The medical records of patients treated between 1993 and 2006 for a periprosthetic femoral fracture were obtained after a survey in two major hospitals. Radiographic evaluation was performed according to the Vancouver classification. All patients were contacted to fill out the Oxford hip score. RESULTS: A total of 80 PPFs were identified in 79 patients. For 71 patients with 71 fractures, medical records and radiographs were available. The mean age at the time of fracture was 73.4 years (range: 38-95 years). The mean interval between initial arthroplasty and the time of fracture was 6.3 years. As many as 44 fractures occurred in patients with primary hip arthroplasty (62%) and 27 fractures in patients with revision implants (38%). All but two patients were treated operatively and 34 patients (48%) suffered from a complication, leading to a re-operation in 22 cases (33%). The most frequent indication for re-operation was re-fracture or implant failure. Vancouver type-C fractures lead to re-operations in 52% of the cases (11 of 20). A total of 36 patients (51%) were able to complete an Oxford hip score after a mean period of 64.9 months (range: 16-157 months). The other patients were lost to follow-up (45% were deceased and 4% were mentally impaired). The mean Oxford hip score was 27.8 (range: 12-57) and was significantly higher in patients suffering from a complication (p=0.02) and in patients with a periprosthetic fracture (PPF) after revision surgery (p=0.02). CONCLUSION: The treatment of periprosthetic femoral fractures has a high complication rate and a large number of re-operations occur. The long-term clinical results are compromised by the event of a complication. The clinical results of treated fractures after a primary arthroplasty were better than after multiple arthroplasty procedures. Particularly, Vancouver type-C fractures showed high complication rates. This high complication rate should be taken into account for future studies in PPFs.
机译：背景：这项观察性研究的目的是确定长期治疗假体周围股骨骨折的临床结果。方法：在两家大型医院进行调查后，获得了1993年至2006年治疗假体周围股骨骨折的患者的病历。根据温哥华分类进行射线照相评估。联系所有患者以填写牛津髋关节评分。结果：在79名患者中共鉴定出80种PPF。对于71例71例骨折的患者，可提供医疗记录和X射线照片。骨折时的平均年龄为73.4岁（范围：38-95岁）。初始关节置换与骨折时间之间的平均间隔为6.3年。原发性髋关节置换术患者中多达44例骨折（62％），翻修植入物患者中多达27例骨折（38％）。除两名患者外，所有患者均接受了手术治疗，其中34例（48％）患有并发症，导致22例（33％）再次手术。再次手术最常见的迹象是再次骨折或植入失败。温哥华C型骨折导致52％的病例再次手术（20例中的11例）。平均64.9个月（范围：16-157个月）后，共有36例患者（51％）能够完成牛津髋关节评分。其他患者失去随访（45％死亡，4％精神障碍）。牛津平均髋关节评分为27.8（范围：12-57），在并发症患者（p = 0.02）和翻修手术后假体周围骨折（PPF）患者（p = 0.02）明显更高。结论：假体周围股骨骨折的并发症发生率高，再次手术发生率高。并发症会损害长期的临床结果。在原发性关节置换术后治疗的骨折的临床结果要好于在多次关节置换手术之后的骨折。特别是温哥华C型骨折显示出较高的并发症发生率。 PPF的未来研究应考虑这种高并发症发生率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号