...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Injury >Comparison of re-operation rates following primary and secondary hemiarthroplasty of the hip.
【24h】

Comparison of re-operation rates following primary and secondary hemiarthroplasty of the hip.

机译：髋关节一次和二次半髋置换术后再手术率的比较。

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

Primary arthroplasty or internal fixation are the most common ways of treating intracapsular femoral neck fractures, while arthroplasty is the preferred salvage treatment after failed internal fixation. A prospective registration of hip hemiarthroplasties between January 1998 and March 2002 identified 282 procedures for an acute femoral neck fracture and 149 procedures after failed internal fixation with two parallel screws. Chart review was performed after 19-74 months. The groups were comparable in co-morbidities and perioperative conditions. In the primary hemiarthroplasty group 15 of 282 (5%) arthroplasties were re-operated for complications compared to 16 of 149 (11%) in the secondary group (p=0.04). The most common re-operation was soft tissue debridement because of infection. There were more patients with an excision arthroplasty as end result in the secondary hemiarthroplasty group (6 (4%) versus 1 (0.4%); p=0.004). The higher risk of a re-operation after a salvage hemiarthroplasty should be considered when deciding between internal fixation and hemiarthroplasty as treatment for femoral neck fractures.
机译：初次置换或内固定是治疗股骨颈内囊骨折的最常见方法，而置换是内固定失败后的首选抢救治疗。在1998年1月至2002年3月进行的前瞻性登记，确定了282例急性股骨颈骨折的手术和149例用两个平行螺钉内固定失败的手术。在19-74个月后进行图表审查。这些组在合并症和围手术期条件上相当。在原发性半髋置换组中，有282例（5％）置换术中有15例因并发症而重新手术，而在次组中，有149例中的16例（11％）再次手术（p = 0.04）。由于感染，最常见的再手术是软组织清创术。在继发性半髋关节置换组中，最终有更多的患者接受了人工关节置换术（6（4％）对1（0.4％）; p = 0.004）。在决定内固定和半髋置换术作为股骨颈骨折的治疗方法时，应考虑挽救半髋置换术后再次手术的较高风险。

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