Atypical periprosthetic femoral fractures after arthroplasty for fracture are at high risk of complications

Autor: Kaneko Kazuo, Hironori Ochi, Tomonori Baba, Yasuhisa Ueda, Hiroaki Nonomiya, Takayuki Nakajima, Takuya Ikuta, Hiroshi Hagino, Masataka Uchino, Yoshitomo Saita, Seiya Jingushi
Rok vydání: 2021
Předmět:
Male
Arthroplasty
Replacement
Hip
medicine.medical_treatment
Periprosthetic
Diseases
Fracture Fixation
Internal
0302 clinical medicine
Japan
Risk Factors
Odds Ratio
Medicine
Societies
Medical
Fracture Healing
030222 orthopedics
Hip fracture
Multidisciplinary
Diphosphonates
Femoral fracture
Middle Aged
Treatment Outcome
Disease Progression
Regression Analysis
Female
Periprosthetic Fractures
Femoral Fractures
Reoperation
Risk
medicine.medical_specialty
Science
030209 endocrinology & metabolism
Therapeutics
Trauma
Article
Arthroplasty
03 medical and health sciences
Medical research
Humans
Internal fixation
Risk factor
Aged
Retrospective Studies
Fracture repair
Hip Fractures
business.industry
Health care
Odds ratio
medicine.disease
Confidence interval
Surgery
Geriatrics
Multivariate Analysis
Hip Prosthesis
business
Zdroj: Scientific Reports
Scientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
ISSN: 2045-2322
Popis: It is difficult to investigate clinical features in a single-center study because atypical periprosthetic femoral fracture (APFF) is rare. This study aims to perform a nationwide survey of APFF to investigate the characteristics of this fracture and compare the clinical outcome with that of typical periprosthetic femoral fracture (typical PFF). A nationwide survey was performed asking for cooperation from 183 councilors of the Japanese Society for Fracture Repair. The subjects were patients with APFF injured between 2008 and 2017. The control group was comprised of patients with typical PFF of our facility injured in the same period. A total of 43 patients met the APFF definition. The control group was comprised of 75 patients with typical PFF. The rate of bisphosphonate use was significantly higher in the APFFs group than in the typical PFF group (62.8% and 32%, p p p = 0.045). However, no significant association between PFF and APFF was observed in the patients with arthroplasty for other hip diseases. The risk of complications was higher in the APFF group than in the typical PFF group in the patients with arthroplasty for fracture. When AFPP after arthroplasty for the fracture is suspected, it may be necessary to add not only internal fixation with a normal plate but also some additional treatment.
Databáze: OpenAIRE
Externí odkaz: