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 |
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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 |
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