Complications following implant removal in patients with proximal femur fractures – an observational study over 16years
| Autor: | F.M. Kovar, G. Oberleitner, G. Endler, M. Jaindl, E. Strasser |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Complications Adolescent Dentistry Context (language use) Unnecessary Procedures Hip fracture Fracture Fixation Internal Young Adult medicine Humans Orthopedics and Sports Medicine Young adult Device Removal Aged Retrospective Studies Aged 80 and over business.industry Implant failure Retrospective cohort study Middle Aged medicine.disease Implant removal Surgery Population study Female Observational study Implant business Femoral Fractures Follow-Up Studies |
| Zdroj: | Orthopaedics & Traumatology: Surgery & Research. 101(7):785-789 |
| ISSN: | 1877-0568 |
| DOI: | 10.1016/j.otsr.2015.07.021 |
| Popis: | BackgroundFractures of the proximal femur commonly occur but the majority of orthopaedic surgeons do not consider general hardware removal as a routine necessity. Indications and time interval for hardware removal in this special selected patient group is still controversial. Therefore we performed a retrospective study to address the following questions: 1) Is there a difference between the medically- (infection, mechanical problems, implant failure) and non-medically indicated group (patients demand, meteoro-sensitivity, foreign body sensation) in relation to complications? 2) Is there a correlation regarding time interval between implantation and removal comparing these two groups? 3) Is there a context related refracture rate? 4) Should non-medically indicated implant removal (IR) be performed due to persistent pressure from the patient?HypothesisWe hypothesized that non-medically indicated implant removals should be avoided due to a significantly higher number of associated complications.Patients and methodsA total of 371 consecutive patients with 424 hardware removal procedures following a proximal femur fracture, between 08/1992 and 11/2008, have been included. Study population was divided into two groups according to their indication for implant removal: medically indicated group (MIR) consisted of 299 patients (80.59%) and 72 patients (19.41%) were assigned to the non-medically indicated (NMIR) group.ResultsIn the NMIR subgroup a total of (n=21) 28% complications occurred compared to 11.46% in the MIR subgroup; (P |
| Databáze: | OpenAIRE |
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