A complex proximal femoral fracture

Giancola, R; Marchesi, L.; Lettera, Maria Gabriella; Antonini, Guido

doi:10.1016/j.injury.2016.07.049

Cited by 5 publications

(7 citation statements)

References 14 publications

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“…The goal of treatment in young patients with PFFs is to preserve the femoral head and prevent osteonecrosis and pseudoarthrosis to avoid total hip replacement[ 14 ]. The early treatment and correct choice of implant to achieve anatomical reduction and effective internal fixation are essential.…”

Section: Discussionmentioning

confidence: 99%

“…In 2016, Giancola et al [ 14 ] reported a 39-year-old patient with a complex proximal femoral fracture that involved the neck and trochanteric region. The multifragmentary comminution of the femoral neck associated with rupture of the greater trochanteric region, without involving the lesser trochanter was treated with skeletal traction in the first stage and then implantation of an intramedullary nail.…”

Section: Discussionmentioning

confidence: 99%

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Complex proximal femoral fracture in a young patient followed up for 3 years: A case report

Li¹,

Cheng²,

Lei³

et al. 2022

WJCC

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BACKGROUND Ipsilateral femoral neck and intertrochanteric fractures in young patients are extremely rare, and there is no reference for fracture classification and treatment options. CASE SUMMARY We report a 27-year-old male patient who sustained ipsilateral femoral neck and intertrochanteric fractures and was treated with a proximal femoral locking compression plate (PFLCP). The literature on these fractures was also reviewed. At the last follow-up three years after surgery, the patient had no obvious pain in the hip, and the range of motion in the hip joint was slightly limited, but met the normal life and work needs. There were no complications such as necrosis of the femoral head. CONCLUSION The PFLCP can be used to treat these complex proximal femoral fractures, and selection should be based on the patient's specific fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Complex proximal femoral fracture in a young patient followed up for 3 years: A case report

Li¹,

Cheng²,

Lei³

et al. 2022

WJCC

View full text Add to dashboard Cite

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“…Femoral fractures are generally classified according to the site of fracture as proximal, shaft or distal femoral fractures. The incidence of proximal femoral fractures, classified as hip fractures, is the highest and is likely to continue to increase in the future owing to the rapidly ageing population and associated occurrence of osteoporosis (Giancola et al 2016 ; Lutnick et al 2020 ; Cummings and Melton 2002 ). Femoral shaft fractures, which are predominantly noted in young people with healthy bones (Cummings and Melton 2002 ), are primarily caused by road traffic accidents (being crushed or run over) or falling from a great height (Gosling and Krettek 2019 ).…”

Section: Introductionmentioning

confidence: 99%

The need for nutritional assessment and interventions based on the prognostic nutritional index for patients with femoral fractures: a retrospective study

Fan

Zhu

et al. 2021

Perioper Med

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Background The incidence of adverse perioperative outcomes in surgery for femoral fractures is high and associated with malnutrition. Here, we identified independent factors and assessed the predictive value of the prognostic nutritional index (PNI) for perioperative adverse outcomes in patients with femoral fractures. Methods This retrospective study included 343 patients who underwent surgery for a single femur fracture. Demographic characteristics, surgery and anaesthesia records and blood test results at admission, 1 day postoperatively and before discharge were evaluated using logistic regression analysis. The discriminatory ability of the independent factors was assessed using the receiver operating characteristic curve analysis, and DeLong’s test was used to compare the area under the curve (AUC). Results Overall, 159 patients (46.4%) experienced adverse perioperative outcomes. Amongst these, 123 (35.9%) had lower limb vein thrombus, 68 (19.8%) had hospital-acquired pneumonia, 6 (1.7%) were transferred to the postoperative intensive care unit, 4 (1.2%) had pulmonary embolism, 3 (0.9%) died during hospitalisation and 9 (2.6%) had other adverse outcomes, including incision disunion, renal and liver function impairment, acute heart failure, acute cerebral infarction and stress gastroenteritis. The PNI at admission, age, postoperative hospital stay, time to admission, hypertension, combined injures and surgery type were independent factors for adverse perioperative outcomes. Based on the AUC (PNI at admission: 0.772 [0.723–0.821], P < 0.001; age: 0.678 [0.622–0.734], P < 0.001; postoperative hospital stay: 0.608 [0.548–0.668], P = 0.001; time to admission: 0.585 [0.525–0.646], P = 0.006), the PNI at admission had optimal discrimination ability, indicating its superiority over other independent factors (age vs. PNI at admission, P = 0.002; postoperative hospital stay vs. PNI at admission, P < 0.001; time to admission vs. PNI at admission, P < 0.001). Conclusions Patients with femoral fractures require a nutritional assessment and appropriate nutritional intervention at admission, and that the PNI value at admission may be a good nutritional assessment indicator.

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“…Femoral fractures are generally classi ed according to the site of fracture as proximal, shaft, or distal femoral fractures. The incidence of proximal femoral fractures, classi ed as hip fractures, is the highest and is likely to continue increasing in the future owing to the rapid ageing of the population and associated occurrence of osteoporosis (5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Prognostic Nutritional Index Is a Better Predictor of Perioperative Adverse Outcomes in Patients With Femoral Fractures: a Retrospective Study

He¹,

Fan²,

Zhu³

et al. 2021

Preprint

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Background: Surgery is usually the best treatment for patients with femoral fractures. However, the incidence of perioperative adverse outcomes in such cases is quite high. Nutrition has a major influence on fracture healing, and malnutrition is associated with higher complication rates, higher mortality rates, and longer hospitalisation periods. In this study, we aimed to identify independent risk factors and assess the predictive value of the prognostic nutritional index (PNI) for perioperative adverse outcomes in patients with femoral fractures. Methods: This retrospective observational study included 343 patients who underwent surgery for a single femur fracture at the Affiliated Hospital of Zunyi Medical University in 2018. Binary logistic regression analysis was applied to identify significant independent risk factors. The discriminatory ability of independent predictors was assessed using the receiver operating characteristic curve analysis, and DeLong's test was used to compare the area under the curve (AUC). Results: In total, 159 patients (46.4%) had perioperative adverse outcomes. PNI (OR: 0.819, 95% CI: 0.754–0.889, P < 0.001), age (OR: 1.042, 95% CI: 1.020–1.066, P < 0.001), time to admission (OR: 1.404, 95% CI: 1.117–1.765, P = 0.004), hypertension (OR: 1.912, 95% CI: 1.049–3.488, P = 0.034), combined injures (OR: 2.739, 95% CI: 1.338–5.607, P = 0.006), and operation types (OR: 3.696, 95% CI: 1.913–7.138, P < 0.001) were independent factors for perioperative adverse outcomes. Based on the AUC (PNI: 0.772, 95% CI: 0.723–0.821, P < 0.001; age: 0.678, 95% CI: 0.622–0.734, P < 0.001; time to admission: 0.585, 95% CI: 0.525–0.646, P = 0.006), the PNI had the optimal discrimination ability, indicating its superiority over other independent predictors (age vs. PNI, P = 0.002; time to admission vs. PNI, P < 0.001). Conclusions: This study showed that the PNI was a better and effective independent predictor of perioperative adverse outcomes in patients with femoral fractures. Our findings suggest that nutritional assessment at admission and appropriate intervention strategies are necessary for patients with femoral fractures.

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A complex proximal femoral fracture

Cited by 5 publications

References 14 publications

Complex proximal femoral fracture in a young patient followed up for 3 years: A case report

Complex proximal femoral fracture in a young patient followed up for 3 years: A case report

The need for nutritional assessment and interventions based on the prognostic nutritional index for patients with femoral fractures: a retrospective study

Prognostic Nutritional Index Is a Better Predictor of Perioperative Adverse Outcomes in Patients With Femoral Fractures: a Retrospective Study

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