Comparison of the survivorship between arthroplasty and ORIF for basi-cervical femoral neck fractures in the overall population and in polymorbid patients

Davanzo, Diego; Previtali, Davide; Tamborini, Simone; Filardo, Giuseppe; Fusco, Augusto; Bordoni, Vittorio; Gaffurini, Paolo; Candrian, Christian

doi:10.1016/j.otsr.2020.102789

Cited by 9 publications

(3 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Davanzo et al followed up 154 patients who underwent arthroplasty and 72 patients who underwent IF for basicervical FNF over an average of 4.9 years. 34 There was no difference in terms of survivorship between IF and arthroplasty in the overall population. The incidence of postoperative complications in patients with arthroplasty was higher than that in patients with IF.…”

Section: Discussionmentioning

confidence: 87%

Proportion of stable femoral neck fracture types in different age groups: a population-based study

et al. 2022

View full text Add to dashboard Cite

Objective The treatment and incidence of femoral neck fracture (FNF) in older patients is controversial. We investigated the new AO (Arbeitsgemeinschaft für Osteosynthese) classification in patients with FNF by age to determine the proportions of stable fracture and change trends according to patients’ age. Methods We divided patients with FNF hospitalized in Xi'an Honghui Hospital from 2018 to 2020 into five groups according to age: young (<50 years), middle-aged (50–59 years), young-elderly (60–69 years), middle-elderly (70–79 years), and very elderly (≥80 years) groups. We retrospectively collected data of patients’ sex, admission date, fracture side, mechanism of injury, and new AO classification. Results In total, 2071 patients were included for analysis, with 1329 women (64.2%); 1106 patients (53.4%) had left-side fracture. The main mechanism of injury was falling. In the young-elderly, middle-elderly, and very-elderly groups, 33.3%, 29.2%, and 24.1% had stable fracture type, respectively). The proportion of patients with FNF did not show a change trend by age during the 3-year investigation period. Conclusion In our study, the proportion of older patients with FNF did not increase, and as many as a third of patients with FNF aged 50 to 70 years had stable fracture.

show abstract

Section: Discussionmentioning

confidence: 87%

Proportion of stable femoral neck fracture types in different age groups: a population-based study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…of Sundkvist et al(8) found 40,049 FNFs were registered in the Swedish Fracture Register.11.6% was basi-cervical FNFs. The treatment of patients over 60 years old is almost equally divided into IF and arthroplasty.They are both valid procedures for the treatment of basi-cervical FNFs,There is no difference in terms of survivorship between IF and arthroplasty in the overall population.The incidence of postoperative complications in patients with arthroplasty was higher than that in patients with IF(12). In the study of patients with FNFs aged 50-60 years, Wang et al(13)found that patients with Pauwels type II had optimal outcomes after successful IF.In a long-term follow-up study of FNFs treated with cannulated IF by Ju et al(14) found that,Garden fracture type was not signi cantly associated with femoral head necrosis or Harris score .Elderly patients aged ≥ 60 years with Pauwels I and II fractures exhibited a signi cantly lower necrosis rate than those with Pauwels III fractures, which means 31B2.1 and 31B2.2 can also have good outcomes by IF in elderly patients.…”

mentioning

confidence: 75%

Distribution Characteristics of New AO Classification in Different Age Groups of Patients with Femoral Neck Fracture

Jiang

Feng

Huang

et al. 2022

Preprint

View full text Add to dashboard Cite

Objective: Femoral neck fractures(FNFs) patients from 2018 to 2020 were classified according to the new AO classification. To observe the proportion of new AO classification and provide reference for improving the upper age limit of internal fixation(IF) treatmentMethods: In this study, patients with femoral neck fracture hospitalized in Xi 'an Honghui Hospital from January 2018 to January 2021 were divided into four groups according to age: the young group (≤44 years old), the middle-aged group (45-59 years old),the young elderly group (60-74 years old), and the elderly group (≥75 years old) to analyze age,sex,side,injury mechanism,new AO classification and other features . A total of 2071 patients were included for analysis.Results: There were 742 males (35.8%) and 1,329 females (64.2%).There were 1,106 patient s(53.4%) on the left side and 965 on the right side (46.6%).There were 1781 patients of low energy injury (86%) and 290 patients of high energy injury (14%), and the main injury mechanism was falling.The number of patients with femoral neck fracture in each year was 719 patients in 2018, 694 patients in 2019, and 661 patients in 2020, respectively. The number of patients showed a decreasing trend year by year, and the gender ratio and injury mechanism showed no significant trend of change. In the age group, the proportion of the young group was increasing year by year.Among the new AO classification, there were 1023 patients of B1.3, accounting for the highest proportion of 49.4%.The proportion of B2.2 was the highest in the young group (32.4%) .B1.3 and B2.2 were the main types in the middle-aged group, accounting for 31.7% and 32.0, respectively.B1.3 was dominant in the young elderly and elderly group (47.1% and 63.4%, respectively).Conclusion: The new AO classification is more detailed and practical. 1/3 of the fracture types of middle aged and young elderly people may achieve satisfactory results through IF.Level of evidence: III.

show abstract

“…Hip arthroplasty has been less studied. Observational data suggest similar functional outcomes in comparison to IF [ 38 ]. Future studies are warranted to refine the definition, prognosis and type of surgical treatment to improve the outcome of bFNFs.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology, classification, treatment, and mortality of adult femoral neck and basicervical fractures: an observational study of 40,049 fractures from the Swedish Fracture Register

et al. 2021

View full text Add to dashboard Cite

Background Although femoral neck fractures (FNFs) are common in orthopedic departments, optimal treatment methods remain in dispute. There are few large nationwide studies, including basicervical FNFs (bFNFs), on epidemiology, treatment, and mortality. This nationwide study aims to describe the epidemiology, fracture classification, current treatment regimens, and mortality of undisplaced and minimally displaced (Garden I–II, uFNF), displaced (Garden III–IV, dFNF) and bFNFs in adults. Methods All FNFs, including bFNFs with a registered injury date between 1 April 2012 and 31 December 2020, were included in this observational study from the Swedish Fracture Register (SFR). Data on age, sex, injury mechanism, fracture classification, primary treatment, and seasonal variation were analyzed. Results Some 40,049 FNFs were registered in the SFR. The mean age of the patients in the register was 80.3 (SD 11) years and 63.8% (25,567) were female. Of all FNFs, 25.0% (10,033) were uFNFs, 63.4% (25,383) dFNFs, and 11.6% (4,633) bFNFs. Non-surgical treatment was performed in 0.6% (261) of the patients. Internal fixation (IF) (84.7%) was the main treatment for uFNFs and arthroplasty (87.3%) for dFNFs. For bFNFs, IF (43.8%) and hip arthroplasty (45.9%) were performed equally often. Of the 33,105 patients with a 1-year follow-up mortality at 1-year was 20.6% for uFNF, 24.3% for dFNF, and 25.4% for bFNF. Conclusion The main treatment of uFNFs is IF with screws or pins. Hip arthroplasty is the predominant treatment for dFNF. bFNF are more common than previously reported and treated with IF or arthroplasty, depending on patient age. These results may help health care providers, researchers and clinicians better understand the panorama of FNFs in Sweden. Level of Evidence IV, retrospective cohort study.

show abstract

Comparison of the survivorship between arthroplasty and ORIF for basi-cervical femoral neck fractures in the overall population and in polymorbid patients

Cited by 9 publications

References 42 publications

Proportion of stable femoral neck fracture types in different age groups: a population-based study

Proportion of stable femoral neck fracture types in different age groups: a population-based study

Distribution Characteristics of New AO Classification in Different Age Groups of Patients with Femoral Neck Fracture

Epidemiology, classification, treatment, and mortality of adult femoral neck and basicervical fractures: an observational study of 40,049 fractures from the Swedish Fracture Register

Contact Info

Product

Resources

About