Endoprothesenversorgung bei medialer Schenkelhalsfraktur

Kinzl, L.; Bischoff, Moritz S.; Beck, A.

doi:10.1007/s001040170029

Cited by 10 publications

(4 citation statements)

References 9 publications

(13 reference statements)

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“…Kinzl et al provide high demands on the respective treatment concepts [44]. These are: rapid treatment, early mobilisation, full weight bearing, wide applicability, low complication rate and low mortality.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Femoral Neck Fracture with a Minimal Invasive Surgical Approach for Hemiarthroplasty – Clinical and Radiological Results in 180 Geriatric Patients

Unger¹,

Dirksen²,

Renken³

et al. 2014

TOORTHJ

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Purpose : The Direct Anterior Approach (DAA) is well established as a minimal access approach in elective orthopaedic hip surgery. For the growing number of elderly patients with femoral neck fractures treated with Bipolar Hip Hemiarthroplasty (BHH), only a few results do exist. The study shows the clinical and radiological outcome for 180 patients treated by a modified DAA with BHH.Materials and Methods : The data of 180 geriatric patients with medial femoral neck fractures were evaluated retrospectively. The general and surgical complications, mobilisation using the Timed Up and Go test (TUG), the social environment pre- and postoperative and the radiological results have been compared with established approaches for geriatric hip surgery.Results : After joint replacement, 18 (10%) patients were developed pneumonia, of which 3 (1.7%) died during hospitalisation. In 7 cases (4%), surgical revision had to be carried out: three times (1.7%) because of a seroma, three times (1.7%) because of subcutaneous infection, and one time (0.6%) because the BHH was removed, owing to deep wound infection. One dislocation (0.6%) occurred, as well as one femoral nerve lesion (0.6%) occured. 88.3% of patients were mobilised on walkers or crutches; the Timed Up and Go Test showed a significant improvement during inpatient rehabilitation. 83% were discharged to their usual social environment, 10% were transferred to a short-term care facility and 7% were relocated permanently to a nursing home. 3/4 of patients had a cemented stem alignment in the range between -5° and 5°, while 2/3 of patients had a maximum difference of 1 cm in leg length.Conclusion : Using the modified DAA, a high patient satisfaction is achieved after implantation of a BHH. The rate of major complications is just as low as in conventional approaches, and rapid mobilisation is possible.

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Section: Discussionmentioning

confidence: 99%

Treatment of Femoral Neck Fracture with a Minimal Invasive Surgical Approach for Hemiarthroplasty – Clinical and Radiological Results in 180 Geriatric Patients

Unger¹,

Dirksen²,

Renken³

et al. 2014

TOORTHJ

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“…Zurzeit erleiden in Deutschland jährlich ca. 60.000 Patienten eine Schenkelhalsfraktur (90/00.000 Einwohner, EW) [24], wobei diese Zahl Hochrechnungen zufolge im Jahr 200 auf 35/00.00 EW ansteigen soll [5,6].…”

Section: Epidemiologieunclassified

Unfallchirurgie im Alter

Siebert

Beck

2005

Chirurg

Self Cite

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The indications for the surgical treatment of fractures in elderly patients should consider the individual's general health status, the specific pattern of injury, and the ability of the patient to actively participate in the rehabilitation process. Intramedullary systems are the gold standard for shaft and metaphyseal fractures due to the decreased operative trauma and the possibility of early weight bearing and functional treatment. Minimally invasive locking plate systems can frequently be applied, offer decreased risk of secondary fracture displacement, and have great advantages in the treatment of periprosthetic fractures with firm implants. The possible reasons for falls should be diagnosed in order to allow their prevention. An exact assessment of the severity of osteoporosis in important in allowing adequate treatment for associated pain and for decreasing the risk of future osteoporosis related fractures.

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“…War damals die Asepsis das grundlegende Problem, so ist man sich heute sicher, dass der wesentliche Faktor fü r den erfolgreichen Verlauf nach einer Schenkelhalsfraktur beim alten Menschen die frühestmö gliche Versorgung und vor allem die rasche postoperative Mobilisierung ist. Es ist wiederholt erwiesen worden, dass die vital bedrohlichen pulmonalen und allgemeinmedizinischen Komplika-tionen mit der Dauer der Immobilisation exponentiell ansteigen [1,3,7,9]. Dieses kann in wenigen Fä llen vielleicht schon durch eine konservative Behandlung erreicht werden, andernfalls stehen die kopferhaltenden Verfahren (Osteosynthese) und die kopfersetzenden Verfahren (Prothese) zur Verfü gung.…”

Section: Die Schenkelhalsfraktur Beim Erwachsene Kopfersetzende Therapieunclassified

Die Schenkelhalsfraktur beim Erwachsene

Seekamp¹,

Machens²,

Pohlemann³

2002

OP-Journal

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EinleitungDie alte Dame mit schmerzverzerrtem Gesicht und außenrotiertem und verkü rztem Bein ist in jeder chirurgischen Notaufnahme ein häufig zu findendes Bild. Die Schenkelhalsfraktur zä hlt zu den typischen Verletzungen des ä lteren Menschen. Der Altersgipfel liegt mittlerweile bei ü ber 80 Jahren [8] und steigt noch. Frauen tragen eine 25%ige, Mä nner eine 7 %ige Chance, in ihrem Leben einen solchen Bruch zu erleiden.

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Endoprothesenversorgung bei medialer Schenkelhalsfraktur

Abstract: For the treatment of femoral neck fractures in older patients, the cemented hip endoprosthesis is the method of choice.

Cited by 10 publications

References 9 publications

Treatment of Femoral Neck Fracture with a Minimal Invasive Surgical Approach for Hemiarthroplasty – Clinical and Radiological Results in 180 Geriatric Patients

Treatment of Femoral Neck Fracture with a Minimal Invasive Surgical Approach for Hemiarthroplasty – Clinical and Radiological Results in 180 Geriatric Patients

Unfallchirurgie im Alter

Die Schenkelhalsfraktur beim Erwachsene

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