Independent factors associated with long-term functional outcomes in patients with a proximal femoral fracture: A systematic review

Sijp, Max P.L. van der; Eijk, Monica van; Tong, Wing H.; Niggebrugge, Arthur H.P.; Schoones, Jan W.; Blauw, Gerard J.; Achterberg, Wilco P.

doi:10.1016/j.exger.2020.111035

Cited by 12 publications

(13 citation statements)

References 44 publications

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“…Its structure is special. It not only bears the vertical downward pressure from the human body but also bears the shear stress imported into the hip joint during activity, so it is prone to fracture of the femoral neck and the rotator position [ 1 , 2 ]. Proximal femoral fractures are very common in the field of orthopedics and often occur in the elderly.…”

Section: Introductionmentioning

confidence: 99%

Effect of Low-Dose Dexmedetomidine Combined with Lumbosacral Plexus Block Guided by Ultrasound Imaging Based on Image Segmentation Algorithm in Fracture Surgery

Wang

He³

et al. 2022

Computational Intelligence and Neuroscience

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The aim of this study was to analyze the application of ultrasound-guided low-dose dexmedetomidine combined with lumbosacral plexus block based on artificial intelligence algorithm in the surgical treatment of proximal femoral fractures. 104 patients with proximal femoral fractures were divided into 52 cases in the experimental group (ultrasound-guided lumbosacral plexus block combined with dexmedetomidine based on local fitting image segmentation algorithm) and 52 cases in the routine group (endotracheal intubation and inhalation combined with general anesthesia). An image segmentation algorithm based on local fitting was constructed to enhance the ultrasound image. It was found that in the routine group, the heart rate (HR), systolic blood pressure (SBP), and diastolic blood pressure (DBP) at the beginning of intravenous injection of dexmedetomidine, during skin incision, and half an hour after skin incision were significantly lower than those at admission ( P < 0.05 ). The pressing times of patient-controlled intravenous analgesia (PCIA) in the conventional group (17.05 ± 6.85 times) were significantly higher than that in the experimental group (8.55 ± 4.12 times), and the difference was statistically significant ( P < 0.05 ). The visual analogue scale (VAS) scores at 1, 5, 10, and 15 after operation in the routine group were significantly higher than those in the experimental group ( P < 0.05 ). The number of dizziness, nausea, and vomiting, venous thrombosis of lower limbs, cardiovascular events, and pulmonary infection in the routine group on the 1st, 2nd, and 3rd days after operation were significantly higher than those in the experimental group ( P < 0.05 ). In summary, the ultrasound-guided lumbar plexus-sacral plexus block combined with dexmedetomidine anesthesia based on image segmentation algorithm can effectively maintain the hemodynamic stability of patients, with remarkable analgesic effect and high safety.

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Section: Introductionmentioning

confidence: 99%

Effect of Low-Dose Dexmedetomidine Combined with Lumbosacral Plexus Block Guided by Ultrasound Imaging Based on Image Segmentation Algorithm in Fracture Surgery

Wang

He³

et al. 2022

Computational Intelligence and Neuroscience

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“…Most studies that included age as a factor found this parameter to have a significant effect associated with a poor prognosis. 23 - 27 Similarly, we found that age was a poor prognostic factor affecting the quality of life and ADL after an intertrochanteric fracture.…”

Section: Discussionmentioning

confidence: 60%

“…Although there is a perception that osteoarthritis is an indication of arthroplasty in patients with intertrochanteric fractures, we did not find sufficient evidence for this when we reviewed the literature. 23 - 27 In a recent systemic review 23 analyzing 81 studies, 28 poor prognostic factors were identified for the outcome of hip fractures, with handgrip strength and frailty being reported as the top 2. Osteoarthritis was shown as a poor prognostic factor in only 1 of the 81 studies.…”

Section: Discussionmentioning

confidence: 99%

The effect of preexisting radiographic hip osteoarthritis on the functional recovery after surgical treatment of intertrochanteric fractures in elderly patients

Fidan

Polat

2022

AOTT

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Objective: The aim of this study was to evaluate the effect of the grade of preexisting radiographic hip osteoarthritis on the functional outcome of elderly patients with intertrochanteric fractures treated by intramedullary fixation. Methods: We retrospectively examined the impact of the grade of preexisting osteoarthritis on the functional outcome of 88 patients older than 60 years with intertrochanteric fractures treated by intramedullary fixation. The patients were divided into 2 groups according to the grade of osteoarthritis: group 1, including 52 patients (32 females and 20 males) with Kellgren–Lawrence grades 1 and 2, and group 2, including 36 patients (24 females and 12 males) with Kellgren–Lawrence grades 3 and 4. Functional outcomes were evaluated using the Harris hip score, visual analog scale, EuroQoL general health questionnaire, and the Barthel index. Results: The mean age was 74.8 ± 5.5 (range = 63-87) years in group 1 and 75.06 ± 5.3 (range = 64-87) years in group 2. At the last follow-up, the mean Harris hip score was significantly higher in group 1 (71.3 ± 4.3) than that of group 2 (69.5 ± 3.5) ( P = .047). There was no significant difference between the groups in terms of the visual analog scale ( P = .102), EuroQoL general health questionnaire ( P = .144), and the Barthel index ( P = .261) scores. The EuroQoL general health questionnaire and Barthel index scores were worse with increasing age. Conclusion: As the grade of hip osteoarthritis increases, it may adversely affect the specific hip score, but this parameter alone may not be a poor prognostic factor that affects the quality of life and daily activity level. Level of Evidence: Level III, Prognostic Study

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“…Proximal femur fractures are the leading cause of hospital admission and are associated with significant mortality and morbidity [1] . Although proximal femur fractures are more common in older patients and can occur with simple falls, they are caused by high-energy injury in young individuals [2] .…”

Section: Introductionmentioning

confidence: 99%

A review of proximal femur fracture patterns, etiologies and sociodemographic features

Almigdad¹,

Alazaydeh²,

Mustafa³

et al. 2022

Int. J. Orthop. Sci.

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To identify the frequency and patterns of proximal femur fractures in a tertiary center in Jordan to aid in the identification of the requirement of the orthopedic department and assist in the future planning for founding country-based preventive and treatment guidelines. Methods: This retrospective study reviewed 706 proximal femur fractures admitted from July 2018 to December 2021 at King Hussein Medical City in Amman, the capital of Jordan. Fractures were assessed concerning age, gender, mechanism of injury and variation over the years. Results: Proximal femoral fractures account for one-fifth of all orthopedic hospital admissions. Females represented most patients (60.9%) and the left side was most affected (52.1%). Intertrochanteric fractures were the most common, followed by intracapsular fractures of the femoral neck; both accounted for about 90% of all fractures. Patients with femoral neck fractures are ten years younger than the intertrochanteric group. Falling from the floor was the most common cause. Fractures of the proximal femur occur in elderly patients with a mean age of 70.81 years (±18.97). However, femoral head and hip dislocation occur in young patients. We notice an annual increase in the number of admissions. Conclusions: Proximal femur fractures are the leading cause of hospitalizations in the orthopedic department. This study provides information on proximal femur fractures in Jordan. However, multicenter studies are needed to evaluate proximal femur fractures adequately, provide guidelines for treating and preventing these injuries and determine our institute's supply needs.

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Independent factors associated with long-term functional outcomes in patients with a proximal femoral fracture: A systematic review

Cited by 12 publications

References 44 publications

Effect of Low-Dose Dexmedetomidine Combined with Lumbosacral Plexus Block Guided by Ultrasound Imaging Based on Image Segmentation Algorithm in Fracture Surgery

Effect of Low-Dose Dexmedetomidine Combined with Lumbosacral Plexus Block Guided by Ultrasound Imaging Based on Image Segmentation Algorithm in Fracture Surgery

The effect of preexisting radiographic hip osteoarthritis on the functional recovery after surgical treatment of intertrochanteric fractures in elderly patients

A review of proximal femur fracture patterns, etiologies and sociodemographic features

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