Les fractures du col du fémur après 50 ans

Simon, P.; Gouin, F.; Veillard, D.; Laffargue, P.; Ehlinger, Matthieu; Bel, Jean-Christophe; López, Raúl Aguilar; Beaudet, Philippe; Luickx, F.; Molina, Véronique; Pidhorz, L.; Bigorre, N.; Rochwerger, Alexandre; Azam, Farooq; Louis, Marie-Laure; Cottias, P.; Hamonic, Stéphanie; Vogt, F.; Cambas, P.-M.; Tabutin, J.; Bonnevialle, P.; Lecoq, M.; Court, Charles; Sitbon, Philippe; Lacoste, S.; Gagey, Olivier; Dujardin, F.; Gilleron, Matthieu; Brzakala, V.; Roussignol, X.

doi:10.1016/j.rco.2008.06.006

Cited by 40 publications

(8 citation statements)

References 115 publications

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“…Data on Garden classification were available for the systematic analysis from 14 studies [16–20, 22–24, 26–30, 32]. The fixed effect model was chosen due to nonsignificant heterogeneity in intra-study comparisons ( I 2 = 1%, P = 0.44).…”

Section: Resultsmentioning

confidence: 99%

Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis

Liang

Xiong

et al. 2019

BMC Musculoskelet Disord

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BackgroundAlthough the risk factors associated with osteonecrosis of femoral head (ONFH) after internal fixation of femoral neck fracture (IFFNF) have been frequently reported, the results remain controversial. Therefore, its related risk factors were systematically evaluated and meta-classified in this study.MethodsLiterature on risk factors of ONFH caused by IFFNF was retrieved in PubMed, Embase and Cochrane Library due June 2019. Review Manager 5.3 software was applied to data synthesis, and Stata 13.0 software was adopted for analyses of publication bias and sensitivity.ResultsA total of 17 case-control studies with 2065 patients were included. The risk of ONFH after IF was 0.40-fold higher in patients with Garden III-IV FNF than that in patients with Garden I-II (OR: 0.40, 95%CI: 0.29–0.55). The risk of OFNH with retained IF was uplifted by 0.04 times (OR: 0.04, 95%CI: 0.02–0.07). There was nonsignificant relationship between gender and ONFH after IFFNF (OR: 1.27, 95%CI: 0.84–1.94). Moreover, ONFH after IFFNF presented no association with age (OR:1.66, 95%CI: 0.89–3.11), injury-operation interval (OR:1.29, 95%CI: 0.82–2.04), fracture reduction mode (OR:1.98, 95%CI: 0.92–4.26), preoperative traction (OR:1.69, 95%CI: 0.29–9.98) and mechanism of injury (OR:0.53, 95%CI: 0.06–4.83). Egger’s and Begg’s tests indicated a publication bias (P = 0.001).ConclusionIt was demonstrated that Garden classification and retained IF were important influencing factors of ONFH after IFFNF. Gender, age, injury-operation interval, fracture reduction mode, preoperative traction and the mechanism of ONFH were irrelevant to the complication.

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Section: Resultsmentioning

confidence: 99%

Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis

Liang

Xiong

et al. 2019

BMC Musculoskelet Disord

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“…The risk factors of bilateral hip fractures are dementia, neurological diseases, and Parkinson disease (10, 12, 21). Denutrition is also a risk factor (22, 23). In this study, female gender, BMI<22 kg/m 2 , being unmarried were found as risk factors.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Risk Factors of Subsequent Hip Fractures in Korea: Multicenter Study

et al. 2014

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This study analyzes the incidence of subsequent hip fractures and its risk factors in the northwestern region of Korea. We analyzed hip fracture patients who visited any of the 5 teaching hospitals in the Bucheon and Incheon area from January 2000 to December 2010. Medical records were reviewed and presence of subsequent hip fractures, alcohol history, marital status, live in solitude, dementia, dizziness, American society of anesthesiologists score, osteoporosis treatment after fracture, body mass index (BMI) and initial bone mineral density were analyzed. The average follow-up period was 12 months (range 1-130 months). A total of 2,546 patients (women 1,770, men 776) who had experienced hip fractures were included. Of these, subsequent hip fractures were found in 233 patients (9.2%) (women 187, men 46). Mean age at the time of the first fracture was 79.2 yr old (range 50-100 yr). The average interval between the first fracture and the subsequent hip fractures was 30.2 months (range 4 days-154 months). In this large-scale, retrospective, multicenter study, overall incidence of subsequent hip fractures is 9.2%. Independent risk factors of subsequent fracture are women, BMI<22 kg/m2, and being unmarried.

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“…Impaktierte Frakturen können im Ausnahmefall bei fehlender OP-Fähigkeit konservativ behandelt werden. Die Redislokationsraten liegen allerdings in der Literatur zwischen 30 und 80 % [9][10][11][12].…”

Section: Definitive Behandlungunclassified

Hüftgelenknahe Frakturen/Luxationen

Bonnaire¹,

Lein²

2017

Orthopädie und Unfallchirurgie up2date

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Les fractures du col du fémur après 50 ans

Cited by 40 publications

References 115 publications

Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis

Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis

Incidence and Risk Factors of Subsequent Hip Fractures in Korea: Multicenter Study

Hüftgelenknahe Frakturen/Luxationen

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