Long-Term Outcome and Risk Factors of Proximal Femoral Fracture in Uncemented and Cemented Total Hip Arthroplasty in 2551 Hips

Berend, Michael E.; Smith, Asher; Meding, John B.; Ritter, Merrill A.; Lynch, Timothy; Davis, Kenneth

doi:10.1016/j.arth.2006.05.014

Cited by 97 publications

(68 citation statements)

References 17 publications

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“…The socioeconomical impact of fractures on hip region is very strong, leading to increased morbidity and mortality rates. This study evidenced a prevalence of femoral fractures in women (60.29%) and aged people (75.84 years), consistently with literature [17][18][19] Rocha et al 18 found, in a retrospective study on proximal femoral fractures, a mean age of 68.5 years. Female gender showed higher mean ages compared to male gender, with values of 76.912 years for the first group, and 65.69 years for the second one.…”

Section: Discussionsupporting

confidence: 91%

Evolução funcional nas fraturas da extremidade proximal do fêmur

2009

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Objectives: To assess the functional capacity evolution and the physiologic score in patients with proximal femoral end fractures, as well as to compare the final results of the treatment provided to the several pre-fracture variables. Materials and Methods: A prospective study with patients over 40 years old diagnosed with proximal femoral fracture. The patients were submitted to a pre-established protocol and followed up on an outpatient basis for a period of one year. Results: 68 patients were assessed (27 men and 41 women), with a mean age of 75,84 years. 83,82% were submitted to surgical treatment. The early mean physiologic score was 17,16 points All authors state no potential conflict of interest concerning this article

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Section: Discussionsupporting

confidence: 91%

Evolução funcional nas fraturas da extremidade proximal do fêmur

2009

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“…letters, etc. (5 the results of sensitivity analysis revealed, after excluding the study (22) with lower quality, it did not affect the statistical significance of fixation type (cemented) as potential risk factor (I 2 , 43.5%; p for heterogeneity, 0.828); hence, the meta-analytic association reported in this review for the factor of fixation type was robust to the extent and the outcome was reliable. dIScuSSIon PF after the tHA is not uncommon in elderly patients, and the incidence of the PFs was reported to be 0.1%-4.1%; most of them occurred at proximally 6 years postoperatively (27,28).…”

Section: Initially Selected and Identified Search (92)mentioning

confidence: 70%

Risk factors for the periprosthetic fracture after total hip arthroplasty: a systematic review and meta-analysis

et al. 2014

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Background and Aims: A systematic review and meta-analysis was performed to investigate the risk factors associated with periprosthetic fracture after total hip arthroplasty. Material and Methods: We searched potential studies in the following databases: MEDLINE, Embase, Web of Science, SCOPUS and Cochrane CENTRAL up to December 2013. Newcastle–Ottawa Scale was used to evaluate the methodological quality, and Stata 11.0 was used to perform all the analyses. Results: Seven studies altogether, including 1069 cases of periprosthetic fractures and 74,776 controls, were included in the meta-analysis. Compared to those absent following demographic or medical conditions, patients involved with female gender (odds ratio, 1.534; p < 0.001), advanced age (>80) (odds ratio: 4.203; p < 0.001), revision (odds ratio: 4.398; p < 0.001), rheumatoid arthritis (odds ratio: 2.503; p < 0.001), osteonecrosis (odds ratio: 1.563; p = 0.009), and implant type of Exeter (odds ratio: 1.511; p = 0.017) were more likely to sustain periprosthetic fractures. Osteoarthritis (vs not) (odds ratio: 0.449; p < 0.001) was identified a protective factor for periprosthetic fractures after total hip arthroplasty. The other factors, including lower ages, American Society of Anesthesiologists ≥ 3, and other implant types, were not significant risk factors for periprosthetic fractures. Conclusions: These medical conditions as reminder should be kept in clinicians’ mind and close follow-up should be implemented in patients involved for preventing the occurrence of periprosthetic fractures after total hip arthroplasty.

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“…Stems of various designs provide stable initial and longterm fixation in patients who undergo THA [3,4,7,9,20,32,33,38]. Metaphyseal-engaging short stems provide theoretical benefits compared to conventional uncemented stems, including avoiding proximal-distal mismatch, decreasing proximal stress shielding, and limiting perioperative periprosthetic fractures.…”

Section: Discussionmentioning

confidence: 99%

Stable Fixation of Short-stem Femoral Implants in Patients 70 Years and Older

Patel

Smith

Woodward

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Limitations of conventional uncemented femoral stems persist, including proximal-distal mismatch, nonideal load transfer, loss of bone, and difficulties with minimally invasive surgery. Metaphyseal-engaging shortstem implants have been designed to address these issues in THA. While these devices have been studied in younger patients, it is unclear whether they offer advantages in older patients. Questions/purposes We asked whether the stability and bony ingrowth of an off-the-shelf short stem in patients 70 years and older were similar to those achieved in patients younger than 70 years at 2-year followup. Furthermore, we asked whether pain and function scores were affected by age, bone quality, or varus alignment. Patients and Methods We retrospectively reviewed 60 patients (65 hips) 70 years and older (mean, 75 years; range, 70-86 years) treated with an uncemented short stem (range, 90-105 mm). We compared radiographic alignment, stability, and bony ingrowth, as well as Harris hip scores and WOMAC pain scores, to a cohort of 89 patients (91 hips) younger than 70 years. Minimum followup was 24 months (mean, 35 months; range, 24-60 months). Results Radiographs showed proximal bony ingrowth and stable fixation of all implants. Average Harris hip score at last followup was 88 (range, 70-100) for the 70 years and older cohort and 93 (range, 70-100) for younger than 70 years cohort; no patients reported thigh pain. Postoperative WOMAC scores averaged 6 (range, 0-43) and 5 (range, 0-25), respectively.

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Long-Term Outcome and Risk Factors of Proximal Femoral Fracture in Uncemented and Cemented Total Hip Arthroplasty in 2551 Hips

Cited by 97 publications

References 17 publications

Evolução funcional nas fraturas da extremidade proximal do fêmur

Evolução funcional nas fraturas da extremidade proximal do fêmur

Risk factors for the periprosthetic fracture after total hip arthroplasty: a systematic review and meta-analysis

Stable Fixation of Short-stem Femoral Implants in Patients 70 Years and Older

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