Medial hip neck fracture: influence of pre-operative delay on the quality of outcome

Smektala, R.; Schrader, P. G.; Bonnaire, F.; Raestrup, U. Schulze; Siebert, H.; Fischer, Burkhard; Boy, O.

doi:10.1007/s00113-009-1674-2

Cited by 37 publications

(12 citation statements)

References 22 publications

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“…However a correlation between mortality during hospital stay and the time to treatment could not be detected [28]. In contrast to our study, Smektala et al included femoral neck fractures regardless of the surgical treatment.…”

Section: Discussioncontrasting

confidence: 87%

Decreasing mortality after femoral neck fracture treated with bipolar hemiarthroplasty during the last twenty years

Schneppendahl

Grassmann

Петров

et al. 2012

International Orthopaedics (SICOT)

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Section: Discussioncontrasting

confidence: 87%

Decreasing mortality after femoral neck fracture treated with bipolar hemiarthroplasty during the last twenty years

Schneppendahl

Grassmann

Петров

et al. 2012

International Orthopaedics (SICOT)

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“…However, the hospital mortality did not change significantly (5.0% versus 6.2% for all patients, 6.2% versus 6.5% after statistical matching) compared to patients operated earlier [OR 0.96 (95% CI 0.89 - 1.04)]. No distinction was made among operations performed within the first 24 hours (7). …”

Section: Discussionmentioning

confidence: 90%

“…Smektala et al (7) published data from a Germany-wide survey of the years 2004 - 2006. 129,075 patients with femoral neck fractures were evaluated.…”

Section: Discussionmentioning

confidence: 99%

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Hemiprosthesis for Femoral Neck Fractures in the Elderly: A Retrospective Study of 319 Patients

Prokop

Chmielnicki

2016

Arch Trauma Res

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BackgroundIn geriatric patients with Pauwels types II and III femoral neck fractures, hemiprosthesis is the therapy of choice.ObjectivesThis study was conducted to analyze the results after cemented hemiprosthesis placement, the first year after surgery.Patients and MethodsThis retrospective study was conducted on 319 patients over 70 years with displaced femoral neck fractures treated surgically at our hospital from 2007 to 2012. All medical information was available including retrospective posthospital discharge records as well as inpatient course and one-year mortality.ResultsFrom a total of 319 patients, 78% (n = 249) were female and 22% (n = 70) were male, with the mean age of 83.6 years. Seventeen percent of the patients suffered from heart failure, 23% from diabetes, and 19% from renal insufficiency. Time to surgery averaged one day postinjury. Average operative time skin-to-skin was 50 minutes. Seventy-three percent of the patients could mobilize independently on discharge. Of the remaining patients, 2/3 had already lost independent mobilization prior to the fracture. Hospital mortality averaged 5% (national average in Germany: 8%), and 30-day and 90-day mortality rates were 5% and 15%, respectively. Within one year, 22% of the patients died (national average: 27%). Also, 14 patients were re-admitted, for contralateral prosthetic implantation (n = 7) or revision after the periprosthetic fracture (n = 5). Fifty-three percent of the patients were admitted to hospital during the year for other diseases (national average: 54%).ConclusionsHemiprosthesis placement for displaced femoral neck fractures is a common and safe procedure. Despite recent decreases in hospital mortality, the risk of death remains more than twice as high within one year than that for uninjured patients of the same age.

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“…Erst für Versorgungen nach 48 Stunden erhöht sich statistisch auch die Letalität. Diese ist für alle Methoden perioperativ und für ein Jahr etwa gleich hoch [13,14].…”

Section: Definitive Behandlungunclassified

Hüftgelenknahe Frakturen/Luxationen

Bonnaire¹,

Lein²

2017

Orthopädie und Unfallchirurgie up2date

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Medial hip neck fracture: influence of pre-operative delay on the quality of outcome

Abstract: Patients with medial hip neck fracture should receive operative treatment without delay, if no medical contra-indications for immediate surgery. In particular appropriate organizational measures should be taken to ensure an early surgical treatment even during weekends.

Cited by 37 publications

References 22 publications

Decreasing mortality after femoral neck fracture treated with bipolar hemiarthroplasty during the last twenty years

Decreasing mortality after femoral neck fracture treated with bipolar hemiarthroplasty during the last twenty years

Hemiprosthesis for Femoral Neck Fractures in the Elderly: A Retrospective Study of 319 Patients

Hüftgelenknahe Frakturen/Luxationen

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