Risk of refracture after removing hip fixation

Wand, JS

doi:10.1302/0301-620x.72b1.2298779

Cited by 7 publications

(2 citation statements)

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“…This study has some limitations: First, in our study no re‐fracture occurred during follow‐up which is different to the literature and could be due to the careful after‐care concept of our patients . After 18 weeks, stability should be equalized …”

Section: Discussionmentioning

confidence: 73%

“…This study has some limitations: First, in our study no re-fracture occurred during follow-up which is different to the literature and could be due to the careful after-care concept of our patients. 24,27,29,[45][46][47][48] After 18 weeks, stability should be equalized. 46 Plates in long bones can change elasticity and increase risk for peri-implant fracture.…”

Section: Discussionmentioning

confidence: 99%

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High early post‐operative complication rate after elective aseptic orthopedic implant removal of upper and lower limb

Suda

Heilgeist

Tinelli

et al. 2017

Journal Orthopaedic Research

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The necessity of orthopedic implant removal is under intense discussion and even if it is performed as an elective procedure, the risk of complications is present. Aim of the study was to identify parameters responsible for an increased risk of early post-operative complications after elective aseptic orthopedic implant removal. We reviewed 1,545 cases of aseptic and elective orthopedic implant removal between 2009 and 2011. The patient́s demographic data, time and duration of operation, patient́s comorbidities, and presence of complications in the first 4 weeks after implant removal were evaluated. Patients with signs of infection at the time of the surgical procedure were excluded from this study. 579 women and 966 men who underwent elective aseptic orthopedic implant removal were identified. Mean age at implant removal was 42 years and mean duration of the surgical procedure was 37 min. In this cohort, 70 patients (4.5%) underwent elective aseptic implant removal after 6pm. 52 patients (3.37%) operated on during daytime suffered from complications post-operatively and five patients (0.3%) who were operated on during the night experienced complications. The parameters age, sex, BMI, and surgeon showed no statistically significant differences for the risk of post-operative complications. Patients' comorbidities such as diabetes seem to have influence but were not statistically significant either. Patients with revision surgery since their first operation, nocturnal surgery and longer duration of the procedure showed a statistically significant higher risk for complications, especially in the lower leg. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:1035-1039, 2018.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

High early post‐operative complication rate after elective aseptic orthopedic implant removal of upper and lower limb

Suda

Heilgeist

Tinelli

et al. 2017

Journal Orthopaedic Research

View full text Add to dashboard Cite

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Bone remodeling in hip fracture

et al. 1993

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Hip fracture incidence has shown strong upward secular trends in many societies with wide differences in age adjusted incidence between nations. Falls and reduced physical activity have emerged as the strongest risk factors in epidemiological studies, while clinical investigations have pointed to secondary hyperparathyroidism as an important candidate cause of the loss of femoral cortical bone in old age. Until recently there have been few studies performed directly on the region of interest in the proximal femur. Non-invasive methodology using 85Sr has now been developed by our group for measuring bone formation and (with concurrent serial DXA densitometry) resorption in the femoral neck. Bone turnover averaged about 8% annually in controls. A group of younger cases of femoral fracture showed similar indices of total and regional bone formation to a control group; but their resorption was higher. To further investigate this, a femoral neck bone biopsy technique has been developed which can be applied to fracture cases treated by arthroplasty. Preliminary studies have established that the anatomical asymmetry of the neck in cross-section is considerable and imposes restraints on the interpretation of smaller or incomplete femur biopsies. Prospects are quite good that, in the absence of tetracycline pre-labeling, mineralization can be studied by assessment of alkaline phosphatase-positive surfaces in cryostat sections. Moreover, such sections will permit study of other anatomically localized metabolic activities as well as antigen expression and osteocyte viability. Candidate mechanisms for the regional decline in bone quality as well as bone mass in subjects suffering hip fracture can now be investigated more effectively.

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Refrakturen nach Entfernung von Osteosynthesematerialien

et al. 2012

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Refractures of long bones after implant removal are a rare but serious complication, which in most cases make a reoperation necessary. We analysed our own cases and reviewed the scarce literature on this subject. As a result we found that it is possible to reduce this complication by performing thorough preoperative preparation, observing an adequate interim time between initial osteosynthesis and hardware removal, cautiously exposing the weakened bone to force for a certain time period after implant removal and taking the character of the fracture healing into consideration. It is not possible to entirely eradicate this complication because a lot of patients demand the implant removal even though it is known that demineralisation and residual screw holes both induce a reduction of energy-absorbing capacity and therefore predispose the patient to refracture. In some cases the surgeon should recommend that the implants remain in situ.

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Risk of refracture after removing hip fixation

Cited by 7 publications

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High early post‐operative complication rate after elective aseptic orthopedic implant removal of upper and lower limb

High early post‐operative complication rate after elective aseptic orthopedic implant removal of upper and lower limb

Bone remodeling in hip fracture

Refrakturen nach Entfernung von Osteosynthesematerialien

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