Total hip arthroplasty in acute acetabulum fractures: a systematic review

Ebrahimi, Hadis Darvishi Nakhl; Wu, Chia H.; Karczewski, Daniel; Amini, Dominik Adl; Dahne, Michael; Bäcker, Henrik C.

doi:10.1007/s00402-023-05007-5

Cited by 4 publications

(4 citation statements)

References 25 publications

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“…In fact, the surgical approach was the independent risk factors for postoperative DVT of hip fractures in our paper. Nowadays, HR has been considered the gold standard for displaced femoral neck fractures [ 34 ]. HR is less invasive allows elderly patients to faster mobilize and recovery, as compared to RIF [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nowadays, HR has been considered the gold standard for displaced femoral neck fractures [ 34 ]. HR is less invasive allows elderly patients to faster mobilize and recovery, as compared to RIF [ 34 ]. In orthopaedic surgery, the risk of thrombosis could generally be considered as proportional to the duration and invasiveness (trauma, demolition) of the surgical procedure [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…A longer operation time and more intraoperative blood loss would increase patients' blood hypercoagulability and significantly stimulate the body's stress response, thereby increasing the risk of thrombosis [ 36 ]. Compared with the intra-articular fractures of hip arthroplasty, patients with extra-articular fractures undergoing RIF are often relatively more serious, the surgical procedure is more complicated, and the local blood transport around the extra-articular fractures is rich, which easily causes more blood loss [ 34 ]. Therefore, unlike RIF, HR is thought to have a lower risk of complications such as thrombotic events [ 34 ], which is consistent with our results.…”

Section: Discussionmentioning

confidence: 99%

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A Nomogram Model to Predict Deep Vein Thrombosis Risk After Surgery in Patients with Hip Fractures

Bo,

Chen,

Zheng

et al. 2024

JOIO

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Aims This study aimed to establish a nomogram model for predicting the probability of postoperative deep vein thrombosis (DVT) risk in patients with hip fractures. Methods 504 patients were randomly assigned to the training set and validation set, and then divided into a DVT group and a non-DVT group. The study analysed the risk factors for DVT using univariate and multivariate analyses. Based on these parameters, a nomogram model was constructed and validated. The predicting performance of nomogram was evaluated by discrimination, calibration, and clinical usefulness. Results The predictors contained in the nomogram model included age, surgical approach, 1-day postoperative D-dimer value and admission ultrasound diagnosis of the lower limb vein. Furthermore, the area under the ROC curve (AUC) for the specific DVT risk-stratification nomogram model (0.815; 95% CI 0.746–0.884) was significantly higher than the current model (Caprini) (0.659; 95% CI 0.572–0.746, P < 0.05). According to the calibration plots, the prediction and actual observation were in good agreement. In the range of threshold probabilities of 0.2–0.8, the predictive performance of the model on DVT risk could be maximized. Conclusions The current predictive model could serve as a reliable tool to quantify the possibility of postoperative DVT in hip fractures patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Nomogram Model to Predict Deep Vein Thrombosis Risk After Surgery in Patients with Hip Fractures

Bo,

Chen,

Zheng

et al. 2024

JOIO

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“…Daurka years were more likely to undergo THA than younger patients [17]. Some reports support performing acute THA for geriatric acetabular fractures [18][19][20][21]. However, the cut-off age that affects postoperative outcomes varies depending on the report.…”

mentioning

confidence: 99%

Hounsfield unit values are useful for predicting early outcomes after acetabular fractures: A retrospective study

Ukai,

Tamaki,

Sato

et al. 2024

Preprint

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Background Acetabular fractures are among the most challenging orthopedic fractures, and a high total hip arthroplasty (THA) conversion rate has been reported in older patients with acetabular fractures. Bone quality is a poor prognostic factor after acetabular fractures and has been assessed using computed tomography (CT). However, the relation between Hounsfield unit (HU) values measured using CT and early acetabular fracture outcomes remains unknown. This study aimed to elucidate the effect of Hounsfield units (HU) on early acetabular fracture outcomes. Methods Consecutive 50 patients who underwent open reduction and internal fixation (ORIF) for acetabular fractures were included. The mean follow-up duration was 24 months. The HU values of the fifth vertebral body and unaffected side of the femoral head were measured. The fracture type, radiological hip arthropathy, conversion to THA, and postoperative displacement were recorded. Results All the surgeries were performed by a single orthopedic surgeon. Forty patients were males and 10 were females. The mean patient age was 49.3 years. Twenty-seven hips had elementary fractures and 23 had associated fractures. The reduction quality using CT was as follows: anatomical, 13 hips; imperfect, 10 hips; and poor, 27 hips. Hip arthropathy was observed in 10 patients (10%), and one patient (2%) converted to THA. The unaffected femoral head HU values in elementary fractures (250.5 ± 50.5) was significantly higher than those in associated fractures (221.5 ± 48) (p < 0.047). Both the HU values of the fifth vertebral body and unaffected femoral head were significantly correlated with postoperative residual displacement gap and these values in patients with arthropathy were significantly lower than those without arthropathy. The cut-off value for predicting early arthropathy after an acetabular fracture was approximately 180. Conclusion The HU values were correlated with the fracture type, postoperative displacement gap, and early arthropathy after acetabular fractures and are clinically useful prognostic factors for early acetabular fracture outcomes.

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Primary stability of multi-hole acetabular cup combined with posterior column plating for the fixation of complex acetabular fractures in elderly patients: a biomechanical analysis

Yan,

Wang,

Cui

et al. 2024

Arch Orthop Trauma Surg

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Total hip arthroplasty in acute acetabulum fractures: a systematic review

Cited by 4 publications

References 25 publications

A Nomogram Model to Predict Deep Vein Thrombosis Risk After Surgery in Patients with Hip Fractures

A Nomogram Model to Predict Deep Vein Thrombosis Risk After Surgery in Patients with Hip Fractures

Hounsfield unit values are useful for predicting early outcomes after acetabular fractures: A retrospective study

Primary stability of multi-hole acetabular cup combined with posterior column plating for the fixation of complex acetabular fractures in elderly patients: a biomechanical analysis

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