Femoral neck fractures in old age treated with hemiarthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-12-11

AUTHORS

Dirk Zajonz, Julia Behrens, Alexander Giselher Brand, Andreas Höch, Johannes K. M. Fakler, Andreas Roth, Christoph Josten, Mohamed Ghanem

ABSTRACT

BackgroundHemiarthroplasty is an established treatment for femoral neck fractures (FNF) in old age; however, approximately 20–30% of patients die within 1 year after surgery. Periprosthetic joint infections (PJI) are one of the severest complications and associated with a high mortality rate. In this retrospective study of aged patients with FNF treated with hemiarthroplasty, the incidence of PJI was evaluated with respect to the influence of the delay to and timing of surgical treatment.Patients and methodsThe data of patients suffering from FNF and admitted to this hospital between January 2012 and December 2014 were evaluated. Demographic data, timing of surgery, intraoperative complications, PJI and other general complications, hospitalization time and mortality were recorded.ResultsIn this study 178 patients were included in the follow-up (114 women and 64 men). The median age of the patients was 83 years (range 55–105 years). The rate of PJI was 3.9% (7/178) and mortality was 5.6% (10/178). Patients with PJI after hemiarthroplasty had a significantly longer hospital stay (17 vs. 10 days, p < 0.001) and a higher mortality (28% vs. 4.7%). No significant differences were found between the groups with respect to the time from admission to surgery.ConclusionThe occurrence of PJI after hip joint fractures treated with hemiarthroplasty in aged patients is associated with a significant increase in mortality. Risk factors include a longer surgery time, diabetes, intraoperative complications, postoperative bleeding and wound healing disorders. Surgical treatment within the first 24 h should be aimed for but not at the expense of adequate patient preparation or neglecting the patient’s individual risk factors. More... »

PAGES

224-231

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00132-018-03664-8

DOI

http://dx.doi.org/10.1007/s00132-018-03664-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1110535438

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30539204


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