Fractures after cephalomedullary nailing of the femur View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-07-02

AUTHORS

Inca Vilar-Sastre, Sebastián Corró, Jordi Tomàs-Hernández, Jordi Teixidor-Serra, Jordi Selga-Marsà, Carlos-Alberto Piedra-Calle, Vicente Molero-García, Yaiza García-Sánchez, José-Vicente Andrés-Peiró

ABSTRACT

Purposes Femoral implant related fractures (IRF) are a growing pathology in an increasingly elderly and frail population. A series of IRF after cephalomedullary nail (CMN) fixation of a femoral fracture is analyzed and an algorithm described to guide the management of such fractures.MethodsAll eligible patients operated on for IRF fixation after CMN were reviewed regarding their demographics, comorbidities, injury pattern, and treatment. Primary outcomes were mortality and local complications. Secondary outcomes were time to consolidation, time to weight-bearing initiation, length of hospitalization, and discharge destination.ResultsThe incidence of IRF requiring fixation was 1.3% after 3401 CMN implantation procedures. Elderly women with comorbidities and plate fixation predominated. One-year mortality was 18.6%, being higher for patients presenting with infection and those unable to walk at the end of follow-up. Local complications occurred in 25.6%. Median time to weight-bearing was 9.1 weeks, but longer for patients with plate fixation or complications. Patients presenting with an infection and those discharged to nursing facilities had more comorbidity.ConclusionsFollowing an algorithm presented here, patients were treated either with nail exchange or lateral locking plate fixation, permitting straightforward evaluations and acceptable results in a very high-risk population. More... »

PAGES

2357-2364

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00264-022-05490-2

DOI

http://dx.doi.org/10.1007/s00264-022-05490-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1149182682

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35779111


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