El Khassawna, Thaqif and Knapp, Gero and Scheibler, Nadja and Malhan, Deeksha and Walter, Nike and Biehl, Christoph and Alt, Volker and Heiss, Christian and Rupp, Markus (2021) Mortality, Risk Factors and Risk Assessment after Periprosthetic Femoral Fractures-A Retrospective Cohort Study. JOURNAL OF CLINICAL MEDICINE, 10 (19): 4324. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
Periprosthetic femoral fracture (PFF) is a devastating complication. Here, the authors aimed to determine the influence of the timing of surgery as a risk factor for mortality and poor postoperative outcome in patients suffering from PFF. A retrospective descriptive analysis of patients treated for PFF between January 2010 and March 2018 was performed. In addition to patient and treatment characteristics, we assessed mortality rates and postoperative functional outcome by using the Harris Hip and WOMAC score. One-year mortality after PFF was 10.7%. Delayed surgery after 48 h did not negatively influence mortality after PFF. The postoperative hospital stay did not influence the mortality rate, nor did it correlate with medical scores of comorbidities, general health or functionalities. Cementation of stem correlated negatively with the WOMAC score. Deceased patients had a higher Charlson Comorbidity Index (CCI) score, while American society of Anaesthesiologists (ASA) scores did not show a significant difference. There were no differences between ORIF and revision arthroplasty. In conclusion, delayed surgery after 48 h does not negatively influence mortality after PFF. The CCI seems to be a suitable tool to assess patients' risk for increased mortality after PFF, while the usually used ASA score is not able to achieve a relevant risk assessment.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CHARLSON COMORBIDITY INDEX; HIP-ARTHROPLASTY; TOTAL KNEE; COMPLICATIONS; MANAGEMENT; MORBIDITY; SURGERY; DELAY; periprosthetic fracture; periprosthetic femur fracture; geriatric trauma; mortality; Charlson comorbidity index |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 20 Sep 2022 14:32 |
| Last Modified: | 20 Sep 2022 14:32 |
| URI: | https://pred.uni-regensburg.de/id/eprint/47731 |
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