Time to surgery and 30-day morbidity and mortality of periprosthetic hip fractures
Time to surgery and 30-day morbidity and mortality of periprosthetic hip fractures
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DOI：
10.1016/j.injury.2013.03.008
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发表时间：
2013-12-01
影响因子：
2.5
通讯作者：
Hopgood, P. J.
中科院分区：
文献类型：
--
作者：
Griffiths, E. J.;Cash, D. J. W.;Hopgood, P. J.
背景和目的：髋关节置换术后股骨假体周围骨折的治疗是一个复杂而具有挑战性的情况。虽然初次髋关节置换术和股骨近端骨折手术的早期并发症已被广泛记录，但关于假体周围骨折手术后的早期结局的已发表数据很少，自体股骨近端骨折手术延迟已被明确记录为不良结局的预测因素。因此，本研究旨在将手术干预的时机与假体周围骨折手术后的并发症发生率相关联。此外，该研究旨在确定围手术期中积极预测术后不良结局的其他因素。研究方法：60例股骨假体周围骨折进行手术治疗，每例进行了评估retrospectively.Results和结论：有一个整体的并发症发生率为45%，包括30天的死亡率为10%。简明精神测试评分为8分（满分10分）或更低以及手术延迟> 72小时被认为是不良结局的重要风险因素。本研究中的患者队列和术后不良结局的预测因子均与自体股骨近端骨折的预测因子相当。(C)2013爱思唯尔有限公司保留所有权利。
Background and aim: The management of femoral periprosthetic fractures following hip replacement surgery is a complex and challenging situation. Whilst the early complications for both primary hip arthroplasty and proximal femoral fracture surgery have been widely documented, there is a paucity of published data regarding early outcomes following periprosthetic fracture surgery.Delay to surgery for native proximal femoral fractures has been clearly documented as a predictor towards adverse outcome. This study therefore aims to correlate the timing of operative intervention with the complication rate following periprosthetic fracture surgery. In addition, the study aims to identify further factors in the perioperative period that positively predict a poor postoperative outcome. Methods: Sixty patients who were operatively managed for a femoral implant periprosthetic fracture were identified and each case assessed retrospectively.Results and conclusion: There was an overall complication rate of 45% including a 30-day mortality of 10%. An abbreviated mental test score of 8 out of 10 or less and a delay to surgery of > 72 h were found to be significant risk factors for adverse outcome. Both the patient cohort in this study and the predictors for poor postoperative outcome were comparable to those for native proximal femoral fractures. (C) 2013 Elsevier Ltd. All rights reserved.