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Journals / Acta Orthopaedica et Traumatologica Turcica / 2006 / Cilt: 40 - Sayı: 4

Comparison of primary arthroplasty with early salvage arthroplasty after failed internal fixation for displaced femoral neck fractures in elderly patients

İleri yaştaki olgularda ayrılmış femur boynu kırıklarında primer artroplastinin, başarısız internal tespit sonrası erken kurtarıcı artroplasti ile karşılaştırılması

Yusuf ÖZTÜRKMEN
Mahmut KARAMEHMETOĞLU
İBRAHİM AZBOY
İlhan AÇIKGÖZ
Mustafa CANİKLİOĞLU
Pages
291–300
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Primary THA is a good choice of treatment for femoral neck fractures in physiologically and socially active elderly patients with a high life expectancy and cognition level.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: We compared the results of primary total hip arthroplasty (THA) with those of early salvage THA following failure of internal fixation for acute displaced femoral neck fractures in elderly patients.
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Key Findings & Data:Methods: Patients with displaced femoral neck fractures (Garden type III, IV) were treated with either early salvage arthroplasty following failure of internal fixation (n=34; mean age 68 years) or THA (n=34; mean age 67.5 years).
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Conclusion & Impact:Conclusion: Primary THA is a good choice of treatment for femoral neck fractures in physiologically and socially active elderly patients with a high life expectancy and cognition level.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Femur boynu kırıkları · Kırık tespiti · internal

Abstract

Objectives: We compared the results of primary total hip arthroplasty (THA) with those of early salvage THA following failure of internal fixation for acute displaced femoral neck fractures in elderly patients. Methods: Patients with displaced femoral neck fractures (Garden type III, IV) were treated with either early salvage arthroplasty following failure of internal fixation (n=34; mean age 68 years) or THA (n=34; mean age 67.5 years). Both groups consisted of 8 men and 26 women with the same age range (60 to 75 years). Uncemented THA was performed in both groups. All patients were physiologically and socially active before the initial trauma. The hips were evaluated with the use of the Merle D&#8217;Aubigne scoring system. Prognostic risk factors were determined on radiographs obtained before or shortly after internal fixation. The mean follow-up was 5.2 years in the secondary and 5 years in the primary THA groups. Results: During the first year of THA, there were 21 complications in 16 patients and nine complications in six patients in the secondary and primary THA groups, respectively (p<0.05). The results with respect to pain were worse and reoperation rate was higher in the revision group (p<0.05). The mean Merle D&#8217;Aubigne hip scores for pain, mobility, and walking were higher in the primary THA group. Radiographs taken before or after internal fixation showed prognostic risk factors in 32 patients (94.1%). Conclusion: Primary THA is a good choice of treatment for femoral neck fractures in physiologically and socially active elderly patients with a high life expectancy and cognition level.

Özet

Amaç: İleri yaştaki hastalarda ayrılmış femur boynu kırıklarında yapılan primer total kalça artroplastisi (TKA) ile internal tespit sonrası başarısızlık nedeniyle erken dönemde TKA ile revizyon yapılan olguların sonuçları karşılaştırıldı. Çalışma planı: Çalışmaya, ayrılmış femur boynu kırığı (Garden tip III, IV) nedeniyle başarısız internal tespit sonrası erken kurtarıcı artroplasti yapılan 34 olgu (8 erkek, 26 kadın; ort. yaş 68; dağılım 60-75) ve primer olarak TKA yapılan 34 olgu (8 erkek, 26 kadın; ort. yaş 67.5; dağılım 60-75) alındı. Bütün hastalara çimentosuz TKA uygulandı. Her iki gruptaki olgular travma öncesinde sosyal ve fizyolojik olarak aktifti. Olgular Merle D’Aubigne kalça skorlaması ile değerlendirildi. Hastaların internal tespit öncesi veya sonrası erken grafilerinde prognostik risk faktörleri araştırıldı. Ortalama takip süresi revizyon grubunda 5.2 yıl, primer TKA grubunda 5 yıl idi. Sonuçlar: Artroplasti sonrası ilk yıl içinde revizyon grubunda 16 olguda 21 komplikasyon, primer TKA grubunda altı olguda dokuz komplikasyon gelişti (p

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Cite This Article

ÖZTÜRKMEN, Y., KARAMEHMETOĞLU, M., AZBOY, İ., AÇIKGÖZ, İ., CANİKLİOĞLU, M. (2006). Comparison of primary arthroplasty with early salvage arthroplasty after failed internal fixation for displaced femoral neck fractures in elderly patients. Acta Orthopaedica et Traumatologica Turcica, Cilt: 40 - Sayı: 4, 291–300. https://ajindex.com/articles/354179

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References (17)

  1. Swiontkowski MF. Intracapsular hip fractures. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, editors. Skeletal trauma. Basic science, management and reconstruction. Vol. 2, 3rd ed. Philadelphia: W. B. Saunders; 2003. p. 1700-75
  2. Schmidt AH, Swiontkowski MF. Femoral neck fractures. Orthop Clin North Am 2002;33:97-111
  3. La Velle DG. Hip fractures. In: Canale ST, editor. Campbell’s operative orthopaedics. Vol. 3, 10th ed. Philadelphia: Mosby; 2003. p. 2873-938
  4. Baumgaertner MR, Higgins TF. Femoral neck fractures. In: Bucholz RW, Heckman JD, editors. Rockwood and Green’s fractures in adults. Vol. 2, 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 1580-633
  5. Swiontkowski MF. Intracapsular fractures of the hip. J Bone Joint Surg [Am] 1994;76:129-38
  6. Robinson CM, Saran D, Annan IH. Intracapsular hip fractures. Results of management adopting a treatment protocol. Clin Orthop Relat Res 1994;(302):83-91
  7. Bosch U, Schreiber T, Krettek C. Reduction and fixation of displaced intracapsular fractures of the proximal femur. Clin Orthop Relat Res 2002;(399):59-71
  8. Mehlhoff T, Landon GC, Tullos HS. Total hip arthroplasty following failed internal fixation of hip fractures. Clin Orthop Relat Res 1991;(269):32-7
  9. Tabsh I, Waddell JP, Morton J. Total hip arthroplasty for complications of proximal femoral fractures. J Orthop Trauma 1997;11:166-9
  10. Franzen H, Nilsson LT, Stromqvist B, Johnsson R, Herrlin K. Secondary total hip replacement after fractures of the femoral neck. J Bone Joint Surg [Br] 1990;72:784-7
  11. Steenbrugge F, Govaers K, Van Nieuwenhuyse W, Van Overschelde J. Displaced femoral neck fractures in adult and elderly patients, pitfalls in treatment options: internal fixation or replacement? Acta Orthop Traumatol Turc 2000,34:430-3
  12. Tornetta III P. Displaced femoral neck fracture in an elderly man. J Orthop Trauma 2002;16:741-4
  13. Garden RS. Low-angled fixation in fractures of the femoral neck. J Bone Joint Surg [Br] 1961;43:647-63
  14. Singh M, Nagrath AR, Maini PS. Changes in trabecular pattern of the upper end of the femur as an index of osteoporosis. J Bone Joint Surg [Am] 1970;52:457-67
  15. American Society of Anesthesiologists. New classification of physical status. Annesthesiology 1963;24:111
  16. Alho A, Benterud JG, Ronningen H, Hoiseth A. Prediction of disturbed healing in femoral neck fracture. Radiographic analysis of 149 cases. Acta Orthop Scand 1992;63:639-44
  17. Petty W. Results of primary total