Impact of intraoperative femoral fractures in primary hip arthroplasty: a comparative study with a mid-term follow-up.
Adult
Aged
Arthroplasty, Replacement, Hip
/ adverse effects
Female
Femoral Fractures
/ etiology
Femur
/ surgery
Follow-Up Studies
Humans
Intraoperative Complications
/ etiology
Male
Middle Aged
Osteoarthritis, Hip
/ surgery
Patient Satisfaction
Reoperation
/ adverse effects
Retrospective Studies
Treatment Outcome
Cerclage
femur fracture
intraoperative complication
outcome
total hip arthroplasty
trochanter major fracture
Journal
Hip international : the journal of clinical and experimental research on hip pathology and therapy
ISSN: 1724-6067
Titre abrégé: Hip Int
Pays: United States
ID NLM: 9200413
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
pubmed:
18
5
2019
medline:
28
1
2021
entrez:
18
5
2019
Statut:
ppublish
Résumé
Intraoperative femoral fractures (IFF) during primary total hip arthroplasty (THA) pose a major clinical challenge, and data on mid-term implant performance, functional outcome and patient satisfaction is limited. 50 patients who sustained IFFs during primary THA were retrospectively reviewed. A control group of patients who received a primary THA without complications was matched according to gender, age, body mass index and indication for THA. Both groups were followed-up for a minimum duration of 2 years. Average follow-up duration was 5.6 years (range 2-11.8 years) for the fracture group and 6 years (range 4.1-8.3 years) for the control group respectively. The following parameters were assessed and compared: stem revision, Harris Hip Score improvement, pain scale improvement, WOMAC, Tegner Score, UCLA, SF-36, forgotten joint score and patient satisfaction. There were no stem revisions in the fracture group and 1 stem revision in the control group. Stem survival was 100% and 98.1% respectively ( Intraoperative fractures of the proximal femur are a relevant complication that does not lead to higher revision rates but might worsen the functional outcome and negatively impact patient satisfaction in mid-term follow-up even if treated appropriately.
Sections du résumé
BACKGROUND
BACKGROUND
Intraoperative femoral fractures (IFF) during primary total hip arthroplasty (THA) pose a major clinical challenge, and data on mid-term implant performance, functional outcome and patient satisfaction is limited.
METHODS
METHODS
50 patients who sustained IFFs during primary THA were retrospectively reviewed. A control group of patients who received a primary THA without complications was matched according to gender, age, body mass index and indication for THA. Both groups were followed-up for a minimum duration of 2 years. Average follow-up duration was 5.6 years (range 2-11.8 years) for the fracture group and 6 years (range 4.1-8.3 years) for the control group respectively. The following parameters were assessed and compared: stem revision, Harris Hip Score improvement, pain scale improvement, WOMAC, Tegner Score, UCLA, SF-36, forgotten joint score and patient satisfaction.
RESULTS
RESULTS
There were no stem revisions in the fracture group and 1 stem revision in the control group. Stem survival was 100% and 98.1% respectively (
CONCLUSION
CONCLUSIONS
Intraoperative fractures of the proximal femur are a relevant complication that does not lead to higher revision rates but might worsen the functional outcome and negatively impact patient satisfaction in mid-term follow-up even if treated appropriately.
Identifiants
pubmed: 31096789
doi: 10.1177/1120700019849911
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM