Young age and wedge stem design are risk factors for periprosthetic fracture after arthroplasty due to hip fracture. A case-control study.
BACKGROUND: It has been suggested that a hip fracture as a primary diagnosis for arthroplasty is a risk factor for periprosthetic fracture. PATIENTS AND METHODS: We compared 16 patients with late periprosthetic fracture of the femur to 48 controls. The primary diagnosis for all patients was hip frac...
| Publicado en: | Acta Orthopaedica Vol. 76; no. 1; pp. 56 - 61 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
Feb2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106313083&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106313083 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453674 1BVL jtl: Acta Orthopaedica issn: 17453674 maglogo: N pubinfo: dt: Feb2005 vid: 76 iid: 1 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 106313083 106313083 2009234257 10.1080/00016470510030328 NLM15788308 106313083 ppf: 56 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Young age and wedge stem design are risk factors for periprosthetic fracture after arthroplasty due to hip fracture. A case-control study. aug: au: Sarvilinna R Huhtala H Pajamäki J affil: Jorvi Hospital, HUS, Turuntie 150, FI-02710, Espoo, Finland. sarvilinna@yahoo.com sug: subj: Age Factors Arthroplasty, Replacement, Hip Adverse Effects Hip Fractures Surgery Prosthesis Design Prosthesis Failure Adult Aged Case Control Studies Comparative Studies Descriptive Statistics Female Finland Logistic Regression Male Middle Age Multivariate Analysis Odds Ratio Power Analysis Reoperation Risk Factors Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: BACKGROUND: It has been suggested that a hip fracture as a primary diagnosis for arthroplasty is a risk factor for periprosthetic fracture. PATIENTS AND METHODS: We compared 16 patients with late periprosthetic fracture of the femur to 48 controls. The primary diagnosis for all patients was hip fracture. The date of operation for hip fracture was used to select the control group of patients, all of whom were operated at the same time and in the same hospital district. No other selection criteria were used. Complications at the time of index operation, type of prosthesis, age, sex, BMI, patient's diseases, medication, and surgeon's experience were compared using conditional logistic regression. RESULTS: We found that low age at the time of the hip fracture operation increased the risk of periprosthetic fracture (OR = 4.9, CI = 1.2-20). The polished wedge type of prosthesis was associated with a higher risk of periprosthetic fracture than were other designs (OR = 11, CI = 1.2-97). INTERPRETATION: These findings of risk factors for periprosthetic fracture are new and should be confirmed by further studies using larger numbers of patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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