[Distal femoral fractures in geriatric patients : Does time to surgery affect revision and mortality?] / Die distale Femurfraktur beim geriatrischen Patienten : Ist der Zeitpunkt der Operation relevant für Revision und Sterblichkeit?
Unfallchirurg
; 124(7): 568-573, 2021 Jul.
Article
en De
| MEDLINE
| ID: mdl-33119793
BACKGROUND: For proximal femoral fractures the time to surgery has been reported to influence the mortality rate. To date, detailed analyses in geriatric patients with distal femoral fractures are not available. MATERIAL AND METHODS: A monocentric study with retrospective data retrieved from an electronic database was performed. The study included distal femoral fractures with surgical treatment between 2006 and 2017 in patients aged 65 years and older. A total of ten variables were evaluated and two outcome measures were investigated: revision and mortality in relation to time of surgery within 24â¯h or later. The minimum follow-up was 2 years. For patients who were still alive the Parker score was calculated. The null hypothesis was that time to surgery does not affect revision and mortality. RESULTS: A total of 57 consecutive patients with 60 fractures and an average age of 82.5 years (65-97 years) were included. Most of the fractures were supracondylar (nâ¯= 42). All but three fractures were treated with internal fixation. The revision rate was 17.5% (peri-implant fractures nâ¯= 4, infections nâ¯= 2, non-union nâ¯= 2, impaired wound healing nâ¯= 2 and secondary dislocation nâ¯= 1). The 1year mortality rate was 20%. No significant effects on revision (pâ¯= 0.414) and survival rate (log rank 0.175) were observed for patients treated within 24â¯h or later. After a mean postoperative period of 5.5 years, the mean Parker score for 18 living patients was 5.9. CONCLUSION: Time to surgery demonstrated no significant effects with respect to revision and mortality. Multicenter studies are absolutely necessary to increase the sample size and statistical power.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Artroplastia de Reemplazo de Cadera
/
Fracturas Periprotésicas
/
Fracturas del Fémur
Tipo de estudio:
Observational_studies
Límite:
Aged
/
Aged80
/
Humans
Idioma:
De
Revista:
Unfallchirurg
Asunto de la revista:
TRAUMATOLOGIA
Año:
2021
Tipo del documento:
Article
Pais de publicación:
Alemania