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Fractures of the proximal femur and hip osteoarthrosis - coincidence or coherence?
Latz, David; Schiffner, Erik; Koukos, Christos; Hilsmann, Falk; Windolf, Joachim; Schneppendahl, Johannes.
Afiliación
  • Latz D; Department of Orthopedics and Trauma Surgery, Heinrich Heine University Hospital Duesseldorf, Moorenstr. 5, 40225 Duesseldorf, Germany.
  • Schiffner E; Department of Orthopedics and Trauma Surgery, Heinrich Heine University Hospital Duesseldorf, Moorenstr. 5, 40225 Duesseldorf, Germany.
  • Koukos C; Sports Trauma and Pain Institute, 54655 Thessaloniki, Greece.
  • Hilsmann F; Department of Orthopedics and Trauma Surgery, Heinrich Heine University Hospital Duesseldorf, Moorenstr. 5, 40225 Duesseldorf, Germany.
  • Windolf J; Department of Orthopedics and Trauma Surgery, Heinrich Heine University Hospital Duesseldorf, Moorenstr. 5, 40225 Duesseldorf, Germany.
  • Schneppendahl J; Department of Orthopedics and Trauma Surgery, Evangelisches Krankenhaus Mühlheim/Ruhr, Wertgasse 30, 45468 Müheim an der Ruhr, Germany.
SICOT J ; 10: 29, 2024.
Article en En | MEDLINE | ID: mdl-39162439
ABSTRACT

PURPOSE:

The current study aimed to investigate the correlation between the grade of radiographic hip osteoarthritis (OA) and the fracture pattern observed in fragility fractures of the proximal femur. The information may help in cases of occult hip fractures.

METHODS:

In this retrospective study all 448 patients treated with fragility fractures of the proximal femur in the years 2014-2018 were included. Patients were allocated into two groups Group I) intracapsular (femoral neck) fractures and Group II) extracapsular (pertrochanteric and subtrochanteric) femoral fractures. The radiographic grade of OA was determined according to Kellgren and Lawrence's classification. One single observer examined all radiographs.

RESULTS:

Patients' age ranged between 52 and 104 years with a mean of 80.0 years. There was a significant difference in mean age between the two groups (76.9 years intracapsular vs. 83.1 years extracapsular fractures). A total of 250 (55.8%) fractures were intracapsular (femoral neck) and 198 (44.2%) were located extracapsular (pertrochanteric, subtrochanteric). A significant correlation between the degree of OA to fracture pattern was observed Higher degrees of OA were related to extracapsular fractures and lower degrees of OA to intracapsular fractures.

CONCLUSION:

The results of this study support the hypothesis that hip osteoarthritis affects the fracture pattern in proximal femur fractures. More severe hip OA is associated with extracapsular fractures that can be treated surgically with lower complication rates compared to intracapsular fractures.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: SICOT J Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: SICOT J Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Francia