EXPERIENCE IN TREATMENT OF THE FEMORAL NECK FRACTURES
Abstract
We have performed a retrospective analysis of femoral neck fractures in 569 patients, who had undergone treatment at the Institute in 2009-2013. The proportion of patients was assessed by sex, age, circumstances of injury, date of admission, type of fractures, presence of comorbidity, methods of treatment, intra-operative blood loss and methods of its compensation, presence of lower extremities thrombosis and methods of its management, presence and type of complications, rehabilitation after operation. Also, we calculated the average pre-operative and total hospital stay and mortality, and made conclusions and recommendations for practice.
About the Authors
I. Y. KlyukvinRussian Federation
R. S. Titov
Russian Federation
A. Y. Vaza
Russian Federation
Y. A. Bogolyubsky
Russian Federation
V. V. Slastinin
Russian Federation
O. M. Sakharova
Russian Federation
I. I. Mazhorova
Russian Federation
References
1. Johnell O., Kanis J. Epidemiology of osteoporotic fractures. Osteop Int. 2005;16Suppl2:S3-S7.
2. Cumming R.G., Nevitt M.C., Cummings S.R. Epidemiology of hip fractures. Epidemiol Rev. 1997;19(2):244-257.
3. Loizou C.L., Parker M.J. Avascular necrosis after internal fixation of intracapsular hip fractures; a study of the outcome for 1023 patients. Injury. 2009;40(11):1143-1146.
4. Berglund-Roden M., Swierstra B.A., Wingstrand H., Thorngren K.G. Prospective comparison of hip fracture treatment. 856 cases followed for 4 months in The Netherlands and Sweden. Acta Orthop Scand. 1994;65(3):287-294.
5. Koval K.J., Zuckerman J.D. Handbook of Fractures. 3rd ed. Lippincott Williams &Williams, 2002. 318-337.
6. Browner B.D., Jupiter J.B., Levin A.M., et al. Skeletal Trauma. Vol. 2. 3rd ed. Elsevier Publishing, 2003. 1700-1815.
7. Gierer P., Mittlmeier T. Femoral neck fracture. Unfallchirurg. 2015;118(3):259-270.
8. Dorotka R., Schoechtner H., Buchinger W. The influence of immediate surgical treatment of proximal femoral fractures on mortality and quality of life operation within six hours of the fracture versus later than six hours. J Bone Jt Surg. 2003;85(8):1107-1113.
9. Grimes J. P., Gregory P. M., Noveck H., et al. The effects of time-to-sur-gery on mortality and morbidity in patients following hip fracture. Am JMed. 2002;112(9):702-709.
10. Hefley F.G.J.R., Nelson C.L., Puskarich-May C.L. Effect of delayed admission to the hospital on the preoperative prevalence of deep-vein-thrombosis, associated with fractures about the hip. J Bone Jt Surg. 1996;78(4):581-583.
11. Perez J. V., Warwick D.J., Case C. P., Bannister G.C. Death after proximal femoral fracture an autopsy study. Injury. 1995;26(4):237-240.
12. Blomfeldt R., Tornkvist H., Eriksson K., et al. A randomized controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients. J Bone Joint Surg Br. 2007;89(2):160-165.
13. Baker R.P., Squires B., Gardan M.F., Bannister G.C. Total hip artho-plasty and hemiarthroplasty in mobile, independent patients with a displaced intracapsular fracture of the femoral neck. J Bone Joint Surg Am. 2006;88(12):2583-2589.
14. Bentler S.E, Liu L., Obrizan M., et al. The aftermath of hip fracture. Am J Epidemiol. 2009;170(10):1290-1299.
15. Marinella M.A., Markert R.J. Clinical predictors of prolonged hospitalization in patients with hip fractures. J Clin Outcomes Manage. 2009;16(10):453-458.
16. Falck-Ytter Y., Francis C.W., Johanson N.A., et al. American College of Chest Physicians Prevention of VTE in orthopedic surgery patients. Antithrombotic therapy and prevention of thrombosis, 9 th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012; 141 Suppl 2: e278S-325S.
17. Beaupre L.A., Jones C.A., Saunders L.D., et al. Best practices for elderly hip fracture patients. A systematic overview of the evidence. J Gen. Intern Med. 2005;20(11):1019-1025.
18. Prisco D., Cenci C., Silvestri E., et al. Pharmacological prevention of venous thromboembolism in orthopaedic surgery. Clin Cases Miner Bone Metab. 2014;11(3):192-195.
19. Sciard D., Cattano D., Hussain M., Rosenstein A. Perioperative management of proximal hip fractures in the elderly: the surgeon and the anesthesiologist. Minerva Anestesiol. 2011;77(7):715-722.
20. Sieber F.E., Zakriya K.J., Gottschalk A., et al. Sedation depth during spinal anesthesia and the development of postoperative delirium in elderly patients undergoing hip fracture repair. Mayo Clin Proc. 2010;85(1):18-26.
21. Dolan M.M., Hawkes W.G., Zimmerman S.I., et al. Delirium on hospital admission in aged hip fracture patients: prediction of mortality and 2-year functional outcomes. J Gerontol A Biol Sci Med Sci. 2000;55(9): M527-M534.
22. Papaioannou A., Fraidakis O., Michaloudis D., et al. The impact of the type of anaesthesia on cognitive status and delirium during the first postoperative days in elderly patients. Eur J Anaesthesiol. 2005;22(7):492-499.
23. Huddleston J.M., Gullerud R.E., Smither F., et al. Myocardial infarction after hip fracture repair: a population-based study. J Am Geriatr Soc. 2012;60(11):2020-2026.
24. Carpintero P., Caeiro J.R., Carpintero R., et al. Complications of hip fractures: A review. World J Orthop. 2014;5(4):402-411.
25. Chong C.P., Savige J.A., Lim W.K. Medical problems in hip fracture patients. Arch Orthop Trauma Surg. 2010;130(11):1355-1361.
26. Dovjak P., Iglseder B., Mikosch P., et al. Treatment and prevention of postoperative complications in hip fracture patients: infections and delirium. Wien Med Wochenschr. 2013;163(19-20):448-454.
Review
For citations:
Klyukvin I.Y., Titov R.S., Vaza A.Y., Bogolyubsky Y.A., Slastinin V.V., Sakharova O.M., Mazhorova I.I. EXPERIENCE IN TREATMENT OF THE FEMORAL NECK FRACTURES. Russian Sklifosovsky Journal "Emergency Medical Care". 2016;(3):88-93.