Evaluation of Radiological and Functional Results of Patients with Periprosthetic Femoral Fracture During Total Hip Arthroplasty Surgery
Objective:Total hip arthroplasty is a functional and radiologically successful orthopedic operation, commonly performed over the last 30 years. The aim of our study was to investigate the prevalence and functional results of periprosthetic femur fractures occurring during the course of surgery.Metho...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2018-10-01
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| Series: | Bezmiâlem Science |
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http://bezmialemscience.org/archives/archive-detail/article-preview/evaluation-of-radiological-and-functional-results-/20070
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| _version_ | 1797905636654055424 |
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| author | Deniz KARGIN M.Alper İNCESOY Akif ALBAYRAK Ali ÖNER Gizem İLVAN M.Akif KAYGUSUZ |
| author_facet | Deniz KARGIN M.Alper İNCESOY Akif ALBAYRAK Ali ÖNER Gizem İLVAN M.Akif KAYGUSUZ |
| author_sort | Deniz KARGIN |
| collection | DOAJ |
| description | Objective:Total hip arthroplasty is a functional and radiologically successful orthopedic operation, commonly performed over the last 30 years. The aim of our study was to investigate the prevalence and functional results of periprosthetic femur fractures occurring during the course of surgery.Methods:Institutional review board approval was obtained prior to initiation of this study. We examined 94 hips of 91 patients, who underwent surgery in our centre between 2005 and 2011 and had a periprosthetic femur fracture. The fractures were classified based on the Vancouver classification. The methods used for fracture treatment were recorded, and during the surgery the step at which the fracture occurred was noted (broaching, reaming, stem insertion or reduction). At final follow-up, pelvis and femur anterior-to-posterior radiographies of the operated side were taken, and WOMAC scores were assessed. We compared the radiographs taken at the previous controls and last controls, to determine if there was a subsidence of the femoral stem.Results:Most of the fractures were occurred during the insertion of femoral stem phase (81% of patients). The mean WOMAC score at the last follow-up of the patients was 27 (8-81). Twelve (13%) hips had subsidence in the prosthesis, of which six underwent revision surgery. There was no significant difference between patients with or without subsidence and the fracture type (p=0.2). The mean WOMAC score of patients with femoral subsidence increased to 57, which was significantly different from that of patients without femoral subsidence (p<0.0001).Conclusion:Intraoperative femur fractures occurring during total hip arthroplasty may lead to long-term subsidence of the femoral stem and subsequent implant failure. We could not determine the relationship between this type of fracture and subsidence. There was no significant deterioration in the hip function due to subsidence. |
| first_indexed | 2024-04-10T10:08:28Z |
| format | Article |
| id | doaj.art-ea4fea9fc3704f1789532227f0bb073a |
| institution | Directory Open Access Journal |
| issn | 2148-2373 2148-2373 |
| language | English |
| last_indexed | 2024-04-10T10:08:28Z |
| publishDate | 2018-10-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj.art-ea4fea9fc3704f1789532227f0bb073a2023-02-15T16:22:23ZengGalenos Publishing HouseBezmiâlem Science2148-23732148-23732018-10-016423824110.14235/bs.2018.226313049054Evaluation of Radiological and Functional Results of Patients with Periprosthetic Femoral Fracture During Total Hip Arthroplasty SurgeryDeniz KARGIN0M.Alper İNCESOY1Akif ALBAYRAK2Ali ÖNER3Gizem İLVAN4M.Akif KAYGUSUZ5 Baltalimanı Kemik Hastalıkları Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye Baltalimanı Kemik Hastalıkları Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye Baltalimanı Kemik Hastalıkları Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye Baltalimanı Kemik Hastalıkları Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye Baltalimanı Kemik Hastalıkları Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye Baltalimanı Kemik Hastalıkları Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye Objective:Total hip arthroplasty is a functional and radiologically successful orthopedic operation, commonly performed over the last 30 years. The aim of our study was to investigate the prevalence and functional results of periprosthetic femur fractures occurring during the course of surgery.Methods:Institutional review board approval was obtained prior to initiation of this study. We examined 94 hips of 91 patients, who underwent surgery in our centre between 2005 and 2011 and had a periprosthetic femur fracture. The fractures were classified based on the Vancouver classification. The methods used for fracture treatment were recorded, and during the surgery the step at which the fracture occurred was noted (broaching, reaming, stem insertion or reduction). At final follow-up, pelvis and femur anterior-to-posterior radiographies of the operated side were taken, and WOMAC scores were assessed. We compared the radiographs taken at the previous controls and last controls, to determine if there was a subsidence of the femoral stem.Results:Most of the fractures were occurred during the insertion of femoral stem phase (81% of patients). The mean WOMAC score at the last follow-up of the patients was 27 (8-81). Twelve (13%) hips had subsidence in the prosthesis, of which six underwent revision surgery. There was no significant difference between patients with or without subsidence and the fracture type (p=0.2). The mean WOMAC score of patients with femoral subsidence increased to 57, which was significantly different from that of patients without femoral subsidence (p<0.0001).Conclusion:Intraoperative femur fractures occurring during total hip arthroplasty may lead to long-term subsidence of the femoral stem and subsequent implant failure. We could not determine the relationship between this type of fracture and subsidence. There was no significant deterioration in the hip function due to subsidence. http://bezmialemscience.org/archives/archive-detail/article-preview/evaluation-of-radiological-and-functional-results-/20070 Intraoperative fracturesperiprosthetictotal hip prosthesis |
| spellingShingle | Deniz KARGIN M.Alper İNCESOY Akif ALBAYRAK Ali ÖNER Gizem İLVAN M.Akif KAYGUSUZ Evaluation of Radiological and Functional Results of Patients with Periprosthetic Femoral Fracture During Total Hip Arthroplasty Surgery Bezmiâlem Science Intraoperative fractures periprosthetic total hip prosthesis |
| title | Evaluation of Radiological and Functional Results of Patients with Periprosthetic Femoral Fracture During Total Hip Arthroplasty Surgery |
| title_full | Evaluation of Radiological and Functional Results of Patients with Periprosthetic Femoral Fracture During Total Hip Arthroplasty Surgery |
| title_fullStr | Evaluation of Radiological and Functional Results of Patients with Periprosthetic Femoral Fracture During Total Hip Arthroplasty Surgery |
| title_full_unstemmed | Evaluation of Radiological and Functional Results of Patients with Periprosthetic Femoral Fracture During Total Hip Arthroplasty Surgery |
| title_short | Evaluation of Radiological and Functional Results of Patients with Periprosthetic Femoral Fracture During Total Hip Arthroplasty Surgery |
| title_sort | evaluation of radiological and functional results of patients with periprosthetic femoral fracture during total hip arthroplasty surgery |
| topic | Intraoperative fractures periprosthetic total hip prosthesis |
| url |
http://bezmialemscience.org/archives/archive-detail/article-preview/evaluation-of-radiological-and-functional-results-/20070
|
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