Outcome in patients with femoral neck fractures depends on the treatment used
| العنوان: | Outcome in patients with femoral neck fractures depends on the treatment used |
|---|---|
| المؤلفون: | Brilej, Drago, Komadina, Radko, Vrabl, Miran |
| المصدر: | Zdravniški Vestnik, Vol 76, Iss 0 (2007) Zdravniški vestnik |
| بيانات النشر: | Slovenian Medical Association, 2007. |
| سنة النشر: | 2007 |
| مصطلحات موضوعية: | femoral neck fracture, lcsh:R, lcsh:Medicine, elderly, osteosynthesis, partial hip replacement |
| الوصف: | Background: Hip fractures among the elderly are related to a high degree of mortality and disability. The views of the treatment methods of elderly patients with femoral neck fractures are opposing.Patients and methods: In the 4-year period the General and Teaching Hospital Celje admitted 164 patients older than 65 years for treatment due to a dislocated femoral neck fracture (Garden 3,4). The patients were divided into two groups according to the fracture management approach. 52 patients were treated for dislocated femoral neck fracture through internal fixation with three screws (Group A). 81 patients were treated for dislocated femoral neck fracture through cemented bipolar partial prosthesis (Group B). The one-year survivability was examined and compared between the two groups. A multivariant analysis was used to examine the impact on the final outcome of the treatment and one-year survivability.Results: A good treatment outcome was reported in 44 % elderly managed with osteosynthesis and in 66 % patients treated with prosthesis. A cumulative one-year survivability rate was 64.6 % in patients treated with osteosynthesis while in patients treated with prosthesis the rate was 75.7 %. The pre-fracture medical condition (3.88 odds ratio), treatment approach (0.33 odds ratio) and clinical rehabilitation efficiency (0.07 odds ratio) had a statistically significant impact on the functional one-year post-fracture result. The age of the patients (0.30 odds ratio) and hospital rehabilitation efficiency (2.89 odds ratio) had a significant impact on the post-fracture survivability.Conclusions: The authors claim that a primary cemented partial bipolar prosthesis is the treatment choice for elderly with dislocated femoral neck fracture. |
| وصف الملف: | application/html; application/pdf; text/plain |
| اللغة: | English |
| تدمد: | 1581-0224 1318-0347 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::258c7e27c25dcceab321e36987615cbf http://vestnik.szd.si/index.php/ZdravVest/article/view/1966 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.dedup.wf.001..258c7e27c25dcceab321e36987615cbf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15810224 13180347 |
|---|