ABO system is not associated with proximal femoral fracture pattern in Southern Italy

Toro, Giuseppe; Lepore, Federica; Cicala, Stefano Domenico; Concilio, Pietro; Calabrò, Giampiero; Toro, Antonio; Maffulli, Nicola

doi:10.1177/1120700018813219

Cited by 5 publications

(6 citation statements)

References 22 publications

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“…Alffram found no significant difference between two fracture patterns in the A blood type [24]. Again, in a study by Toro et al in Southern Italy, the AB0 system was not associated with proximal femoral fracture patterns [25]. Similarly, in our study, we could not find a significant correlation between blood types and fracture patterns of the patients (p = 0:205).…”

Section: Discussioncontrasting

confidence: 72%

Relationship between the AB0 Blood System and Proximal Femoral Fracture Patterns in the Turkish Population

Kuru

Olçar

2020

BioMed Research International

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Objective. AB0 blood groups have shown to be associated with increased risk of several orthopedic disorders such as Achilles tendon rupture and hip osteoarthritis. The objective of this study was to investigate relationships between the AB0 blood system and hip fracture patterns, duration of hospitalization, and amount of blood transfusion. Methods. Data of 308 patients treated due to hip fractures in our hospital between 2017 and 2019 were evaluated. Epicrisis reports and X-rays of the patients included in this study were retrospectively screened, and hip fractures were classified as intracapsular and extracapsular fractures. Patients were divided into A, B, 0, and AB groups according to blood groups. Results. The mean age of the patients was 75.54±13.5 years. Of all patients, 103 had an intracapsular fracture and 205 had an extracapsular fracture. No statistically significant correlation was found between blood groups and fracture patterns. No statistically significant difference was found between the amounts of transfusion according to the blood groups, and no significant difference between the durations of hospitalizations according to the blood groups. Conclusion. In our study population, we could not find a significant relationship between the AB0 blood system and fracture patterns. We think that these potential relationships could be explained with further comprehensive studies with larger populations.

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Section: Discussioncontrasting

confidence: 72%

Relationship between the AB0 Blood System and Proximal Femoral Fracture Patterns in the Turkish Population

Kuru

Olçar

2020

BioMed Research International

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“…FNFs are generally classified in extracapsular and intracapsular. These two types of fractures widely differ in terms of management, and patients' characteristics and outcomes [16]. Intracapsular FNFs in the elderly are generally treated using both THA and HA.…”

Section: Discussionmentioning

confidence: 99%

“…THA in this population are associated with a high risk of life-threatening complications including dislocations, thromboembolism, infections and periprosthetic fractures (PPF) [16,[18][19][20]. One of the most relevant factors that could influence the outcomes of the THA in the elderly with FNF is the poor bone quality [21].…”

Section: Discussionmentioning

confidence: 99%

SuperPath approach is a recommendable option in frail patients with femoral neck fractures: a case–control study

Cecere

Cicco

Bruno

et al. 2021

Arch Orthop Trauma Surg

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Introduction The treatment of intracapsular femoral neck fractures (FNFs) in the elderly is usually based on hip replacement, both total hip arthroplasty (THA) and hemiarthroplasty (HA). Recently, several tissue-sparing approaches for hip arthroplasty had been described with promising results in terms of hospitalization length, blood loss and dislocation rate. The aim of the present study was to compare the blood loss and the transfusion rate in a cohort of patients with FNF treated using an HA through both the SuperPath (SP) and the traditional posterolateral (PL) approaches. Materials and methods We retrospectively collected data from patients affected by FNFs between January 2018 and February 2020. All patients with intracapsular FNF treated with a single HA implant (Profemur L, MicroPort Orthopedics Inc., USA) via PL or SP approaches were included. Exclusion criteria were pathological fractures, polytrauma and preoperatively transfused patients. Results Thirty-five patients were included and analysed in the present study. 17 patients were classified in the SP group, and 18 in the PL one. The rate of antithrombotic therapy was higher in the SP group compared with the PL group [10 (58, 82%) vs 4 (22, 2%)]. While the two groups did not differ in terms of preoperative haemoglobin (Hb), 48 h postoperative Hb and Hb reduction, a significative difference was observed in terms of blood transfusion rate (1 SP vs 9 PL, p = 0.0072). Conclusions The SuperPath approach in patients with FNF under antithrombotic therapy assures lower transfusion rate, potentially reducing complication rates and improving patients' outcomes.

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“…These two types widely differ in terms of etiopathology, treatment and outcomes. 6 In fact, while IC fragility fractures are treated using hip replacement, the EC through osteosynthesis. However, none of the fixation devices commonly used [i.e., dynamic hip screws (DHS) and intramedullary nails (IN)] are clearly superior to the others, and the choice between them is generally based on the classification of EC fractures.…”

Section: Introductionmentioning

confidence: 99%

Extracapsular femoral neck fractures treated with total hip arthroplasty: identification of a population with better outcomes

et al. 2022

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Background Femoral neck fractures (FNF) are associated to patient’s disability, reduced quality of life and mortality. None of the fixation devices commonly used for extracapsular (EC) FNF (i.e., dynamic hip screws (DHS) and intramedullary nails (IN)) is clearly superior to the other, especially in case of unstable fractures (31.A2 and 31.A3 according to AO/OTA classification). The aim of our study was to identify a sub-population of patients with EC fractures in which better outcomes could be obtainable using total hip arthroplasty (THA). Methods All patients with EC unstable fractures treated with THA were included in the present study. Demographic data, American Society of Anesthesiologists (ASA) score, hospitalization length, transfusion rate, implant-related complications and mortality rate were collected. Clinical outcomes were evaluated using the Oxford Hip Score (OHS), while patients’ general health status through the 12 Item Short Form questionnaires (SF-12). Results 30 patients (7 male; 23 female) with a mean age of 78.8 years were included. The 1-year mortality rate was 13.3%. The mean OHS was 27.5, while the mean SF-12 were 45.84 for the mental item and 41.6 for the physical one. Age was the only factor associated with the OHS and patients older than 75 years presented a 12- fold higher risk of developing bad outcomes. Conclusions THA seems to be a viable option for unstable EC fractures, with good clinical outcomes, especially in patients younger than 75 years of age. The mortality rate associated with THA in EC fractures is low and anyway comparable with IN.

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ABO system is not associated with proximal femoral fracture pattern in Southern Italy

Cited by 5 publications

References 22 publications

Relationship between the AB0 Blood System and Proximal Femoral Fracture Patterns in the Turkish Population

Relationship between the AB0 Blood System and Proximal Femoral Fracture Patterns in the Turkish Population

SuperPath approach is a recommendable option in frail patients with femoral neck fractures: a case–control study

Extracapsular femoral neck fractures treated with total hip arthroplasty: identification of a population with better outcomes

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