Comparison of the Incidence of Intra-operative Fractures in Hip Hemi-arthroplasty Performed in Supine and Lateral Positions

Kamo, Kenta; Kido, Hidehiko; Kido, Saki

doi:10.5371/hp.2019.31.1.33

Cited by 6 publications

(18 citation statements)

References 23 publications

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“…A total of 268 studies were found through the electronic search and 3 studies were added follwing cross-referenced research on the bibliography of the examined full-text articles. After a preliminary analysis, a total of 50 studies were included in this systematic review [ 5 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ] ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The DL approach was compared to the AL approach in 3 studies [ 40 , 41 , 57 ], to the DA approach in 8 studies [ 10 , 18 , 39 , 41 , 44 , 46 , 57 , 58 ], and to the PL approach in 18 studies [ 5 , 11 , 20 , 23 , 25 , 26 , 27 , 28 , 34 , 36 , 37 , 40 , 41 , 42 , 45 , 51 , 52 , 57 ]. The AL approach was compared to the DA approach in five studies [ 13 , 41 , 48 , 49 , 57 ], and to the PL approach in nine studies [ 19 , 22 , 24 , 38 , 40 , 41 , 49 , 55 , 57 ]. The DA and the PL approach were compared in 10 studies [ 12 , 15 , 30 , 31 , 32 , 33 , 41 , 49 , 50 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…The AL approach was compared to the DA approach in five studies [ 13 , 41 , 48 , 49 , 57 ], and to the PL approach in nine studies [ 19 , 22 , 24 , 38 , 40 , 41 , 49 , 55 , 57 ]. The DA and the PL approach were compared in 10 studies [ 12 , 15 , 30 , 31 , 32 , 33 , 41 , 49 , 50 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies were randomized control trials [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ], six were prospective comparative cohort studies [ 19 , 30 , 31 , 32 , 35 , 37 ], thirty-two were retrospective comparative cohort studies [ 20 , 21 , 22 , 23 , 24 , 26 , 27 , 28 , 29 , 33 , 34 , 36 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ] and three were registry studies [ 5 , 25 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

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Does Surgical Approach Influence Complication Rate of Hip Hemiarthroplasty for Femoral Neck Fractures? A Literature Review and Meta-Analysis

Filippini,

Bortoli,

Montanari

et al. 2023

Medicina

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Background: Femoral neck fractures are an epidemiologically significant issue with major effects on patients and health care systems, as they account for a large percentage of bone injuries in the elderly. Hip hemiarthroplasty is a common surgical procedure in the treatment of displaced femoral neck fractures. Several surgical approaches may be used to access the hip joint in case of femoral neck fractures, each with its own benefits and potential drawbacks, but none of them has consistently been found to be superior to the others. This article aims to systematically review and compare the different approaches in terms of the complication rate at the last follow-up. Methods: an in-depth search on PubMed/Scopus/Web of Science databases and a cross-referencing search was carried out concerning the articles comparing different approaches in hemiarthroplasty and reporting detailed data. Results: A total of 97,576 hips were included: 1030 treated with a direct anterior approach, 4131 with an anterolateral approach, 59,110 with a direct lateral approach, and 33,007 with a posterolateral approach. Comparing the different approaches, significant differences were found in both the overall complication rate and the rate of revision surgery performed (p < 0.05). In particular, the posterolateral approach showed a significantly higher complication rate than the lateral approach (8.4% vs. 3.2%, p < 0.001). Furthermore, the dislocation rate in the posterolateral group was significantly higher than in the other three groups considered (p < 0.026). However, the posterolateral group showed less blood loss than the anterolateral group (p < 0.001), a lower intraoperative fractures rate than the direct anterior group (p < 0.035), and shorter mean operative time than the direct lateral group (p < 0.018). Conclusions: The posterolateral approach showed a higher complication rate than direct lateral approach and a higher prosthetic dislocation rate than the other three types of surgical approaches. On the other hand, patients treated with posterolateral approach showed better outcomes in other parameters considered, such as mean operative time, mean blood loss and intraoperative fractures rate. The knowledge of the limitations of each approach and the most common associated complications can lead to choosing a surgical technique based on the patient’s individual risk.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Does Surgical Approach Influence Complication Rate of Hip Hemiarthroplasty for Femoral Neck Fractures? A Literature Review and Meta-Analysis

Filippini,

Bortoli,

Montanari

et al. 2023

Medicina

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“…Not only do these PFs normally require surgery, but the difficulty of the required surgeries is a challenge to orthopaedic surgeons 10 . Arthroplasty surgeons have made various efforts to prevent the PFs during the primary arthroplasty and evaluate the risks of PFs in the follow-up [11][12][13] . It has been suggested that age, gender, use of corticosteroids, poor bone quality, number of previous surgeries, stiff joints, neurological comorbidities, inflammatory arthropathy, and type of implants used in primary arthroplasties could increase the risk of PFs 2,4,6,[14][15][16][17] .…”

Section: Introductionmentioning

confidence: 99%

Current Incidence and Future Projection of Periprosthetic Fractures in South Korea: A Study Based on National Claim Database

Park

Won

Kim

et al. 2022

Orthopaedic Surgery

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To evaluate the current incidence and economic cost and to estimate the future burden of periprosthetic fracture (PF) after joint arthroplasties in South Korea. Methods:This study was a retrospective registry-based study of patients who were diagnosed as periprosthetic fractures (PFs) in South Korea. Cases of PF from 2010 to 2017 in South Korea using Health Insurance and Review and Assessment (HIRA) database, which contains all medical claims for all South Korean patients, were identified. The operational definitions of PFs were identified from the Electronic Data Interchange (EDI) code of the Korean National Health Insurance Program (KHNIP). The annual incidence and medical costs during the period were calculated and the future increase of PF and its cost were projected through 2030 using generalized linear model with quasi-poisson link.Results: During the 8-year period, 14,456 patients were treated due to PFs. The annual number of patients with PF remarkably increased from 1,322 in 2010 to 2,636 in 2017. The increment was prominent in age groups of 70-79 and ≧80. Total number of patients with PF were 9752 in women and 4704 in men during the study period.

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The race for the classification of proximal periprosthetic femoral fractures : Vancouver vs Unified Classification System (UCS) - a systematic review

Schopper

Luger

Hipmair

et al. 2022

BMC Musculoskelet Disord

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Background Periprosthetic femoral fractures (PFFs) represent a major cause for surgical revision after hip arthroplasty with detrimental consequences for patients. The Vancouver classification has been traditionally used since its introduction in 1995. The Unified Classification System (UCS) was described in 2014, to widen the spectrum by aiming for a more comprehensive approach. The UCS also aimed to replace the Vancouver classification by expanding the idea of the Vancouver classification to the whole musculoskeletal apparatus. After introduction of the UCS, the question was raised, whether the UCS found its place in the field of analysing PFFs. Therefore, this systematic review was performed to investigate, the use of the UCS compared to the established Vancouver classification. Methods Medline was searched for reports published between 1 January 2016 and 31 November 2020, without language restriction. Included were original articles, irrespective of the level of evidence and case reports reporting on a PFF and using either the Vancouver or the UCS to classify the fractures. Excluded were reviews and systematic reviews. Results One hundred forty-six studies were included in the analysis. UCS has not been used in a single registry study, giving a pooled cohort size of 3299 patients, compared to 59,178 patients in studies using the Vancouver classification. Since 2016, one study using UCS was published in a top journal, compared to 37 studies using the Vancouver classification (p=0.29). During the study period, the number of yearly publications remained stagnant (p=0.899). Conclusions Despite valuable improvement and expansion of the latter UCS, to date, the Vancouver system clearly leads the field of classifying PFFs in the sense of the common use.

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Comparison of the Incidence of Intra-operative Fractures in Hip Hemi-arthroplasty Performed in Supine and Lateral Positions

Cited by 6 publications

References 23 publications

Does Surgical Approach Influence Complication Rate of Hip Hemiarthroplasty for Femoral Neck Fractures? A Literature Review and Meta-Analysis

Does Surgical Approach Influence Complication Rate of Hip Hemiarthroplasty for Femoral Neck Fractures? A Literature Review and Meta-Analysis

Current Incidence and Future Projection of Periprosthetic Fractures in South Korea: A Study Based on National Claim Database

The race for the classification of proximal periprosthetic femoral fractures : Vancouver vs Unified Classification System (UCS) - a systematic review

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