Einfluss des Operationszeitpunkts und -verfahrens auf Mortalität und Frühkomplikationen der Schenkelhalsfraktur

Kostuj, Tanja; Smektala, R.; Schulze-Raestrup, U.; Müller‐Mai, C. M.

doi:10.1007/s00113-011-2071-1

Cited by 30 publications

(13 citation statements)

References 13 publications

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“…Geriatric patients undergoing surgical treatment of proximal femoral fractures are commonly multimorbid. 9 , 10 A sufficient volume of scientific data exists with regard to surgical treatment, applicable methods, and mortality. 3 , 9 In contrast, in-depth analyses regarding complications, particularly infections, are rare.…”

Section: Discussionmentioning

confidence: 99%

“… 9 , 10 A sufficient volume of scientific data exists with regard to surgical treatment, applicable methods, and mortality. 3 , 9 In contrast, in-depth analyses regarding complications, particularly infections, are rare. 5 , 11 , 12 Furthermore, a review of national arthroplasty registries showed that revisions due to hematoma do not have priority and are not reported in many publications.…”

Section: Discussionmentioning

confidence: 99%

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Infection Versus Hematoma Following Surgical Treatment of Proximal Femoral Fractures in Geriatric Patients

Müller

Galler

Roll

et al. 2018

Geriatr Orthop Surg Rehabil

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Introduction:The surgical treatment of proximal femoral fractures predominantly involves geriatric patients and is associated with high morbidity and mortality. However, analyses on postoperative infections or hematoma are rare.Methods:Patients requiring surgical revision due to infection (n = 90) or hematoma (n = 77) in the postoperative phase were identified from an electronic database of 2000 consecutive patients surgically treated for proximal femoral fractures between 2006 and 2014. Demographic and clinical data were retrieved, including information on the pathogens in patients with infection. A follow-up on morbidity and mortality was conducted via telephone for at least 2 years postsurgery.Results:The follow-up rate was 100%, and the mean age was 81.9 years. The incidence rate of infection was 4.1% (90/2000), and women were commonly affected. Staphylococcus aureus and Staphylococcus epidermidis were the most commonly detected pathogens (35.5% and 25.5%, respectively). Mixed infections were observed in 15 patients, and Methicillin-resistant Staphylococcus aureus infections were observed in only 4 patients. A total of 77 (85.6%) infections occurred within 30 days postsurgery. The implant was preserved in 76 (84.4%) patients, and resection arthroplasty was required in 14 patients. Dementia and pertrochanteric fractures were significantly more common in the infection than in the hematoma group. Although infections were associated with high mortality rates for up to 2 years postsurgery, the rates did not significantly differ from those in the hematoma control group.Conclusion:One of every 2 patients who developed an infection following the surgical treatment of a proximal femoral fracture died within 2 years postsurgery. In addition, infections were significantly associated with dementia. Avoiding postoperative infection should be a high priority in the surgical treatment of proximal femoral fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Infection Versus Hematoma Following Surgical Treatment of Proximal Femoral Fractures in Geriatric Patients

Müller

Galler

Roll

et al. 2018

Geriatr Orthop Surg Rehabil

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“…In den meisten Fällen wird man aus verschiedenen Gründen eine intramedulläre Osteosynthese anstreben und den Verlauf abwarten. Probleme der Endoprothenversorgung solcher Frakturen sind größerer Blutverlust, längere Operationszeit, schwierige Schaftfixation und Rotationssicherung, notwendige Trochanter-major-Fixation, hohe Luxationsraten und eine deutlich höhere Mortalität [20].…”

Section: Therapiezieleunclassified

Hüftgelenknahe Frakturen/Luxationen

Bonnaire¹,

Lein²

2017

Orthopädie und Unfallchirurgie up2date

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“…Oftmals verschieben sich dabei die Bruchenden (Dislokation) 2 . Als Standardverfahren zur operativen Versorgung dieser Verletzung hat sich bei geriatrischen Patienten der Teilersatz des Hüftgelenks (Hemiarthroplastik) mittels zementierter Duokopfprothese durchgesetzt 3 .…”

Section: Knochenzement Zur Implantation Einer Duokopfprotheseunclassified

Knochenzement in der Alterstraumatologie

Köpcke¹

2015

Im OP

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Zusammenfassung ANWENDUNGEN UND KOMPLIKATIONEN Der Einsatz von Knochenzement hat sich bei der operativen Behandlung von kn?chernen Verletzungen im hohen Lebensalter bew?hrt. Bei der Anwendung von Knochenzement kann es jedoch in seltenen F?llen zu schwerwiegenden Komplikationen kommen. Deshalb ist es wichtig, das Medizinprodukt und dessen Handhabung sowie gezielte Ma?nahmen zur Vermeidung von unerw?nschten Nebenwirkungen zu kennen.

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Einfluss des Operationszeitpunkts und -verfahrens auf Mortalität und Frühkomplikationen der Schenkelhalsfraktur

Cited by 30 publications

References 13 publications

Infection Versus Hematoma Following Surgical Treatment of Proximal Femoral Fractures in Geriatric Patients

Infection Versus Hematoma Following Surgical Treatment of Proximal Femoral Fractures in Geriatric Patients

Hüftgelenknahe Frakturen/Luxationen

Knochenzement in der Alterstraumatologie

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