Periprothetische Femurfrakturen

Rupprecht, Martin; Großterlinden, Lars; Barvencik, Florian; Gebauer, Matthias; Briem, D.; Rueger, Johannes M.; Lehmann, Wolfgang

doi:10.1007/s00113-008-1470-4

Cited by 20 publications

(5 citation statements)

References 24 publications

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“…Statistical analysis of data from the German National Institute for Quality Measurement in Health Care (BQS) (1) and the Swedish Hip Arthroplasty Register (2) reveal significant increases in the numbers of total hip and knee arthroplasties. This can be explained by the increasing life expectancy that parallels the continued improvement of medical care in industrialized countries and results in rises in the prevalence of degenerative joint disease, as the patient population gets increasingly older (3). On the other side, patients undergoing primary arthroplasty are getting increasingly younger (2); this clear trend may be driven by higher expectations regarding the quality of life and rising activity levels (4).…”

Section: Discussionmentioning

confidence: 99%

“…The growing number of cement-free minimally invasive total hip arthroplasties have particularly added to the risk of iatrogenic PPFF resulting from access-related limited visibility and the use of impactors for femoral shaft preparation (8). For postoperative (traumatic) PPFF, the incidence rate is 0.3-5.5% for TKA (7) (9-11), with comparable rates for THA (0.1-6%) (3,12).…”

Section: Incidence/risk Factorsmentioning

confidence: 99%

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Periprosthetic Femoral Fracture

Hagel¹,

Siekmann²,

Delank³

2014

Deutsches Ärzteblatt International

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Section: Discussionmentioning

confidence: 99%

Section: Incidence/risk Factorsmentioning

confidence: 99%

Periprosthetic Femoral Fracture

Hagel¹,

Siekmann²,

Delank³

2014

Deutsches Ärzteblatt International

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“…Demzufolge steigt auch die Zahl notwendiger Knie-TEP-Revisions-(TEP: Totalendoprothese) und Wechseloperationen, wobei intra-und postoperative Komplikationsraten von bis zu 31,0% angegeben wurden [2,3,7,10,11].…”

Section: Hintergrundunclassified

“…[9] plikationsraten, in erster Linie eine hohe Pseudarthroserate, beschrieben. Bei gelockerter Endoprothese ist der Prothesenwechsel indiziert [1,4,7,8,9,10,11,12,15].…”

Section: Klassifikation Der Distalen Femurfrakturen Bei Einliegender unclassified

Periprothetische Femurfraktur nach Knietotalendoprothese

Meyer

Kantelberg

Szalay

et al. 2012

Trauma Berufskrankh

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“…Due to the increasing life expectancy and corresponding increase in joint diseases, a significant increase in THA can be expected. Due to this fact, arthroplasty has been done in elderly patients [2,3]. With increasing age and possible comorbidities, methods of risk minimization move into focus because complications after THA represent a major challenge for the patient and physician [4].…”

Section: Introductionmentioning

confidence: 99%

Preoperative Decolonization Appears to Reduce the Risk of Infection in High-Risk Groups Undergoing Total Hip Arthroplasty

Scharf,

Holzapfel,

Ehrnsperger

et al. 2023

Antibiotics

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Background: Periprosthetic infections represent a major challenge for doctors and patients. The aim of this study was therefore to determine whether the risk of infection can be positively influenced by preoperative decolonization of the skin and mucous membranes. Methods: In a retrospective analysis of 3082 patients who had undergone THA between 2014 and 2020, preoperative decolonization with octenidine dihydrochlorid was performed in the intervention group. In an interval of 30 days, soft tissue and prosthesis infections were detected, and an evaluation between the study groups was made by using a bilateral t-test regarding the presence of an early infection. The study groups were identical with regard to the ASA score, comorbidities, and risk factors. Results: Patients treated preoperatively with the octenidine dihydrochloride protocol showed lower early infection rates. In the group of intermediate- and high-risk patients (ASA 3 and higher), there was generally a significantly increased risk. The risk of wound or joint infection within 30 days was 1.99% higher for patients with ASA 3 or higher than for patients with standard care (4.11% [13/316] vs. 2.02% [10/494]; p = 0.08, relative risk 2.03). Preoperative decolonization shows no effect on the risk of infection that increases with age, and a gender-specific effect could not be detected. Looking at the body mass index, it could be shown that sacropenia or obesity leads to increased infection rates. Preoperative decolonization led to lower infection rates in percentage terms, which, however, did not prove to be significant (BMI < 20 1.98% [5/252] vs. 1.31% [5/382], relative risk 1.43, BMI > 30 2.58% [5/194] vs. 1.20% [4/334], relative risk 2.15). In the spectrum of patients with diabetes, it could be shown that preoperative decolonization leads to a significantly lower risk of infection (infections without protocol 18.3% (15/82), infections with protocol 8.50% (13/153), relative risk 2.15, p = 0.04. Conclusion: Preoperative decolonization appears to show a benefit, especially for the high-risk groups, despite the fact that in this patient group there is a high potential for resulting complications.

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Periprothetische Femurfrakturen

Abstract: Due to the minor frequency of severe complications, plate osteosynthesis of a periprosthetic fracture with a loosened interface is a good therapeutic option for individual patients, particularly for geriatric patients and those without disorders specific to a loosened interface.

Cited by 20 publications

References 24 publications

Periprosthetic Femoral Fracture

Periprosthetic Femoral Fracture

Periprothetische Femurfraktur nach Knietotalendoprothese

Preoperative Decolonization Appears to Reduce the Risk of Infection in High-Risk Groups Undergoing Total Hip Arthroplasty

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