Predictive factors associated with the clinical outcome of intertrochanteric hip fracture in high-risk elderly patients treated with total hip arthroplasty versus percutaneous external fixation

Zhang, Jun; Zhu, Jie; Liu, Zaiyang; Zhang, Yumei; Jin, Yunfei; Wang, Min; Xia, Zhang; He, Kaiqi; Zhang, Yuan

doi:10.21037/atm-20-8037

Cited by 2 publications

(3 citation statements)

References 45 publications

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“…[11][12][13] These studies have demonstrated that being >60 years of age is a significant factor independently associated with higher mortality rates and increased postoperative complications. [14,15] In our study, we defined geriatric patients as those aged ≥60 years, utilizing the same criteria for classification.…”

Section: Study Description and Definitionsmentioning

confidence: 99%

Effects of body mass index on mortality in elderly patients with hip fractures

Park,

Lee,

Lee

et al. 2024

Medicine

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Hip fractures remain a substantial health concern, particularly among elderly individuals with osteoporosis, leading to high global mortality rates. This study aimed to analyze the association between body mass index (BMI) and postoperative mortality in patients who underwent surgery for hip fractures. A total of 680 patients treated at a single institution between January 2018 and December 2022 were included. Factors such as age, BMI, sex, Charlson Comorbidity Index (CCI), preoperative hemoglobin levels, American Society of Anesthesiologists score, anesthesia method, duration of surgery, and time from injury to surgery were assessed. Underweight status, male sex, higher CCI, and general anesthesia were significantly associated with 1-year and in-hospital mortality. Notably, underweight individuals exhibited a higher risk of mortality than normal-weight individuals, and female patients had lower mortality rates. This study underscores the importance of considering BMI, along with other demographic and clinical factors, in predicting postoperative mortality among patients with hip fractures, aiding the development of tailored management strategies to improve outcomes and reduce complications in this vulnerable patient population.

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Section: Study Description and Definitionsmentioning

confidence: 99%

Effects of body mass index on mortality in elderly patients with hip fractures

Park,

Lee,

Lee

et al. 2024

Medicine

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“…The conspicuous advantages of DAA may include: (1) cosmetic benefits, such as small incision (including bikini incision), minimally-invasive and tissue-sparing surgery achieved via neuro-muscular interface [17]; (2) fast recovery, as promoted by less blood loss and pain, faster functional recovery in terms of muscle strength, range of motion, gait and early return to weight-bearing activities [4,10]; (3) more favorable outcomes, including reduced dislocation rate and increased likelihood of components being placed into the safe zone [18]. If we further look into the issue, especially when a surgeon's volume of DAA operation is more than 2000 cases, we will find that the advantages of DAA are beyond above-mentioned benefits to include the functional gain in hip-spine complex.…”

Section: Advantages Of Daa In Surgical Decision-makingmentioning

confidence: 99%

“…We also developed several innovative techniques in terms of targeted soft-tissue releasing, leg-length equalization algorithm, and subtrochanteric shortening osteotomy (SSO) [6][7][8]. The results showed superior functional recovery in general and follow-up studies exhibited improvement in gait and hip abduction and flexion muscle strength in particular [9,10]. Furthermore, in the recent two years, we also explored the clinical potential of extensile DAA in 50 cases of partial and total revisions in hip arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Direct anterior approach in total hip arthroplasty: more indications and advantages than we found

Zhang

et al. 2022

Arthroplasty

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Mounting attention has been oriented to the direct anterior approach (DAA) in total hip arthroplasty (THA) because of alleged advantages in terms of tissue-sparing and minimal invasiveness, as well as fast recovery after surgery in the past decades. Doubt has also been raised by critics regarding learning curve, indications, technical feasibility, intraoperative risks and complications, and unconfirmed long-term consequences of the approach. The controversies were elaborately reviewed and discussed in a recent publication in Arthroplasty by Realyvasquez et al. from the perspective of American surgeons. This inclusive review covered the current status, technical issues, outcome evaluation, and developmental concerns of DAA in modern THA. As one of the pioneers of DAA in hip surgery communities in China, Prof. Y. Z., the corresponding author of the paper, has his own understanding and manipulation of DAA on the basis of thousands of DAA procedures he has performed. The purpose of this article was to respond to the pivotal issues discussed in the article by Realyvasquez et al., and to present our own view of points about the indications/contraindications and advantages as different from existing ideas. In particular, we proposed a Xinqiao Predictive Algorithm to quantitatively assess the indications for and feasibility of DAA for the first time. The algorithm was constructed on multiple factors derived from Chinese patients. Our study concluded that the potential advantages of DAA could be achieved by personalizing the pelvic functional position and placing the component into the real safe zone, by means of adapting to the spaciotemporal change of the hip-spine coordination.

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Predictive factors associated with the clinical outcome of intertrochanteric hip fracture in high-risk elderly patients treated with total hip arthroplasty versus percutaneous external fixation

Cited by 2 publications

References 45 publications

Effects of body mass index on mortality in elderly patients with hip fractures

Effects of body mass index on mortality in elderly patients with hip fractures

Direct anterior approach in total hip arthroplasty: more indications and advantages than we found

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