Adequate surgical treatment of periprosthetic femoral fractures following hip arthroplasty does not correlate with functional outcome and quality of life

2015 ◽  
Vol 39 (9) ◽  
pp. 1701-1708 ◽  
Author(s):  
Sven Märdian ◽  
Klaus-Dieter Schaser ◽  
Johanna Gruner ◽  
Franziska Scheel ◽  
Carsten Perka ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Femoral Fractures ◽  
Periprosthetic Femoral Fractures

scholarly journals Excellent Functional Outcome and Quality of Life after Primary Cementless Total Hip Arthroplasty (THA) Using an Enhanced Recovery Setup

2021 ◽  
Vol 10 (4) ◽  
pp. 621
Author(s):  
Franziska Leiss ◽  
Julia Sabrina Götz ◽  
Günther Maderbacher ◽  
Matthias Meyer ◽  
Jan Reinhard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Enhanced Recovery ◽  
Harris Hip Score ◽  
Total Hip ◽  
Cementless Total Hip Arthroplasty

Background: Total hip arthroplasty combined with the concept of enhanced recovery is of continued worldwide interest, as it is reported to improve early functional outcome and treatment quality without increasing complications. The aim of the study was to investigate functional outcome and quality of life 4 weeks and 12 months after cementless total hip arthroplasty in combination with an enhanced recovery concept. Methods: A total of 109 patients underwent primary cementless Total Hip Arthroplasty (THA) in an enhanced recovery concept and were retrospectively analyzed. After 4 weeks and 12 months, clinical examination was analyzed regarding function, pain and satisfaction; results were evaluated using Harris Hip score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EQ-5D-5L, EQ-VAS and subjective patient-related outcome measures (PROMs). Preoperatively, HADS (Hospital Anxiety and Depression Scale) was collected. A correlation analysis of age, American Society of Anesthesiologists (ASA), HADS and comorbidities (diabetes mellitus, art. hypertension, cardiovascular disease) with WOMAC, Harris Hip score (HHS) and EQ-5D was performed. Results: Patients showed a significant improvement in Harris Hip score 4 weeks and 12 months postoperatively (p < 0.001). WOMAC total score, subscale pain, subscale stiffness and subscale function improved significantly from preoperative to 12 months postoperative (p < 0.001). EQ-5D showed a significant improvement preoperative to postoperative (p < 0.001). The influence of anxiety or depression (HADS-A or HADS-D) on functional outcome could not be determined. There was a high patient satisfaction postoperatively, and almost 100% of patients would choose enhanced recovery surgery again. Conclusion: Cementless THA with the concept of enhanced recovery improves early clinical function and quality of life. PROMs showed a continuous improvement over a follow-up of 12 months after surgery. PROMs can help patients and surgeons to modify expectations and improve patient satisfaction.

Surgical treatment of periprosthetic femoral fractures following hip arthroplasty: Our institutional experience

Injury ◽  
2015 ◽  
Vol 46 (10) ◽  
pp. 1945-1950 ◽  
Author(s):  
Plamen Kinov ◽  
Gershon Volpin ◽  
Roger Sevi ◽  
Panayot P. Tanchev ◽  
Boris Antonov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hip Arthroplasty ◽  
Femoral Fractures ◽  
Periprosthetic Femoral Fractures ◽  
Institutional Experience

scholarly journals Intraoperative periprosthetic femoral fractures at total hip arthroplasty. Review of classifications and treatment techniques

2019 ◽  
Vol 26 (2) ◽  
pp. 67-72
Author(s):  
E. V Polevoy ◽  
N. V Zagorodniy ◽  
S. V Kagramanov ◽  
G. A Chragyan ◽  
O. A Aleksanyan
Keyword(s):  
Surgical Treatment ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Fractures ◽  
Treatment Technique ◽  
Total Hip ◽  
Treatment Techniques ◽  
Periprosthetic Femoral Fractures ◽  
Classification And Treatment

The review covers the problem of intraoperative periprosthetic femoral fractures at total hip arthroplasty including the causes, classification and treatment techniques. This complication may occur at any step of the intervention, may differ by localization and pattern. All these will determine the preferable surgical treatment technique.

scholarly journals Superior Functional Outcome and Comparable Health-Related Quality of Life after Enhanced Recovery vs. Conventional THA: A Retrospective Matched Pair Analysis

2021 ◽  
Vol 10 (14) ◽  
pp. 3096
Author(s):  
Franziska Leiss ◽  
Melanie Schindler ◽  
Julia Sabrina Götz ◽  
Günther Maderbacher ◽  
Matthias Meyer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
Functional Outcome ◽  
Hip Arthroplasty ◽  
Enhanced Recovery ◽  
Health Related Quality ◽  
Total Hip ◽  
Related Quality ◽  
Health Related

Background: The concept of enhanced recovery after total hip arthroplasty is gaining worldwide interest, as it shortens the length of hospital stay without an increase of complications. The aim of the study was to investigate the functional outcome and health-related quality of life 12 months after cementless total hip arthroplasty with the use of an enhanced recovery concept in comparison to a conventional rehabilitation. Material and Methods: 320 patients were retrospectively analyzed who underwent primary cementless total hip arthroplasty (THA). A total of 123 of the patients received an enhanced recovery program (ERAS) and 197 patients a conventional rehabilitation (Non-ERAS). Twelve months postoperatively, a clinical examination was performed regarding satisfaction, function and pain. Results were evaluated using WOMAC, EQ-5D-5L and EQ-VAS. A 1:1 matching was performed to correct for confounding variables, regarding age, sex and ASA score. Finally, 122 patients (n = 61, in each group) were analyzed and compared. Results: Patients showed a significant improvement of WOMAC total score, subscale pain, subscale stiffness and subscale function from preoperative to the follow up after 12 months in both groups, with significantly superior results for the WOMAC total score for the ERAS group (p = 0.042). EQ-5D and EQ-5D VAS showed a significant improvement from preoperative to 12 months postoperative (p < 0.001) for both groups, while no difference regarding the group-comparison was shown. Conclusion: Health-related quality of life and functional outcome increased to excellent values after total hip arthroplasty with the use of an enhanced recovery concept and a conventional rehabilitation, with a superior WOMAC total score for ERAS and a tendency to better results for health-related quality of life for patients with ERAS within the follow up after 12 months.

Functional outcome and quality of life after the surgical treatment for diffuse-type giant-cell tumour around the knee

2014 ◽  
Vol 96-B (8) ◽  
pp. 1111-1118 ◽  
Author(s):  
L. van der Heijden ◽  
M. J. L. Mastboom ◽  
P. D. S. Dijkstra ◽  
M. A. J. van de Sande
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Functional Outcome ◽  
Giant Cell ◽  
Giant Cell Tumour ◽  
Cell Tumour ◽  
Diffuse Type ◽  
Type Giant

scholarly journals A retrospective study about functional outcome and quality of life after surgical fixation of insufficiency pelvic ring injuries

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Katharina Jäckle ◽  
Marc-Pascal Meier ◽  
Mark-Tilmann Seitz ◽  
Sebastian Höller ◽  
Christopher Spering ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Functional Outcome ◽  
Pelvic Ring ◽  
Fragility Fractures ◽  
Well Being ◽  
Posterior Pelvic Ring ◽  
Pelvic Ring Fractures ◽  
Sf 36

Abstract Background Fragility fractures without significant trauma of the pelvic ring in older patients were often treated conservatively. An alternative treatment is surgery involving percutaneous screw fixation to stabilize the posterior pelvic ring. This surgical treatment enables patients to be mobilized quickly and complications associated with bedrest and temporary immobility are reduced. However, the functional outcome following surgery and quality of life of the patients have not yet been investigated. Here, we present a comprehensive study addressing the long-term well-being and the quality of life of patients with fragility pelvic ring fractures after surgical treatment. Methods Between 2011–2019, 215 geriatric patients with pelvic ring fractures were surgically treated at the university hospital in Göttingen (Germany). Of these, 94 patients had fragility fractures for which complete sets of computer tomography (CT) and radiological images were available. Fractures were classified according to Tile and according to the FFP classification of Rommens and Hofmann. The functional outcome of surgical treatment was evaluated using the Majeed pelvic score and the Short Form Health Survey-36 (SF-36). Results Thirty five tile type C and 48 type B classified patients were included in the study. After surgery eighty-three patients scored in average 85.92 points (± 23.39) of a maximum of 100 points using the Majeed score questionnaire and a mean of 1.60 points on the numerical rating scale ranging between 0 and 10 points where 0 points refers to “no pain” and 10 means “strongest pain”. Also, the SF-36 survey shows that surgical treatment positively effects patients with respect to their general health status and by restoring vitality, reducing bodily pain and an increase of their general mental health. Conclusions Patients who received a percutaneous screw fixation of fragility fractures of the posterior pelvic ring reported an overall positive outcome concerning their long-term well-being. In particular, older patients appear to benefit from surgical treatment. Trial registration Functional outcome and quality of life after surgical treatment of fragility fractures of the posterior pelvic ring, DRKS00024768. Registered 8th March 2021 - Retrospectively registered. Trial registration number DRKS00024768.

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