Clinical and radiographical outcome after surgical treatment of periprosthetic type B proximal femur fractures: a retrospective study

The analysis of results of surgical treatment of 157 patients with proximal femur fractures was presented. In all cases the osteosynthesis using fixator PFN was performed in clinic of traumatology amd orthopedics of Moscow Municipal Hospital N 71 from 2005 till 2009. The authors concluded: proximal femur nail is mini-invasive and mini-traumatic fixator that is essential at treatment of elderly and old patients.

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COHORT STRUCTURE OF PATIENTS WITH PROXIMAL FEMUR FRACTURES AND ESTIMATION OF AVERAGE ANNUAL DEMAND FOR EMERGENCY SURGICAL TREATMENT

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2016-0-1-7-20 ◽

2016 ◽

pp. 7-20 ◽

Cited By ~ 1

Author(s):

T. N. Vorontsova ◽

A. S. Bogopol’skaya ◽

A. Zh. Cherny ◽

S. B. Shevchenko

Keyword(s):

Surgical Treatment ◽

Proximal Femur ◽

Proximal Femur Fractures ◽

Femur Fractures

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Surgical treatment for chronic proximal femur fractures

Vrach ◽

10.29296/25877305-2020-12-13 ◽

2020 ◽

Vol 31 (12) ◽

pp. 65-69

Author(s):

A. Lazarev ◽

E. Solod ◽

A. Antonov ◽

D. Vychuzhanin

Keyword(s):

Surgical Treatment ◽

Proximal Femur ◽

Proximal Femur Fractures ◽

Femur Fractures

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Treatment of Proximal Femoral Fractures in Patients with COVID-19

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2021-27-3-9-18 ◽

2021 ◽

Vol 27 (3) ◽

pp. 9-18

Author(s):

Konstantin S. Egorov ◽

Valery V. Strizheletsky ◽

Igor G. Ivanov ◽

Valentin A. Neverov ◽

Natalia V. Siverskaya ◽

...

Keyword(s):

Surgical Treatment ◽

Mortality Rate ◽

Hospital Mortality ◽

Proximal Femur ◽

Femoral Fractures ◽

Proximal Femur Fractures ◽

Femur Fractures ◽

Results Of Treatment ◽

Neck Fracture ◽

Coronavirus Infection

Background. In relation with the COVID-19 new coronavirus infection epidemic that began in Russia in the spring of 2020, a completely new group of patients appeared: patients whose coronavirus infection was combined with the proximal femur fractures. In the course of practical work, hospital doctors had to gain experience in treating these complex patients, solve new organizational and medical tasks. The aim of the study was to evaluate the results of treatment of patients with the proximal femur fractures in combination with coronavirus infection in a covid hospital at the hospital stage, 30-day and 6-month terms. Materials and Methods. The retrospective study is based on the collection and generalization of data from 64 patients with the proximal femur fractures in combination with confirmed coronavirus infection who underwent inpatient treatment from 16.03.2020 to 31.05.2021. 38 (59.4%) patients had a femoral neck fracture, 26 (40.6%) had a fracture of the trochanter region. Forty (62.5%) patients underwent surgical treatment (hip replacement was performed in 23 cases, osteosynthesis was performed in 17 cases), 24 (37.5%) patients did not undergo surgery. Results. With conservative treatment, the hospital mortality rate was 41.6%, the 30-day mortality rate was 72.7%, and the 6 month mortality rate was 95.5%. During surgical treatment, the hospital mortality rate was 5.0% (2 patients died). Early postoperative complications were detected in 5 (12.5%) patients. Thirty-one (77.5%) patients walked or stood with a walker on their own at the time of discharge; 7 (17.5%) patients could not be activated. The thirty-day mortality rate in the group of patients who underwent surgical treatment was 8.6%, and the 6-month mortality rate was 32.1%. Conclusion. Surgical treatment of patients with the proximal femur fractures in combination with coronavirus infection is much more difficult than the treatment of patients without infectious pathology. However, despite number of unresolved problems, surgical treatment of such patients is possible with good results and should be actively applied.

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Hardware removal rates after surgical treatment of proximal femur fractures

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-020-03356-z ◽

2020 ◽

Vol 140 (8) ◽

pp. 1047-1054 ◽

Cited By ~ 3

Author(s):

Ville T. Ponkilainen ◽

Tuomas T. Huttunen ◽

Pekka Kannus ◽

Ville M. Mattila

Keyword(s):

Surgical Treatment ◽

Proximal Femur ◽

Hardware Removal ◽

Removal Rates ◽

Proximal Femur Fractures ◽

Femur Fractures

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Geriatric Proximal Femur Fractures During the Covid-19 Pandemic - Fewer Cases, But More Comorbidities

Geriatric Orthopaedic Surgery & Rehabilitation ◽

10.1177/21514593211009657 ◽

2021 ◽

Vol 12 ◽

pp. 215145932110096

Author(s):

Christina Polan ◽

Heinz-Lothar Meyer ◽

Manuel Burggraf ◽

Monika Herten ◽

Paula Beck ◽

...

Keyword(s):

Nursing Home ◽

Elderly Patients ◽

Proximal Femur ◽

Minor Trauma ◽

Proximal Femur Fractures ◽

Femur Fractures ◽

Number Of Patients ◽

Group 2 ◽

The Impact ◽

Group 1

Background: The COVID-19 pandemic is challenging healthcare systems worldwide. This study examines geriatric patients with proximal femur fractures during the COVID-19 pandemic, shifts in secondary disease profile, the impact of the pandemic on hospitalization and further treatment. Methods: In a retrospective monocentric study, geriatric proximal femur fractures treated in the first six months of 2020 were analyzed and compared with the same period of 2019. Pre-traumatic status (living in a care home, under supervision of a legal guardian), type of trauma, accident mechanism, geriatric risk factors, associated comorbidities, time between hospitalization and surgery, inpatient time and post-operative further treatment of 2 groups of patients, aged 65-80 years (Group 1) and 80+ years (Group 2) were investigated. Results: The total number of patients decreased (70 in 2019 vs. 58 in 2020), mostly in Group 1 (25 vs. 16) while the numbers in Group 2 remained almost constant (45 vs. 42). The percentage of patients with pre-existing neurological conditions rose in 2020. This corresponded to an increase in patients under legal supervision (29.3%) and receiving pre-traumatic care in a nursing home (14.7%). Fractures were mostly caused by minor trauma in a home environment. In 2020, total number of inpatient days for Group 2 was lower compared to Group 1 (p = 0.008). Further care differed between the years: fewer Group 1 patients were discharged to geriatric therapy (69.6% vs. 25.0%), whereas in Group 2 the number of patients discharged to a nursing home increased. Conclusions: Falling by elderly patients is correlated to geriatric comorbidities, consequently there was no change in the case numbers in this age group. Strategic measures to avoid COVID-19 infection in hospital setting could include reducing the length of hospital stays by transferring elderly patients to a nursing home as soon as possible and discharging independent, mobile patients to return home.

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