Periprosthetic femoral fracture type and location are influenced by the presence of an ipsilateral knee arthroplasty implant: A case-control study of 84 interprosthetic femoral fractures

Injury ◽  
2021 ◽  
Author(s):  
Oliver Townsend ◽  
Sameer Jain ◽  
Jonathan N Lamb ◽  
Chloe E H Scott ◽  
Douglas G Dunlop ◽  
...  
2004 ◽  
Vol 92 (11) ◽  
pp. 1012-1017 ◽  
Author(s):  
Amir Jaffer ◽  
Jason Hurbanek ◽  
Nariman Morra ◽  
Daniel Brotman

SummaryMany orthopaedic surgeons use warfarin to prevent venous thromboembolism (VTE) following hip or knee arthroplasty. Since warfarin’s antithrombotic effects are delayed, we hypothesized that early VTE (occurring within 5 days post-operatively) would be more common in arthroplasty patients receiving warfarin monotherapy compared to those receiving enoxaparin. We performed a secondary analysis of a case-control study examining risk factors for post-operative thrombosis in postmenopausal women. We defined cases as patients who were diagnosed with thrombosis within 5 days of surgery. Controls without thrombosis were matched with cases by age, surgeon, year of surgery and surgical joint. 84 women with early post-operative thrombosis (cases) were matched with 206 controls. 18 cases (21.4%) had been prescribed warfarin monotherapy, compared with 7 controls (3.4%). 58 (69.1%) cases and 195 (94.7%) controls had been prescribed subcutaneous enoxaparin 30 mg twice daily, starting 12-24 hours after surgery. The odds ratio for any early thrombosis in patients receiving warfarin as opposed to enoxaparin 30 mg twice daily was 8.6 (p<0.0001). For proximal thrombosis, the odds ratio was 11.3 (p<0.0001). Multivariate analysis did not alter these findings. Warfarin’s delayed antithrombotic effects may not provide adequateVTE prophylaxis in the immediate post-operative setting. We suggest caution in employing warfarin monotherapy following joint arthroplasty.


2009 ◽  
Vol 34 (4) ◽  
pp. 491-495 ◽  
Author(s):  
Peter M. Bonutti ◽  
Michael G. Zywiel ◽  
Thorsten M. Seyler ◽  
Seung Yong Lee ◽  
Mike S. McGrath ◽  
...  

2011 ◽  
Vol 90 (2) ◽  
pp. 144-150 ◽  
Author(s):  
Arief Lalmohamed ◽  
Frans Opdam ◽  
Nigel K. Arden ◽  
Daniel Prieto-Alhambra ◽  
Tjeerd van Staa ◽  
...  

2020 ◽  
Vol 106 (5) ◽  
pp. 921-927 ◽  
Author(s):  
Dragan V. Jeremić ◽  
Wissam M. Massouh ◽  
Sivan Sivaloganathan ◽  
Almeric R. Rosali ◽  
Rolf G. Haaker ◽  
...  

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