Comparison of anemia, renal function, and nutritional status in older women with femoral neck fracture and older women with osteoarthritis of the hip joint

2022 ◽  
Author(s):  
Katsuhiko Maezawa ◽  
Masahiko Nozawa ◽  
Yuichiro Maruyama ◽  
Emi Sakuragi ◽  
Munehiko Sugimoto ◽  
...  
Keyword(s):  
Renal Function ◽  
Femoral Neck ◽  
Nutritional Status ◽  
Femoral Neck Fracture ◽  
Older Women ◽  
Hip Joint ◽  
Osteoarthritis Of The Hip ◽  
Neck Fracture

Impaired renal function is an independent risk factor for complications after surgery for femoral neck fracture

2021 ◽  
pp. 112070002110285
Author(s):  
Pradip Ramamurti ◽  
Safa C Fassihi ◽  
David Sacolick ◽  
Alex Gu ◽  
Chapman Wei ◽  
...  
Keyword(s):  
Renal Function ◽  
Risk Factor ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Impaired Renal Function ◽  
Independent Risk Factor ◽  
Femoral Neck Fractures ◽  
Stage 4 ◽  
Ckd Stage ◽  
Neck Fracture

Background: The metabolic abnormalities that occur secondary to chronic kidney disease (CKD) increase the risk of femoral neck fractures compared to the general population. The purpose of this study is to determine whether impaired renal function is an independent risk factor for complications after surgery for femoral neck fracture. Methods: The ACS-NSQIP database was reviewed for patients who underwent total hip arthroplasty, hemiarthroplasty and open reduction internal fixation (ORIF) for femoral neck fractures between 2007 and 2018. Patients were split into cohorts based on calculated estimated glomerular filtration rate. Demographic information, comorbidities, and 30-day complications were analysed with univariate and multivariate analyses using chi-square, Fischer’s exact and analysis of variance testing. Results: The total number of patients for the study was 163,717. Patients with CKD stage 4 and 5 had an increased rate of any complication (39.1 and 36.7% respectively) compared with higher eGFRs ( p  < 0.001). Similarly, 30-day mortality was increased at 6.0% and 6.7% for both stage 4 and 5 ( p  < 0.001). By multivariate regression, those with CKD Stage 4 and 5 were at increased risk for any complication compared to patients with a normal preoperative eGFR of 90–120 ( p  < 0.001). Conclusions: This study demonstrated that patients with CKD Stage 4 and 5 are at increased risks of all complications, including death, renal, pulmonary and thromboembolic disease. Therefore, these patients should be cared for from a multidisciplinary approach with close attention to postoperative medications and fall prevention to help mitigate the risk of complications in the immediate postoperative period.

Hip joint pressure after femoral neck fracture

1986 ◽  
Vol 57 (6) ◽  
pp. 501-504 ◽  
Author(s):  
Per-Erik Melberg ◽  
Lars Körner ◽  
Olle Lansinger
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Hip Joint ◽  
Neck Fracture

scholarly journals Effect of nutritional status before femoral neck fracture surgery on postoperative outcomes: a retrospective study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Katsuya Yokoyama ◽  
Taku Ukai ◽  
Masahiko Watanabe
Keyword(s):  
Femoral Neck ◽  
Nutritional Status ◽  
Femoral Neck Fracture ◽  
Transfer Rate ◽  
Normal Group ◽  
Postoperative Outcomes ◽  
Transfusion Rate ◽  
Neck Fracture ◽  
Gait Function ◽  
Fracture Surgery

Abstract Background Although nutritional status is crucial in gait recovery after femoral neck fracture surgery, the relationship between preoperative nutritional status and postoperative outcomes remains unknown. This study examined the effects of preoperative nutritional status on postoperative outcomes in patients undergoing femoral neck fracture surgery. Methods Data regarding the joints of 137 patients (29 men, 108 women) who underwent bipolar hemiarthroplasty for femoral neck fractures at our hospital from January 2015 to December 2019 were retrospectively examined. The Geriatric Nutritional Risk Index (GNRI), an index of nutritional status, was used to classify patients into two groups: a normal group (GNRI ≥92; n = 62) and an undernourished group (GNRI < 92; n = 75). The study endpoints included age at surgery, sex, Mini Mental State Examination (MMSE), American Society of Anesthesiologists Physical Status (ASA) classification, preoperative waiting period, intraoperative blood loss, surgery time, perioperative hemoglobin levels, blood transfusion rate, complication rate, 6-month mortality rate, transfer rate, percentage of patients unable to walk at discharge or transfer, and inability to walk 6 months postoperatively. Results The patients in the undernourished group was significantly older at surgery (p < 0.01) and had a lower perioperative hemoglobin levels (p < 0.01), a higher blood transfusion rate (p < 0.01), a lower MMSE (p < 0.01), a longer preoperative waiting period (p < 0.05), a higher transfer rate (p < 0.05), were more likely to be unable to walk 6 months postoperatively (p < 0.01), a higher complication rate (p < 0.05), and a higher 6-month mortality rate (p < 0.01) than the normal group. Patients in the undernourished group had worse rates of postoperative complications, transfer, mortality, and inability to walk 6-month after surgery than those in the normal group. Conclusions A poor nutritional status affects the gait function and systemic condition of patients undergoing femoral neck fracture surgery; therefore, early nutritional interventions may reduce mortality rates and shorten rehabilitation. These results suggest that the GNRI effectively predicts postoperative complications, mortality, and gait function.

Synovial hemangioma of the hip joint with pathological femoral neck fracture and extra-articular extension

2013 ◽  
Vol 18 (1) ◽  
pp. 181-185 ◽  
Author(s):  
Satoshi Abe ◽  
Masuhiro Tamayama ◽  
Makoto Kobayashi ◽  
Yoshinobu Watanabe ◽  
Yuji Miki ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Hip Joint ◽  
Synovial Hemangioma ◽  
Neck Fracture

scholarly journals Effect of nutritional status before femoral neck fracture surgery on postoperative outcomes: a retrospective study

2021 ◽  
Author(s):  
Katsuya Yokoyama ◽  
Taku Ukai ◽  
Masahiko Watanabe
Keyword(s):  
Femoral Neck ◽  
Nutritional Status ◽  
Femoral Neck Fracture ◽  
Transfer Rate ◽  
Normal Group ◽  
Postoperative Outcomes ◽  
Transfusion Rate ◽  
Neck Fracture ◽  
Gait Function ◽  
Fracture Surgery

Abstract Background Although nutritional status is crucial in gait recovery after femoral neck fracture surgery, the relationship between preoperative nutritional status and postoperative outcomes remains unknown. This study examined the effects of preoperative nutritional status on postoperative outcomes in patients undergoing femoral neck fracture surgery. Methods Data regarding the joints of 137 patients (29 men, 108 women) who underwent bipolar hemiarthroplasty for femoral neck fractures at our hospital from January 2015 to December 2019 were retrospectively examined. The Geriatric Nutritional Risk Index (GNRI), an index of nutritional status, was used to classify patients into two groups: a normal group (GNRI ≥ 92; n = 62) and an undernourished group (GNRI < 92; n = 75). The study endpoints included age at surgery, sex, preoperative waiting period, intraoperative blood loss, surgery time, blood transfusion rate, complication rate, 6-month mortality rate, transfer rate, and percentage of patients unable to walk at discharge or transfer. Results The undernourished group was significantly older at surgery (83.3 ± 6.9 years versus [vs.] 79.6 ± 8.8 years; p < 0.01) and had a higher blood transfusion rate (41.3% [31/75] vs. 12.9% [8/62]; p < 0.01), a longer preoperative waiting period (5.5 ± 5.8 days vs. 3.9 ± 2.6 days; p < 0.05), a higher transfer rate (24% [18/75] vs. 9.7% [6/62]; p < 0.05), a higher complication rate (52% [39/75] vs. 35.5% [22/62]; p < 0.05), and a higher 6-month mortality rate (13.3% [10/75] vs. 0% [0/62]; p < 0.01) than the normal group. The most common complication was pneumonia. Patients in the undernourished group had worse rates of postoperative complications, transfer, and mortality than the normal group. Conclusions A poor nutritional status affects the gait function and systemic condition of patients undergoing femoral neck fracture surgery; therefore, early nutritional interventions may reduce mortality rates and shorten rehabilitation. These results suggest that the GNRI effectively predicts postoperative complications, mortality, and gait function.

scholarly journals Pregnancy-Associated Osteoporosis Presented with Femoral Neck Fracture: A Case Report and Literature Review

2020 ◽  
Vol 9 ◽  
pp. 1750
Author(s):  
Azam Faraji ◽  
Zahra Shomali ◽  
Sedigeh Yoosefi
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Hip Joint ◽  
Compression Fracture ◽  
Rare Condition ◽  
Mineral Density ◽  
Multiple Risk Factors ◽  
Neck Fracture ◽  
25 Hydroxy Vitamin D ◽  
Pregnancy Associated Osteoporosis

Background: Pregnancy-associated osteoporosis (PAO) is a rare condition characterized by reduced bone mineral density during the third trimester or lactation. Multiple risk factors, such as genetic, sedentariness, and 25-hydroxy vitamin D deficiency, are associated with PAO. In the majority of cases, PAO is presented with a compression fracture in vertebras, but in our case, it presented with a fracture of the femoral neck. Case Presentation: A 29-year-old, gravida one woman, developed right hip joint pain during the gestational age 34 weeks who referred to our clinic. Despite conservative management, the pain intensified. The patient delivered a healthy neonate in the 38th week of gestation and afterward underwent magnetic resonance imaging of the pelvic, revealing a bruised bone in the femoral neck. Since she had developed a femoral neck fracture during the postpartum period, she underwent open reduction and fixation of the femoral neck. Dual-energy X-ray absorptiometry (DEXA) revealed osteoporosis of the vertebras and femoral neck. She received calcium supplements and alendronate, and the pain was relieved. On 2-year and 4-year follow-up, she was found to be osteopenic with significant improvement in DEXA indices. Conclusion: PAO is a rare condition among young women. This condition should be kept in mind when hip joint or back pain is encountered during pregnancy. [GMJ.2020;9:e1750] DOI:10.31661/gmj.v9i0.1750

scholarly journals Nutritional Status and Temporal Changes in the Walking Ability of Femoral Neck Fracture Patients

2015 ◽  
Vol 30 (4) ◽  
pp. 523-527
Author(s):  
Nobuhiro OKAMOTO ◽  
Shin MASUMI ◽  
Masatoshi MIZUTANI ◽  
Keisuke SAITOH ◽  
Kazuhiro HARADA ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Nutritional Status ◽  
Femoral Neck Fracture ◽  
Temporal Changes ◽  
Walking Ability ◽  
Neck Fracture
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