Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Neubauer, T; Krawany, M; Leitner, L; Karlbauer, A; Wagner, M; Plecko, M.
Retrograde femoral nailing in elderly patients: outcome and functional results.
Orthopedics. 2012; 35(6):e855-e861
Doi: 10.3928/01477447-20120525-24
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- Co-Autor*innen der Med Uni Graz
- Leitner Lukas
- Plecko Michael
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- Abstract:
- Functional outcome after retrograde femoral intramedullary nailing was investigated in 35 patients older than 60 years (mean, 86 years) with 36 fractures, comprising 15 (41.7%) shaft and 21 (58.3%) distal fractures; overall, 7 (19.4%) periprosthetic fractures occured. Twenty-two (62.9%) of 35 patients were evaluated at a mean 16.5-month follow-up with the Lyshom-Gillquist score and the SF-8 questionaire. Primary union rate was 97.8%, with no significant differences in duration of surgery, bone healing, mobilization, and weight bearing among different fracture types; periprosthetic fractures revealed a significantly delayed mobilization (P=.03). Complications occured significantly more often among distal femoral fractures (P=.009), including all revision surgeries. The most frequently encountered complication was loosening of distal locking bolts (n=3). Lysholm score results were mainly influenced by age-related entities and revealed fair results in all fractures (mean in the femoral shaft fracture group, 78.1 vs mean in the distal femoral fracture group, 74.9; P=.69), except in the periprosthetic subgroup, which had good results (mean, 84.8; P=.23). This group also had increased physical parameters according to SF-8 score (P=.026). No correlation existed between SF-8 physical parameters and patient age or surgery delay, whereas a negative correlation existed between patient age and SF-8 mental parameters (P=.012). Retrograde femoral intramedullary nailing is commonly used in elderly patients due to reliable bone healing, minimal soft tissue damage, and immediate full weight bearing. It also offers a valid alternative to antegrade nailing in femoral shaft fractures. Copyright 2012, SLACK Incorporated.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged, 80 and over -
- Female -
- Femoral Fractures - diagnosis
- Femoral Fractures - surgery
- Fracture Fixation, Intramedullary - instrumentation
- Fracture Fixation, Intramedullary - methods
- Humans -
- Male -
- Recovery of Function -
- Treatment Outcome -