Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Dorotka, R; Windhager, R; Kotz, R.
Periprosthetic femoral fractures in total hip prosthesis implantation.Functional and radiological comparison between plate osteosynthesis and proximal femur replacement
Z Orthop Ihre Grenzgeb. 2000; 138(5):440-446
Doi: 10.1055%2Fs-2000-10175
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- Co-Autor*innen der Med Uni Graz
- Windhager Reinhard
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- Abstract:
- AIM: Clinical and radiological examinations were performed to compare plate osteosynthesis (group 1) with replacement of the proximal femur by tumor prosthesis (group 2) in patients with ipsilateral femoral fractures around a hip prosthesis. METHOD: Of 24 consecutive patients with 25 fractures, nine had died and one could be contacted by telephone leaving 14 hips (in one case only recent X-rays were available) for final review (nine patients from group 1; five from group 2). RESULTS: At the time of examination four patients of group 1 were using one cane or were walking without any support, all patients of group 2 needed one or two crutches. In 5 of 9 patients in group 1 and in 4 of 5 in group 2 a firm fit of the prosthesis was observed. CONCLUSION: Group 1 achieved better clinical results in postoperative mobility, whereas femoral replacement showed better radiological results. Survival of patients with tumor prostheses was considerably superior to that of patients with plate osteosynthesis.
- Find related publications in this database (using NLM MeSH Indexing)
- Activities of Daily Living - classification
- Adult - classification
- Aged - classification
- Aged, 80 and over - classification
- Arthroplasty, Replacement, Hip - classification
- Bone Plates - classification
- Female - classification
- Follow-Up Studies - classification
- Fracture Fixation, Internal - classification
- Hip Fractures - radiography
- Humans - radiography
- Male - radiography
- Middle Aged - radiography
- Postoperative Complications - radiography
- Prosthesis Design - radiography
- Prosthesis Failure - radiography
- Reoperation - radiography
- Retrospective Studies - radiography
- Find related publications in this database (Keywords)
- periprosthetic femoral fracture
- hip prosthesis plating
- proximal replacement