Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Dec;89(12):1647-1651.
doi: 10.1111/ans.15519. Epub 2019 Oct 31.

Operation rate is more than double the revision rate for periprosthetic femur fractures

Harry Constantin  1 , Michael Le  2 , Richard de Steiger  3 , Ian A Harris  4   5
Affiliations

Operation rate is more than double the revision rate for periprosthetic femur fractures

Harry Constantin et al. ANZ J Surg. 2019 Dec.

Abstract

Background: Periprosthetic femur fractures (PFFs) following hip arthroplasty can lead to significant morbidity due to their impact on mobility and the need for surgery. Its incidence often measured by the prosthesis revision rate reported in joint replacement registries. However, many PFFs are also treated with prosthesis retention and internal fixation. Minimally displaced and stable fractures may be treated without surgery. Knowledge of the difference between the number of femoral revisions for PFF (well reported in registries) and the number of surgeries for PFF overall would allow us to estimate the overall surgical burden. This study aims to determine the number of post-operative PFF in three hospitals and compare those treated with revision surgery to those PFF treated with internal fixation and femoral stem retention. By determining this difference, we can ascertain a more accurate estimate of the overall surgical burden of PFF.

Method: Patients 50 years and older who sustained a post-operative PFF between 1 January 2011 and 31 December 2017 at three public hospitals were extracted from hospital records. The number of revision procedures was compared to the number of re-operations of any type.

Results: There were 200 patients admitted for management of PFF. One hundred and forty-three (71.5%) required an operation of which 67 (47%) were revision arthroplasty.

Conclusion: The overall surgical burden of PFF is approximately twice that represented by the revision rate.

Keywords: arthroplasty; hemiarthroplasty; hip; internal fixation; periprosthetic fractures; replacement; revision surgery.

PubMed Disclaimer

References

    1. Wiles P. The surgery of the osteo-arthritic hip. Br. J. Surg. 1958; 45: 488-97.
    1. Australian and New Zealand Hip Fracture Registry. Australian and New Zealand Guideline for Hip Fracture Care: Improving Outcomes in Hip Fracture Management of Adults. 2014. [Cited 3 Aug 2018]. Available from URL: https://anzhfr.org/wp-content/uploads/2016/07/ANZ-Guideline-for-Hip-Frac...
    1. Shan L, Shan B, Graham D, Saxena A. Total hip replacement: a systematic review and meta-analysis on mid-term quality of life. Osteoarthr. Cartil. 2014; 22: 389-406.
    1. Daigle ME, Weinstein AM, Katz JN, Losina E. The cost-effectiveness of total joint arthroplasty: a systematic review of published literature. Best Pract. Res. Clin. Rheumatol. 2012; 26: 649-58.
    1. Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). Hip, Knee & Shoulder Arthroplasty. Annual Report 2018. 2018. [Cited 10 Oct 2018]. Available from URL: https://aoanjrr.sahmri.com/documents/10180/576950/Hip%2C%20Knee%20%26%20...

MeSH terms

LinkOut - more resources