Document Detail


Outcomes of modular proximal femoral replacement in the treatment of complex proximal femoral fractures: a case series.
MedLine Citation:
PMID:  18337199     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The treatment of complex femur fractures poses a significant challenge. Even with current advancements and the various implements available for the fixation of femoral fractures, results are often disappointing. This study sought to identify problems associated with and examine results of modular proximal femoral replacement. Outcomes were evaluated in two groups of patients: those receiving primary modular proximal femoral replacement for fractures and those treated with salvage arthroplasty for failed internal fixation. METHODS: Twelve patients who had received modular proximal femoral replacement as primary treatment for proximal femoral fractures were evaluated along with nine patients treated with salvage proximal femoral replacement for failed internal fixation. After the surgical procedure, patients were evaluated at regular follow-up intervals and contacted by phone at the conclusion of this study. Patient functional results were evaluated using the Merle D'Aubigne hip rating scale, which measures pain, motion and ambulatory status. Routine radiographs were also obtained at each patient visit. RESULTS: On average, patients who received modular proximal femoral replacement as the primary surgery for their femoral fractures enjoyed a high-level functional result and had few complications. Subjects who received salvage femoral replacement had a less optimal outcome and experienced more complications. Nonetheless, final post-operative MDA score was significantly increased from pre-operative levels. CONCLUSION: Modular proximal femoral replacement is a viable option in the primary fracture or revision setting, and has been shown to have a reasonable outcome, especially when the nature of initial injury is taken into account.
Authors:
Andrew J Schoenfeld; Mark C Leeson; Gregory A Vrabec; Joseph Scaglione; Matthew J Stonestreet
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Publication Detail:
Type:  Journal Article     Date:  2008-02-06
Journal Detail:
Title:  International journal of surgery (London, England)     Volume:  6     ISSN:  1743-9159     ISO Abbreviation:  -     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-29     Completed Date:  2008-06-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101228232     Medline TA:  Int J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  140-6     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Northeastern Ohio Universities College of Medicine, Akron, OH 44302, USA. ajschoen@neoucom.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arthroplasty
Female
Femoral Fractures / radiography,  surgery*
Follow-Up Studies
Fracture Fixation, Internal / adverse effects
Humans
Male
Middle Aged
Outcome Assessment (Health Care)*
Prostheses and Implants*
Salvage Therapy
Treatment Failure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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