| Trochanteric fractures. Mobility, complications, and mortality in 607 cases treated with the sliding-screw technique. | |
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MedLine Citation:
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PMID: 1699695 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Six hundred seven trochanteric fractures (563 patients) were treated with a sliding-screw technique and followed clinically and roentgenographically for at least one year. Of 351 patients admitted from their homes, 209 (60%) were discharged to their homes after an average of 18 days in the hospital. During the first year another 61 (17%) patients returned home after rehabilitation in a geriatric ward. Of 446 patients walking without support or with one cane before surgery, 360 (80%) had regained the same mobility after one year. The one-year mortality rate was 18%, while the ten-year rate was 74%. Compared with a control cohort, the mortality rate was increased during the first two years after fracture. The increase in mortality was influenced by advanced age, admission from long-term care institutions, male gender, and ambulatory or nonambulatory status before surgery. Forty-five (7.4%) were reoperated, 17 because of technical complications, three because of infection, and three because of nonunion. No further nonunions occurred. The deep infection rate was nine of 339 (2.7%) before and two of 268 (0.8%) after the introduction of antibiotic prophylaxis. Thromboembolic complications decreased from 4.1% to 1.2% after the introduction of dextran 70 as thromboembolic prophylaxis. |
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Authors:
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S Larsson; S Friberg; L I Hansson |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: - ISSN: 0009-921X ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 1990 Nov |
Date Detail:
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Created Date: 1990-12-14 Completed Date: 1990-12-14 Revised Date: 2005-03-03 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 232-41 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopedics, University Hospital, Umeå, Sweden. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Bone Plates Bone Screws* Dextrans / therapeutic use Female Follow-Up Studies Hip Fractures / complications, mortality, surgery* Humans Length of Stay Male Middle Aged Retrospective Studies Thromboembolism / etiology, prevention & control |
| Chemical | |
Reg. No./Substance:
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9004-54-0/Dextrans |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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