Jacob M Drew1, William L Griffin2, Susan M Odum3, Bryce Van Doren3, Brock T Weston3, Louis S Stryker4. 1. OrthoCarolina Hip and Knee Center, Charlotte, North Carolina; Department of Orthopaedics, Medical University of South Carolina, Charleston, South Carolina. 2. OrthoCarolina Hip and Knee Center, Charlotte, North Carolina. 3. OrthoCarolina Research Institute, Charlotte, North Carolina. 4. OrthoCarolina Hip and Knee Center, Charlotte, North Carolina; Department of Orthopaedics, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Abstract
BACKGROUND: Data addressing risk factors predictive of mortality and reoperation after periprosthetic femur fractures (PPFxs) are lacking. This study examined survivorship and risk ratios for mortality and reoperation after surgical treatment for PPFx and associated clinical risk factors. METHODS: A retrospective review was performed for 291 patients treated surgically for PPFx between 2004 and 2013. Primary outcomes were death and reoperation. RESULTS: Mortality at 1 year was 13%, whereas the rate of reoperation was 12%. Greater span of fixation and revision arthroplasty (vs open reduction internal fixation) trended toward a lower likelihood of reoperation. CONCLUSION: After PPFx, patients have a 24% risk of either death or reoperation at 1 year. Factors contributing to increased mortality are nonmodifiable. Risk of reoperation is minimized with greater span of fixation and performance of revision arthroplasty.
BACKGROUND: Data addressing risk factors predictive of mortality and reoperation after periprosthetic femur fractures (PPFxs) are lacking. This study examined survivorship and risk ratios for mortality and reoperation after surgical treatment for PPFx and associated clinical risk factors. METHODS: A retrospective review was performed for 291 patients treated surgically for PPFx between 2004 and 2013. Primary outcomes were death and reoperation. RESULTS: Mortality at 1 year was 13%, whereas the rate of reoperation was 12%. Greater span of fixation and revision arthroplasty (vs open reduction internal fixation) trended toward a lower likelihood of reoperation. CONCLUSION: After PPFx, patients have a 24% risk of either death or reoperation at 1 year. Factors contributing to increased mortality are nonmodifiable. Risk of reoperation is minimized with greater span of fixation and performance of revision arthroplasty.
Keywords:
mortality; periprosthetic fracture; revision total hip arthroplasty; revision total knee arthroplasty; total hip arthroplasty; total knee arthroplasty
Authors: Adam I Edelstein; Eric L Hume; Liliana E Pezzin; Emily L McGinley; Timothy R Dillingham Journal: J Bone Joint Surg Am Date: 2022-03-16 Impact factor: 5.284