Oriol Pujol1,2, Nayana Joshi-Jubert3,4, Jorge H Nuñez3,4, Joan Pijoan3,4, Enric Castellet3,4, Joan Minguell3,4. 1. Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Pg. Vall d'Hebron 119-129, 08035, Barcelona, Spain. opujol@vhebron.net. 2. Universitat Autónoma de Barcelona, Barcelona, Spain. opujol@vhebron.net. 3. Knee Surgery Unit, Orthopedic Surgery Department, Vall d'Hebron University Hospital, Universitat Autónoma de Barcelona, Pg. Vall d'Hebron 119-129, 08035, Barcelona, Spain. 4. Universitat Autónoma de Barcelona, Barcelona, Spain.
Abstract
PURPOSE: To analyze the outcomes of elderly patients with periprosthetic fractures around the knee operated on with a distal femur replacement (DFR). METHODS: We performed a retrospective case series study of eleven elderly patients who underwent DFR due to a periprosthetic fracture. Mean follow-up was 30.1 months (SD 28.1). Demographic, clinical and radiological data were reviewed. A descriptive analysis and a study of survival were conducted. Then, a comparative analysis between the patients who needed reoperation and did not need reoperation, and the patients who died and the patients who were alive during the follow-up was performed. RESULTS: Mean age was 77.1 years (SD 13.9). Reoperation rate was 36%, being infection the most common complication (27%). The risk of reoperation increased with a longer time between fracture and surgery. The 36.4% of patients died during the follow-up. Older age, need of blood transfusion and need of early reoperation were related to a higher risk of mortality. CONCLUSION: DFR could be a valuable option for knee periprosthetic fractures in elderly patients. However, surgeons should be aware of the high reoperation and mortality rate.
PURPOSE: To analyze the outcomes of elderly patients with periprosthetic fractures around the knee operated on with a distal femur replacement (DFR). METHODS: We performed a retrospective case series study of eleven elderly patients who underwent DFR due to a periprosthetic fracture. Mean follow-up was 30.1 months (SD 28.1). Demographic, clinical and radiological data were reviewed. A descriptive analysis and a study of survival were conducted. Then, a comparative analysis between the patients who needed reoperation and did not need reoperation, and the patients who died and the patients who were alive during the follow-up was performed. RESULTS: Mean age was 77.1 years (SD 13.9). Reoperation rate was 36%, being infection the most common complication (27%). The risk of reoperation increased with a longer time between fracture and surgery. The 36.4% of patients died during the follow-up. Older age, need of blood transfusion and need of early reoperation were related to a higher risk of mortality. CONCLUSION: DFR could be a valuable option for knee periprosthetic fractures in elderly patients. However, surgeons should be aware of the high reoperation and mortality rate.
Authors: Nabil A Ebraheim; Jiayong Liu; Sohaib Z Hashmi; Kyle R Sochacki; Muhammad Z Moral; Adam G Hirschfeld Journal: J Arthroplasty Date: 2011-10-02 Impact factor: 4.757
Authors: S M Javad Mortazavi; Mark F Kurd; Benjamin Bender; Zachary Post; Javad Parvizi; James J Purtill Journal: J Arthroplasty Date: 2010-02-19 Impact factor: 4.757
Authors: Jacob M Drew; William L Griffin; Susan M Odum; Bryce Van Doren; Brock T Weston; Louis S Stryker Journal: J Arthroplasty Date: 2015-12-09 Impact factor: 4.757