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How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa
Periprosthetic fractures of the distal femur have significant morbidity in both total hip and total knee arthroplasty (THA and TKA, respectively). The incidence of these fractures is growing, with the predominant mechanism of injury being a fall from a standing height and therefore considered fragil...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064638/ https://www.ncbi.nlm.nih.gov/pubmed/37006452 http://dx.doi.org/10.1097/OI9.0000000000000238 |
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author | Bernstein, Brian P. Rivkin, Gurion Weil, Yoram A. Greenberg, Alexander Madison, Brian B. Areu, Mapour M. Joda, Omojowk B. Berry, Kirsty Leigh Nortje, Marc |
author_facet | Bernstein, Brian P. Rivkin, Gurion Weil, Yoram A. Greenberg, Alexander Madison, Brian B. Areu, Mapour M. Joda, Omojowk B. Berry, Kirsty Leigh Nortje, Marc |
author_sort | Bernstein, Brian P. |
collection | PubMed |
description | Periprosthetic fractures of the distal femur have significant morbidity in both total hip and total knee arthroplasty (THA and TKA, respectively). The incidence of these fractures is growing, with the predominant mechanism of injury being a fall from a standing height and therefore considered fragility fractures. In many countries, improved public funding and a flourishing private health care sector, when coupled with increased life expectancy, translates to more older patients receiving both TKA and THA and therefore an increased prevalence of periprosthetic fractures and their associated complications. These fractures may occur below a long stem THA, above a TKA, or between the two (so-called “interprosthetic fracture”). We will outline fracture classification, risk factors, diagnosis, and treatment options, highlighting perspectives on treating these fractures in Israel, South Africa, and South Sudan. These countries represent differing access to resources, varied comorbidity factors, and differing health care systems. The points of difference and the points of similarity will be considered. |
format | Online Article Text |
id | pubmed-10064638 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer |
record_format | MEDLINE/PubMed |
spelling | pubmed-100646382023-04-01 How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa Bernstein, Brian P. Rivkin, Gurion Weil, Yoram A. Greenberg, Alexander Madison, Brian B. Areu, Mapour M. Joda, Omojowk B. Berry, Kirsty Leigh Nortje, Marc OTA Int Standard Review Article Periprosthetic fractures of the distal femur have significant morbidity in both total hip and total knee arthroplasty (THA and TKA, respectively). The incidence of these fractures is growing, with the predominant mechanism of injury being a fall from a standing height and therefore considered fragility fractures. In many countries, improved public funding and a flourishing private health care sector, when coupled with increased life expectancy, translates to more older patients receiving both TKA and THA and therefore an increased prevalence of periprosthetic fractures and their associated complications. These fractures may occur below a long stem THA, above a TKA, or between the two (so-called “interprosthetic fracture”). We will outline fracture classification, risk factors, diagnosis, and treatment options, highlighting perspectives on treating these fractures in Israel, South Africa, and South Sudan. These countries represent differing access to resources, varied comorbidity factors, and differing health care systems. The points of difference and the points of similarity will be considered. Wolters Kluwer 2023-03-28 /pmc/articles/PMC10064638/ /pubmed/37006452 http://dx.doi.org/10.1097/OI9.0000000000000238 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Standard Review Article Bernstein, Brian P. Rivkin, Gurion Weil, Yoram A. Greenberg, Alexander Madison, Brian B. Areu, Mapour M. Joda, Omojowk B. Berry, Kirsty Leigh Nortje, Marc How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa |
title | How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa |
title_full | How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa |
title_fullStr | How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa |
title_full_unstemmed | How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa |
title_short | How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa |
title_sort | how resources affect management of periprosthetic fractures of the distal femur: perspectives from israel, south sudan, and south africa |
topic | Standard Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064638/ https://www.ncbi.nlm.nih.gov/pubmed/37006452 http://dx.doi.org/10.1097/OI9.0000000000000238 |
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