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Periprosthetic femoral fractures in Northern Ireland.

Twenty-five patients with periprosthetic femoral fractures were admitted to the Ulster Hospital between August 1998 and May 2000. Average age was 77 years (range, 42-96 years) with a female to male ratio of 2:1. Twenty-four of the fractures occurred following primary joint arthroplasty on average 7....

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Detalles Bibliográficos
Autores principales: Ruiz, A. L., Thompson, N. W., Brown, J. G.
Formato: Texto
Lenguaje:English
Publicado: Ulster Medical Society 2000
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2449187/
https://www.ncbi.nlm.nih.gov/pubmed/11196722
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author Ruiz, A. L.
Thompson, N. W.
Brown, J. G.
author_facet Ruiz, A. L.
Thompson, N. W.
Brown, J. G.
author_sort Ruiz, A. L.
collection PubMed
description Twenty-five patients with periprosthetic femoral fractures were admitted to the Ulster Hospital between August 1998 and May 2000. Average age was 77 years (range, 42-96 years) with a female to male ratio of 2:1. Twenty-four of the fractures occurred following primary joint arthroplasty on average 7.6 years from insertion of the primary prosthesis. One patient sustained an intraoperative fracture during revision surgery. In the majority (80%), the periprosthetic femoral fracture was associated with a traumatic event. On average, two days elapsed from the time of injury until admission to our unit. Time from admission to surgery was on average 4 days. All patients were treated by open fracture fixation. Duration of stay in the fracture unit was on average 20 days. Prior to their fracture 92% of patients were living at home and 84% were mobile either unaided or with the use of a stick. At most recent review, 72% are back living at home and 60% are mobile either unaided or with the use of a stick. We emphasise that there is the likelihood of an increase in periprosthetic femoral fractures due to the increasing number of primary arthroplasties being performed on a more active, ageing population. Preventative measures and cost implications are also discussed.
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spelling pubmed-24491872008-07-10 Periprosthetic femoral fractures in Northern Ireland. Ruiz, A. L. Thompson, N. W. Brown, J. G. Ulster Med J Research Article Twenty-five patients with periprosthetic femoral fractures were admitted to the Ulster Hospital between August 1998 and May 2000. Average age was 77 years (range, 42-96 years) with a female to male ratio of 2:1. Twenty-four of the fractures occurred following primary joint arthroplasty on average 7.6 years from insertion of the primary prosthesis. One patient sustained an intraoperative fracture during revision surgery. In the majority (80%), the periprosthetic femoral fracture was associated with a traumatic event. On average, two days elapsed from the time of injury until admission to our unit. Time from admission to surgery was on average 4 days. All patients were treated by open fracture fixation. Duration of stay in the fracture unit was on average 20 days. Prior to their fracture 92% of patients were living at home and 84% were mobile either unaided or with the use of a stick. At most recent review, 72% are back living at home and 60% are mobile either unaided or with the use of a stick. We emphasise that there is the likelihood of an increase in periprosthetic femoral fractures due to the increasing number of primary arthroplasties being performed on a more active, ageing population. Preventative measures and cost implications are also discussed. Ulster Medical Society 2000-11 /pmc/articles/PMC2449187/ /pubmed/11196722 Text en
spellingShingle Research Article
Ruiz, A. L.
Thompson, N. W.
Brown, J. G.
Periprosthetic femoral fractures in Northern Ireland.
title Periprosthetic femoral fractures in Northern Ireland.
title_full Periprosthetic femoral fractures in Northern Ireland.
title_fullStr Periprosthetic femoral fractures in Northern Ireland.
title_full_unstemmed Periprosthetic femoral fractures in Northern Ireland.
title_short Periprosthetic femoral fractures in Northern Ireland.
title_sort periprosthetic femoral fractures in northern ireland.
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2449187/
https://www.ncbi.nlm.nih.gov/pubmed/11196722
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