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New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore
There is no universal postoperative classification of extracapsular hip fractures (ECFs). We wondered if infection (according to infection after fracture fixation criteria (IAFF)), immediate partial weight bearing (PWB) and/or the new GammaTScore tool could predict early cut-out. We also examined th...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517159/ https://www.ncbi.nlm.nih.gov/pubmed/36141949 http://dx.doi.org/10.3390/ijerph191811680 |
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author | Hernández-Pascual, Carlos Santos-Sánchez, José Ángel Hernández-Rodríguez, Jorge Silva-Viamonte, Carlos Fernando Pablos-Hernández, Carmen Villanueva-Martínez, Manuel Mirón-Canelo, José Antonio |
author_facet | Hernández-Pascual, Carlos Santos-Sánchez, José Ángel Hernández-Rodríguez, Jorge Silva-Viamonte, Carlos Fernando Pablos-Hernández, Carmen Villanueva-Martínez, Manuel Mirón-Canelo, José Antonio |
author_sort | Hernández-Pascual, Carlos |
collection | PubMed |
description | There is no universal postoperative classification of extracapsular hip fractures (ECFs). We wondered if infection (according to infection after fracture fixation criteria (IAFF)), immediate partial weight bearing (PWB) and/or the new GammaTScore tool could predict early cut-out. We also examined the correlation between GammaTScore and time to consolidation and studied long-term survival. This was a retrospective cohort study of low-energy complete ECFs operated with Gamma3T nailing in 2014 and fully monitoring, in patients aged over 65. Ten not distally locked cases, one late cut-out, one cut-through, one osteonecrosis and one pseudarthrosis were discarded. Patients were classified into early cut-out (7/204; 3.55%) and no early cut-out (197/204; 96.45%). There was a lower percentage of A2 fractures according to the AO Foundation/Orthopaedic Trauma Association classification (AO/OTA, 1997) in early cut-out. IAFF and only the GammaTScore reduction parameter were different for early cut-out, in opposition to immediate PWB, tip-to-apex distance (TAD) or the Baumgaertner–Fogagnolo classification. GammaTScore inversely correlated with consolidation (p < 0.01). Long-term survival time was not statistically significantly lower in the early cut-out group. Small sample of cases may limit our results. Apart from an important role of IAFF, GammaTScore would be useful for predicting consolidation, avoiding complications and reducing costs. Further studies are needed for reliability. |
format | Online Article Text |
id | pubmed-9517159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95171592022-09-29 New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore Hernández-Pascual, Carlos Santos-Sánchez, José Ángel Hernández-Rodríguez, Jorge Silva-Viamonte, Carlos Fernando Pablos-Hernández, Carmen Villanueva-Martínez, Manuel Mirón-Canelo, José Antonio Int J Environ Res Public Health Article There is no universal postoperative classification of extracapsular hip fractures (ECFs). We wondered if infection (according to infection after fracture fixation criteria (IAFF)), immediate partial weight bearing (PWB) and/or the new GammaTScore tool could predict early cut-out. We also examined the correlation between GammaTScore and time to consolidation and studied long-term survival. This was a retrospective cohort study of low-energy complete ECFs operated with Gamma3T nailing in 2014 and fully monitoring, in patients aged over 65. Ten not distally locked cases, one late cut-out, one cut-through, one osteonecrosis and one pseudarthrosis were discarded. Patients were classified into early cut-out (7/204; 3.55%) and no early cut-out (197/204; 96.45%). There was a lower percentage of A2 fractures according to the AO Foundation/Orthopaedic Trauma Association classification (AO/OTA, 1997) in early cut-out. IAFF and only the GammaTScore reduction parameter were different for early cut-out, in opposition to immediate PWB, tip-to-apex distance (TAD) or the Baumgaertner–Fogagnolo classification. GammaTScore inversely correlated with consolidation (p < 0.01). Long-term survival time was not statistically significantly lower in the early cut-out group. Small sample of cases may limit our results. Apart from an important role of IAFF, GammaTScore would be useful for predicting consolidation, avoiding complications and reducing costs. Further studies are needed for reliability. MDPI 2022-09-16 /pmc/articles/PMC9517159/ /pubmed/36141949 http://dx.doi.org/10.3390/ijerph191811680 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hernández-Pascual, Carlos Santos-Sánchez, José Ángel Hernández-Rodríguez, Jorge Silva-Viamonte, Carlos Fernando Pablos-Hernández, Carmen Villanueva-Martínez, Manuel Mirón-Canelo, José Antonio New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore |
title | New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore |
title_full | New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore |
title_fullStr | New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore |
title_full_unstemmed | New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore |
title_short | New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore |
title_sort | new prognostic factors in operated extracapsular hip fractures: infection and gammatscore |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9517159/ https://www.ncbi.nlm.nih.gov/pubmed/36141949 http://dx.doi.org/10.3390/ijerph191811680 |
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