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Published in: Archives of Orthopaedic and Trauma Surgery 5/2024

Open Access 30-03-2024 | Femoral Fracture | Trauma Surgery

Health-related quality of life (EQ-5D) after revision arthroplasty following periprosthetic femoral fractures Vancouver B2 and B3 in geriatric trauma patients

Authors: Melina Pavlović, Christopher Bliemel, Vanessa Ketter, Julia Lenz, Steffen Ruchholtz, Daphne Eschbach

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2024

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Abstract

Introduction

The aim of this study was to determine the outcome parameters of revision arthroplasties for periprosthetic femoral fractures (PPFF) with a particular attention to quality of life (QoL) and mobility.

Materials and methods

Retrospective single-center study of PPFF with loose implants that underwent revision arthroplasty. Depending on individual patient characteristics, either an uncemented or cemented revision stem was chosen. Data collection included demographics, complications, clinical course and outcome parameters. Follow-up took place at least one year postoperatively.

Results

Between 2008 and 2016, 43 patients could be included. Most patients (63%) were able to walk independently or with a walking aid after one year and amongst the surveyed patients 77% were able to reside at home. Concerning the QoL assessment, a high index of 0.8 ± 0.1 has been reached after one year. Mortality pointed out to be 9% after one year and 28% in general.

Conclusion

The treatment of PPFF remains challenging. Although complication rates and mortality are high in this frail collective of geriatric patients, revision arthroplasty leads to good postoperative results regarding mobility and quality of life.
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Literature
7.
go back to reference Duncan CP, Masri BA (1995) Fractures of the femur after hip replacement. Instr Course Lect 44:293–304PubMed Duncan CP, Masri BA (1995) Fractures of the femur after hip replacement. Instr Course Lect 44:293–304PubMed
8.
go back to reference Greidanus NV, Mitchell PA, Masri BA, Garbuz DS, Duncan CP (2003) Principles of management and results of treating the fractured femur during and after total hip arthroplasty. Instr Course Lect 52:309–322PubMed Greidanus NV, Mitchell PA, Masri BA, Garbuz DS, Duncan CP (2003) Principles of management and results of treating the fractured femur during and after total hip arthroplasty. Instr Course Lect 52:309–322PubMed
12.
go back to reference Masri BA, Meek RM, Duncan CP (2004) Periprosthetic fractures evaluation and treatment. Clin Orthop Relat Res 80–95 Masri BA, Meek RM, Duncan CP (2004) Periprosthetic fractures evaluation and treatment. Clin Orthop Relat Res 80–95
21.
go back to reference Buecking B, Struewer J, Waldermann A, Horstmann K, Schubert N, Balzer-Geldsetzer M, Dodel R, Bohl K, Ruchholtz S, Bliemel C (2014) What determines health-related quality of life in hip fracture patients at the end of acute care?--a prospective observational study. Osteoporos Int 25:475–484. https://doi.org/10.1007/s00198-013-2415-5CrossRefPubMed Buecking B, Struewer J, Waldermann A, Horstmann K, Schubert N, Balzer-Geldsetzer M, Dodel R, Bohl K, Ruchholtz S, Bliemel C (2014) What determines health-related quality of life in hip fracture patients at the end of acute care?--a prospective observational study. Osteoporos Int 25:475–484. https://​doi.​org/​10.​1007/​s00198-013-2415-5CrossRefPubMed
Metadata
Title
Health-related quality of life (EQ-5D) after revision arthroplasty following periprosthetic femoral fractures Vancouver B2 and B3 in geriatric trauma patients
Authors
Melina Pavlović
Christopher Bliemel
Vanessa Ketter
Julia Lenz
Steffen Ruchholtz
Daphne Eschbach
Publication date
30-03-2024
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 5/2024
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-024-05287-5

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