Top

European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-02-2020 | Original Article • HIP - ARTHROPLASTY

Does the duration to bipolar hip arthroplasty for femoral neck fracture influence on postoperative muscular strength?

Authors: Nobuaki Chinzei, Mitsuaki Noda, Takehiko Matsushita, Atsuyuki Inui, Shin Osawa, Kenjiro Okimura, Masayasu Takahashi, Yasuhiro Saegusa

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 2/2020

Abstract

Background

The primary purpose of this study was to compare the postoperative muscular strength and functional performance between early versus late bipolar hip arthroplasty (BHA) intervention for femoral neck fracture classified by the duration from the onset to surgery.

Methods

Twenty-one patients who could walk at 12 months or more after BHA were enrolled into this study. We examined the muscular strength of hip flexion, extension, abduction, and knee extension of these patients. Time of one-leg standing, timed up and go test, pain grade by visual analog scale, and Barthel index were also evaluated as functional indices. We classified these patients into two groups by the duration from the onset to surgery, namely: within 3 days until BHA (early OP) and more than 4 days (late OP) to compare these indices at the latest follow-up.

Results

The mean days until operation were 2.3 days in the early-OP group and 5.9 days in the late-OP group, showing a significant difference between the two groups. Muscular strength and other functional indices were also found to have no significant differences between these two groups.

Conclusion

Our study suggests that the delay to operate might not severely compromise the muscular strength around the hip joint for least 1.5 years among ambulatory patients.

Tsuda T (2017) Epidemiology of fragility fractures and fall prevention in the elderly: a systematic review of the literature. Curr Orthop Pract 28(6):580–585. https://doi.org/10.1097/BCO.0000000000000563 CrossRefPubMedPubMedCentral

Bretherton CP, Parker MJ (2015) Early surgery for patients with a fracture of the hip decreases 30-day mortality. Bone Jt J 97-B(1):104–108. https://doi.org/10.1302/0301-620x.97b1.35041 CrossRef

Atik OS (2019) There is an association between sarcopenia, osteoporosis, and the risk of hip fracture. Eklem hastaliklari ve cerrahisi Jt Dis Relat Surg 30(1):1. https://doi.org/10.5606/ehc.2019.001 CrossRef

Bottle A, Aylin P (2006) Mortality associated with delay in operation after hip fracture: observational study. BMJ 332(7547):947–951. https://doi.org/10.1136/bmj.38790.468519.55 CrossRefPubMedPubMedCentral

Villar RN, Allen SM, Barnes SJ (1986) Hip fractures in healthy patients: operative delay versus prognosis. BMJ 293(6556):1203–1204CrossRef

Noda M, Saegusa Y, Takahashi M, Noguchi C, Yoshikawa C, Mikami H, Gotouda A (2017) Comparison of post-operative muscular strength between gamma nailing and hemiarthroplasty system in femoral intertrochanteric fractures. Open Orthop J 11:255–262. https://doi.org/10.2174/1874325001711010255 CrossRefPubMedPubMedCentral

Mariconda M, Costa GG, Cerbasi S, Recano P, Aitanti E, Gambacorta M, Misasi M (2015) The determinants of mortality and morbidity during the year following fracture of the hip: a prospective study. Bone Jt J 97-B(3):383–390. https://doi.org/10.1302/0301-620x.97b3.34504 CrossRef

Crego-Vita D, Sanchez-Perez C, Gomez-Rico JA, de Arriba CC (2017) Intracapsular hip fractures in the elderly. Do we know what is important? Injury 48(3):695–700. https://doi.org/10.1016/j.injury.2017.01.022 CrossRefPubMed

Cawthon PM, Fox KM, Gandra SR, Delmonico MJ, Chiou CF, Anthony MS, Sewall A, Goodpaster B, Satterfield S, Cummings SR, Harris TB, Health A, Body Composition S (2009) Do muscle mass, muscle density, strength, and physical function similarly influence risk of hospitalization in older adults? J Am Geriatr Soc 57(8):1411–1419. https://doi.org/10.1111/j.1532-5415.2009.02366.x CrossRefPubMedPubMedCentral

10.

Deren ME, Babu J, Cohen EM, Machan J, Born CT, Hayda R (2017) Increased mortality in elderly patients with sarcopenia and acetabular fractures. J Bone Jt Surg Am 99(3):200–206. https://doi.org/10.2106/JBJS.16.00734 CrossRef

11.

Steele KM, Seth A, Hicks JL, Schwartz MS, Delp SL (2010) Muscle contributions to support and progression during single-limb stance in crouch gait. J Biomech 43(11):2099–2105. https://doi.org/10.1016/j.jbiomech.2010.04.003 CrossRefPubMedPubMedCentral

12.

Uemura K, Takao M, Sakai T, Nishii T, Sugano N (2016) Volume increases of the gluteus maximus, gluteus medius, and thigh muscles after hip arthroplasty. J Arthroplasty 31(4):906–912. https://doi.org/10.1016/j.arth.2015.10.036 CrossRefPubMed

13.

Rikkonen T, Poole K, Sirola J, Sund R, Honkanen R, Kroger H (2018) Long-term effects of functional impairment on fracture risk and mortality in postmenopausal women. Osteoporos Int 29(9):2111–2120. https://doi.org/10.1007/s00198-018-4588-4 CrossRefPubMed

14.

Mayoral AP, Ibarz E, Gracia L, Mateo J, Herrera A (2019) The use of Barthel index for the assessment of the functional recovery after osteoporotic hip fracture: one year follow-up. PLoS ONE 14(2):e0212000. https://doi.org/10.1371/journal.pone.0212000 CrossRefPubMedPubMedCentral

15.

Unnanuntana A, Jarusriwanna A, Nepal S (2018) Validity and responsiveness of Barthel index for measuring functional recovery after hemiarthroplasty for femoral neck fracture. Arch Orthop Trauma Surg 138(12):1671–1677. https://doi.org/10.1007/s00402-018-3020-z CrossRefPubMed

16.

Fischer K, Trombik M, Freystatter G, Egli A, Theiler R, Bischoff-Ferrari HA (2019) Timeline of functional recovery after hip fracture in seniors aged 65 and older: a prospective observational analysis. Osteoporos Int. https://doi.org/10.1007/s00198-019-04944-5 CrossRefPubMed

17.

Klestil T, Roder C, Stotter C, Winkler B, Nehrer S, Lutz M, Klerings I, Wagner G, Gartlehner G, Nussbaumer-Streit B (2018) Impact of timing of surgery in elderly hip fracture patients: a systematic review and meta-analysis. Sci Rep 8(1):13933. https://doi.org/10.1038/s41598-018-32098-7 CrossRefPubMedPubMedCentral

18.

Lim YW, Kwon SY, Han SK, Sun DH, Choi SP, Kim YS (2009) Postoperative mortality and factors related to mortality after bipolar hemiarthroplasty in patients with femoral neck fractures. J Arthroplasty 24(8):1277–1280. https://doi.org/10.1016/j.arth.2009.06.019 CrossRefPubMed

19.

Schneppendahl J, Grassmann JP, Petrov V, Bottner F, Korbl B, Hakimi M, Betsch M, Windolf J, Wild M (2012) Decreasing mortality after femoral neck fracture treated with bipolar hemiarthroplasty during the last twenty years. Int Orthop 36(10):2021–2026. https://doi.org/10.1007/s00264-012-1600-z CrossRefPubMedPubMedCentral

20.

White BL, Fisher WD, Laurin CA (1987) Rate of mortality for elderly patients after fracture of the hip in the 1980’s. J Bone Jt Surg Am 69(9):1335–1340CrossRef

21.

Navone P, Nobile M, Scognamiglio Pasini T, Piscitelli A, Colombo A, Mazzola S, Mazza EL, Colombo M, Calori GM (2017) Proximal femoral fractures in elderly people: time to surgery. The experience of Milan’s “ASST Pini/CTO”. Injury 48(Suppl 3):S39–S43. https://doi.org/10.1016/s0020-1383(17)30656-3 CrossRefPubMed

22.

Zielinski SM, Keijsers NL, Praet SF, Heetveld MJ, Bhandari M, Wilssens JP, Patka P, Van Lieshout EM, Investigators FT (2013) Femoral neck shortening after internal fixation of a femoral neck fracture. Orthopedics 36(7):e849–e858. https://doi.org/10.3928/01477447-20130624-13 CrossRefPubMed

23.

Noda M, Saegusa Y, Takahashi M, Takada Y, Fujita M, Shinohara I (2017) Decreased postoperative gluteus medius muscle cross-sectional area measured by computed tomography scan in patients with intertrochanteric fractures nailing. J Orthop Surg 25(3):2309499017727943. https://doi.org/10.1177/2309499017727943 CrossRef

Title: Does the duration to bipolar hip arthroplasty for femoral neck fracture influence on postoperative muscular strength?
Authors: Nobuaki Chinzei
Mitsuaki Noda
Takehiko Matsushita
Atsuyuki Inui
Shin Osawa
Kenjiro Okimura
Masayasu Takahashi
Yasuhiro Saegusa
Publication date: 01-02-2020
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 2/2020
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02545-w

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Does the duration to bipolar hip arthroplasty for femoral neck fracture influence on postoperative muscular strength?

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2020

Complications and results of the arthrodesis after total ankle arthroplasty failure: a retrospective monocentric study of 12 cases

Cephalomedullary nailing versus sliding hip screws for Intertrochanteric and basicervical hip fractures: a propensity-matched study of short-term outcomes in over 17,000 patients

Two-staged reverse sural flap: a versatile flap with consistent results in the soft tissue reconstruction of distal leg and heel defects—an institutional experience

Surgical technique in tension band wiring method for selected comminuted olecranon fractures

Clinical outcomes of lumbar diseases specific test in patients who undergo endoscopy-assisted tubular surgery with lumbar herniated nucleus pulposus: an analysis using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ)

Correlation between the mid-substance cross-sectional anterior cruciate ligament size and the knee osseous morphology