Hip fracture surgery type impacts future fracture risk

Hip fracture surgery type impacts future fracture risk
Patients with a primary proximal femoral fracture who undergo closed reduction and percutaneous pinning have a significantly increased risk of subsequent contralateral hip fracture compared with those who undergo arthroplasty, according to a study published in the March 7 issue of The Journal of Bone & Joint Surgery.

(HealthDay) -- Patients with a primary proximal femoral fracture who undergo closed reduction and percutaneous pinning have a significantly increased risk of subsequent contralateral hip fracture compared with those who undergo arthroplasty, according to a study published in the March 7 issue of The Journal of Bone & Joint Surgery.

To investigate the effect of different surgical procedures on subsequent contralateral risk, Christopher D. Souder, M.D., of the Texas A&M University Health Science Center College of Medicine in Temple, and associates conducted a retrospective review of electronic medical records and digital radiographs for 495 with a proximal femoral fracture treated with closed reduction and percutaneous pinning and 682 patients treated with arthroplasty.

The researchers found that, compared with patients who underwent arthroplasty, those who were managed with closed reduction and percutaneous pinning were twice as likely to have a subsequent contralateral femoral fracture. The contralateral fracture rates were 10.10 percent for the closed reduction and percutaneous pinning group and 5.57 percent for the arthroplasty group (P = 0.0035).

"Patients undergoing closed reduction and percutaneous pinning as the initial treatment for a hip fracture had an increased risk of a subsequent contralateral hip fracture in comparison with those undergoing arthroplasty, after controlling for patient characteristics," the authors write.

One or more of the authors disclosed financial ties to an entity in the biomedical arena.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Fluorescent dyes 'light up' brain cancer cells

14 hours ago

Two new fluorescent dyes attracted to cancer cells may help neurosurgeons more accurately localize and completely resect brain tumors, suggests a study in the February issue of Neurosurgery, official journal of the Congre ...

'Vast majority' of neurosurgeons practice defensive medicine

14 hours ago

More than three-fourths US neurosurgeons practice some form of defensive medicine—performing additional tests and procedures out of fear of malpractice lawsuits, reports a special article in the February issue of Neurosurgery, offici ...

Facelift surgery after massive weight loss poses challenges

Jan 29, 2015

Patients undergoing bariatric surgery for severe obesity are often left with excess, sagging skin affecting all areas of the body—including the face. The unique challenges of facelift surgery in this group of patients—and ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.