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

To remove the gallbladder or not—that is the question

Dec 23, 2014

Gallbladder removal is one of the most common operations performed in older adults. Yet, research from the University of Texas Medical Branch at Galveston shows many patients who would benefit most from the ...

Researchers find alternate drug therapy lowers antibodies

Dec 23, 2014

Findings of a three-year clinical trial led by University of Cincinnati (UC) transplant researchers suggest that a novel pre-operative drug therapy reduces antibodies in kidney patients with greater success than with traditional ...

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.