Hip fracture surgery type impacts future fracture risk

March 17, 2012
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.

Explore further: Fracture prediction methods may be useful for patients with diabetes

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

Related Stories

Recommended for you

An eye on young specialists' success

December 5, 2016

Graduates from several medical and surgical specialties are having difficulty securing practice opportunities, especially in specialties dependent upon limited resources, according to new research from Queen's ophthalmologist ...

'Halo' effect common after lasik eye surgery

December 3, 2016

(HealthDay)—Nine out of 10 Lasik laser eye surgery patients report satisfaction afterwards. But a sizable percentage experience new visual disturbances—like seeing halos around lights—up to six months after the procedure, ...

0 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.