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Osteoporotic Hip Fractures: The Burden of Fixation Failure
Joint Authors
Broderick, J. M.
Bruce-Brand, R.
Stanley, E.
Mulhall, K. J.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-06
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Osteoporotic hip fractures are a major cause of morbidity and mortality in the elderly.
Furthermore, reduced implant anchorage in osteoporotic bone predisposes towards fixation failure and with an ageing population, even low failure rates represent a significant challenge to healthcare systems.
Fixation failure in fragility fractures of the hip ranges from 5% in peritrochanteric fractures through to 15% and 41% in undisplaced and displaced fractures of the femoral neck, respectively.
Our findings, in general, support the view that failed internal fixation of these fragility fractures carries a poor prognosis: it leads to a twofold increase in the length of hospital stay and a doubling of healthcare costs.
Patients are more likely to suffer a downgrade in their residential status upon discharge with a consequent increase in social dependency.
Furthermore, the marked disability and reduction in quality of life evident before salvage procedures may persist at long-term followup.
The risk, of course, for the elderly patient with a prolonged period of decreased functioning is that the disability becomes permanent.
Despite this, however, no clear link between revision surgery and an increase in mortality has been demonstrated in the literature.
American Psychological Association (APA)
Broderick, J. M.& Bruce-Brand, R.& Stanley, E.& Mulhall, K. J.. 2013. Osteoporotic Hip Fractures: The Burden of Fixation Failure. The Scientific World Journal،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1033011
Modern Language Association (MLA)
Broderick, J. M.…[et al.]. Osteoporotic Hip Fractures: The Burden of Fixation Failure. The Scientific World Journal No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-1033011
American Medical Association (AMA)
Broderick, J. M.& Bruce-Brand, R.& Stanley, E.& Mulhall, K. J.. Osteoporotic Hip Fractures: The Burden of Fixation Failure. The Scientific World Journal. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1033011
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1033011