Primary prosthetic replacement in per- and intertrochanteric fractures
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Primary prosthetic replacement in per- and intertrochanteric fractures. / Hoffmann, M; Hartel, M; Rueger, J M; Lehmann, W.
in: EUR J TRAUMA EMERG S, Jahrgang 40, Nr. 3, 06.2014, S. 273-7.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Primary prosthetic replacement in per- and intertrochanteric fractures
AU - Hoffmann, M
AU - Hartel, M
AU - Rueger, J M
AU - Lehmann, W
PY - 2014/6
Y1 - 2014/6
N2 - PURPOSE: Hip arthroplasty is rarely indicated in the treatment of per- and intertrochanteric femur fractures. Although the majority of fractures are amenable to closed- or open reduction and internal fixation (CRIF/ORIF), in some patients the complexity of the fracture or other patient-related factors may cause the orthopaedic surgeon to consider arthroplasty as the treatment of choice. Decision-making is challenging, and a reliable score has not yet been established.RESULTS: Reviewing literature, several predictors of inferior outcome after CRIF/ORIF in per- and intertrochanteric fractures such as age, gender, poor bone quality, hip osteoarthritis, operation time and postoperative weight-bearing restrictions have been identified. Based on the literature review, a novel Hamburg Per- and Intertrochanteric Fracture Score (HPIFS) is proposed to support decision-making for per- and intertrochanteric fracture treatment.CONCLUSIONS: CRIF/ORIF remain the workhorses in per- and intertrochanteric fracture management. Arthroplasty offers an advantageous treatment option for a well-defined patient and fracture collective. The HPIFS might support the decision-making process.
AB - PURPOSE: Hip arthroplasty is rarely indicated in the treatment of per- and intertrochanteric femur fractures. Although the majority of fractures are amenable to closed- or open reduction and internal fixation (CRIF/ORIF), in some patients the complexity of the fracture or other patient-related factors may cause the orthopaedic surgeon to consider arthroplasty as the treatment of choice. Decision-making is challenging, and a reliable score has not yet been established.RESULTS: Reviewing literature, several predictors of inferior outcome after CRIF/ORIF in per- and intertrochanteric fractures such as age, gender, poor bone quality, hip osteoarthritis, operation time and postoperative weight-bearing restrictions have been identified. Based on the literature review, a novel Hamburg Per- and Intertrochanteric Fracture Score (HPIFS) is proposed to support decision-making for per- and intertrochanteric fracture treatment.CONCLUSIONS: CRIF/ORIF remain the workhorses in per- and intertrochanteric fracture management. Arthroplasty offers an advantageous treatment option for a well-defined patient and fracture collective. The HPIFS might support the decision-making process.
U2 - 10.1007/s00068-014-0412-9
DO - 10.1007/s00068-014-0412-9
M3 - SCORING: Journal article
C2 - 26816060
VL - 40
SP - 273
EP - 277
JO - EUR J TRAUMA EMERG S
JF - EUR J TRAUMA EMERG S
SN - 1863-9933
IS - 3
ER -