Predicting Need for Fixation of Atypical Femoral Fracture
Context: Predictors of the requirement for fixation have not been reported in incomplete atypical femoral fractures. The clinical features of incomplete atypical femoral fractures should be reviewed to predict the requirement for surgical intervention in this condition. Objective: Our purposes were...
Gespeichert in:
| Veröffentlicht in: | The journal of clinical endocrinology and metabolism 2013-07, Vol.98 (7), p.2742-2745 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2745 |
|---|---|
| container_issue | 7 |
| container_start_page | 2742 |
| container_title | The journal of clinical endocrinology and metabolism |
| container_volume | 98 |
| creator | Lee, Young-Kyun Ha, Yong-Chan Kang, Bun Jung Chang, Jae Suk Koo, Kyung-Hoi |
| description | Context:
Predictors of the requirement for fixation have not been reported in incomplete atypical femoral fractures. The clinical features of incomplete atypical femoral fractures should be reviewed to predict the requirement for surgical intervention in this condition.
Objective:
Our purposes were (1) to evaluate the clinical results of incomplete atypical femoral fracture and (2) to determine the factors associated with the requirement for fixation in incomplete atypical femoral fractures.
Design, Setting, and Patients:
We retrospectively reviewed the medical records of 51 patients with a total of 65 incomplete atypical femoral fractures from 3 tertiary referral centers. Minimum follow-up was 12 months (mean, 19.8 months; range, 12–82 months).
Intervention:
The study consisted of fixation-requiring and non–fixation-requiring groups.
Main Outcome Measure:
The main outcome measure was the requirement for fixation.
Results:
Thirty-one (47.7 %) hips required internal fixation. Cox regression analysis showed that the subtrochanteric location was significantly associated with the requirement for fixation (hazard ratio, 2.713; 95% confidence interval, 1.189–6.189)
Conclusions:
About one-half of incomplete atypical femur fractures required surgical intervention, and subtrochanteric involvement could be used as a predictor of the requirement for fixation in these conditions. |
| doi_str_mv | 10.1210/jc.2012-4322 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1611623418</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1611623418</sourcerecordid><originalsourceid>FETCH-LOGICAL-c502t-b1fe0ad949a4fccd1d5a899720d7f711088c64253fedbbbcbe4c7917efbdb1863</originalsourceid><addsrcrecordid>eNqF0M9LHDEYxvFQKnVre-tZ5lLw0NG8-TGZHEVcLYh6aKG3kEneSJbdyZrMgPvfO8Nu60Xo6b18eBK-hHwDeg4M6MXKnTMKrBacsQ9kAVrIWoFWH8mCUga1VuzPMflcyopSEELyT-SY8UYBh2ZB9GNGH90Q-6fqHtFXIeVqGV_sEFNfpVBdDrttdHZdLXGT8nyzdcOY8Qs5CnZd8OvhnpDfy-tfV7f13cPNz6vLu9pJyoa6g4DUei20FcE5D17aVk-fol4FBUDb1jWCSR7Qd13nOhROaVAYOt9B2_ATcrbf3eb0PGIZzCYWh-u17TGNxUAD0DAuoP0_5VqzRkoqJ_pjT11OpWQMZpvjxuadAWrmrmblzNzVzF0nfnpYHrsN-n_4b8gJfD8AW6ZaIdvexfLmlKRC03mI7x32Prkce9xmLMWs0pj7KeP7z78CyoeP2w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1399265505</pqid></control><display><type>article</type><title>Predicting Need for Fixation of Atypical Femoral Fracture</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><source>Journals@Ovid Complete</source><creator>Lee, Young-Kyun ; Ha, Yong-Chan ; Kang, Bun Jung ; Chang, Jae Suk ; Koo, Kyung-Hoi</creator><creatorcontrib>Lee, Young-Kyun ; Ha, Yong-Chan ; Kang, Bun Jung ; Chang, Jae Suk ; Koo, Kyung-Hoi</creatorcontrib><description>Context:
Predictors of the requirement for fixation have not been reported in incomplete atypical femoral fractures. The clinical features of incomplete atypical femoral fractures should be reviewed to predict the requirement for surgical intervention in this condition.
Objective:
Our purposes were (1) to evaluate the clinical results of incomplete atypical femoral fracture and (2) to determine the factors associated with the requirement for fixation in incomplete atypical femoral fractures.
Design, Setting, and Patients:
We retrospectively reviewed the medical records of 51 patients with a total of 65 incomplete atypical femoral fractures from 3 tertiary referral centers. Minimum follow-up was 12 months (mean, 19.8 months; range, 12–82 months).
Intervention:
The study consisted of fixation-requiring and non–fixation-requiring groups.
Main Outcome Measure:
The main outcome measure was the requirement for fixation.
Results:
Thirty-one (47.7 %) hips required internal fixation. Cox regression analysis showed that the subtrochanteric location was significantly associated with the requirement for fixation (hazard ratio, 2.713; 95% confidence interval, 1.189–6.189)
Conclusions:
About one-half of incomplete atypical femur fractures required surgical intervention, and subtrochanteric involvement could be used as a predictor of the requirement for fixation in these conditions.</description><identifier>ISSN: 0021-972X</identifier><identifier>EISSN: 1945-7197</identifier><identifier>DOI: 10.1210/jc.2012-4322</identifier><identifier>PMID: 23671316</identifier><identifier>CODEN: JCEMAZ</identifier><language>eng</language><publisher>Bethesda, MD: Endocrine Society</publisher><subject>Aged ; Biological and medical sciences ; Endocrinopathies ; Feeding. Feeding behavior ; Female ; Femoral Fractures - diagnosis ; Femoral Fractures - diagnostic imaging ; Femoral Fractures - physiopathology ; Femoral Fractures - surgery ; Femoral Neck Fractures - diagnosis ; Femoral Neck Fractures - diagnostic imaging ; Femoral Neck Fractures - physiopathology ; Femoral Neck Fractures - surgery ; Follow-Up Studies ; Fracture Fixation, Internal ; Fracture Healing ; Fundamental and applied biological sciences. Psychology ; Hip Fractures - diagnosis ; Hip Fractures - diagnostic imaging ; Hip Fractures - physiopathology ; Hip Fractures - surgery ; Humans ; Male ; Medical Records ; Medical sciences ; Middle Aged ; Osteoporotic Fractures - diagnosis ; Osteoporotic Fractures - diagnostic imaging ; Osteoporotic Fractures - physiopathology ; Osteoporotic Fractures - surgery ; Pain, Intractable - etiology ; Pain, Intractable - prevention & control ; Postoperative Complications - prevention & control ; Prognosis ; Proportional Hazards Models ; Radiography ; Retrospective Studies ; Survival Analysis ; Tertiary Care Centers ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>The journal of clinical endocrinology and metabolism, 2013-07, Vol.98 (7), p.2742-2745</ispartof><rights>Copyright © 2013 by The Endocrine Society</rights><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-b1fe0ad949a4fccd1d5a899720d7f711088c64253fedbbbcbe4c7917efbdb1863</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27504902$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23671316$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Young-Kyun</creatorcontrib><creatorcontrib>Ha, Yong-Chan</creatorcontrib><creatorcontrib>Kang, Bun Jung</creatorcontrib><creatorcontrib>Chang, Jae Suk</creatorcontrib><creatorcontrib>Koo, Kyung-Hoi</creatorcontrib><title>Predicting Need for Fixation of Atypical Femoral Fracture</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Context:
Predictors of the requirement for fixation have not been reported in incomplete atypical femoral fractures. The clinical features of incomplete atypical femoral fractures should be reviewed to predict the requirement for surgical intervention in this condition.
Objective:
Our purposes were (1) to evaluate the clinical results of incomplete atypical femoral fracture and (2) to determine the factors associated with the requirement for fixation in incomplete atypical femoral fractures.
Design, Setting, and Patients:
We retrospectively reviewed the medical records of 51 patients with a total of 65 incomplete atypical femoral fractures from 3 tertiary referral centers. Minimum follow-up was 12 months (mean, 19.8 months; range, 12–82 months).
Intervention:
The study consisted of fixation-requiring and non–fixation-requiring groups.
Main Outcome Measure:
The main outcome measure was the requirement for fixation.
Results:
Thirty-one (47.7 %) hips required internal fixation. Cox regression analysis showed that the subtrochanteric location was significantly associated with the requirement for fixation (hazard ratio, 2.713; 95% confidence interval, 1.189–6.189)
Conclusions:
About one-half of incomplete atypical femur fractures required surgical intervention, and subtrochanteric involvement could be used as a predictor of the requirement for fixation in these conditions.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Endocrinopathies</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Femoral Fractures - diagnosis</subject><subject>Femoral Fractures - diagnostic imaging</subject><subject>Femoral Fractures - physiopathology</subject><subject>Femoral Fractures - surgery</subject><subject>Femoral Neck Fractures - diagnosis</subject><subject>Femoral Neck Fractures - diagnostic imaging</subject><subject>Femoral Neck Fractures - physiopathology</subject><subject>Femoral Neck Fractures - surgery</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal</subject><subject>Fracture Healing</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Hip Fractures - diagnosis</subject><subject>Hip Fractures - diagnostic imaging</subject><subject>Hip Fractures - physiopathology</subject><subject>Hip Fractures - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical Records</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Osteoporotic Fractures - diagnosis</subject><subject>Osteoporotic Fractures - diagnostic imaging</subject><subject>Osteoporotic Fractures - physiopathology</subject><subject>Osteoporotic Fractures - surgery</subject><subject>Pain, Intractable - etiology</subject><subject>Pain, Intractable - prevention & control</subject><subject>Postoperative Complications - prevention & control</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Survival Analysis</subject><subject>Tertiary Care Centers</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0M9LHDEYxvFQKnVre-tZ5lLw0NG8-TGZHEVcLYh6aKG3kEneSJbdyZrMgPvfO8Nu60Xo6b18eBK-hHwDeg4M6MXKnTMKrBacsQ9kAVrIWoFWH8mCUga1VuzPMflcyopSEELyT-SY8UYBh2ZB9GNGH90Q-6fqHtFXIeVqGV_sEFNfpVBdDrttdHZdLXGT8nyzdcOY8Qs5CnZd8OvhnpDfy-tfV7f13cPNz6vLu9pJyoa6g4DUei20FcE5D17aVk-fol4FBUDb1jWCSR7Qd13nOhROaVAYOt9B2_ATcrbf3eb0PGIZzCYWh-u17TGNxUAD0DAuoP0_5VqzRkoqJ_pjT11OpWQMZpvjxuadAWrmrmblzNzVzF0nfnpYHrsN-n_4b8gJfD8AW6ZaIdvexfLmlKRC03mI7x32Prkce9xmLMWs0pj7KeP7z78CyoeP2w</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Lee, Young-Kyun</creator><creator>Ha, Yong-Chan</creator><creator>Kang, Bun Jung</creator><creator>Chang, Jae Suk</creator><creator>Koo, Kyung-Hoi</creator><general>Endocrine Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20130701</creationdate><title>Predicting Need for Fixation of Atypical Femoral Fracture</title><author>Lee, Young-Kyun ; Ha, Yong-Chan ; Kang, Bun Jung ; Chang, Jae Suk ; Koo, Kyung-Hoi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-b1fe0ad949a4fccd1d5a899720d7f711088c64253fedbbbcbe4c7917efbdb1863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Endocrinopathies</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Femoral Fractures - diagnosis</topic><topic>Femoral Fractures - diagnostic imaging</topic><topic>Femoral Fractures - physiopathology</topic><topic>Femoral Fractures - surgery</topic><topic>Femoral Neck Fractures - diagnosis</topic><topic>Femoral Neck Fractures - diagnostic imaging</topic><topic>Femoral Neck Fractures - physiopathology</topic><topic>Femoral Neck Fractures - surgery</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal</topic><topic>Fracture Healing</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Hip Fractures - diagnosis</topic><topic>Hip Fractures - diagnostic imaging</topic><topic>Hip Fractures - physiopathology</topic><topic>Hip Fractures - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical Records</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Osteoporotic Fractures - diagnosis</topic><topic>Osteoporotic Fractures - diagnostic imaging</topic><topic>Osteoporotic Fractures - physiopathology</topic><topic>Osteoporotic Fractures - surgery</topic><topic>Pain, Intractable - etiology</topic><topic>Pain, Intractable - prevention & control</topic><topic>Postoperative Complications - prevention & control</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Survival Analysis</topic><topic>Tertiary Care Centers</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Young-Kyun</creatorcontrib><creatorcontrib>Ha, Yong-Chan</creatorcontrib><creatorcontrib>Kang, Bun Jung</creatorcontrib><creatorcontrib>Chang, Jae Suk</creatorcontrib><creatorcontrib>Koo, Kyung-Hoi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Young-Kyun</au><au>Ha, Yong-Chan</au><au>Kang, Bun Jung</au><au>Chang, Jae Suk</au><au>Koo, Kyung-Hoi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predicting Need for Fixation of Atypical Femoral Fracture</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>98</volume><issue>7</issue><spage>2742</spage><epage>2745</epage><pages>2742-2745</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract>Context:
Predictors of the requirement for fixation have not been reported in incomplete atypical femoral fractures. The clinical features of incomplete atypical femoral fractures should be reviewed to predict the requirement for surgical intervention in this condition.
Objective:
Our purposes were (1) to evaluate the clinical results of incomplete atypical femoral fracture and (2) to determine the factors associated with the requirement for fixation in incomplete atypical femoral fractures.
Design, Setting, and Patients:
We retrospectively reviewed the medical records of 51 patients with a total of 65 incomplete atypical femoral fractures from 3 tertiary referral centers. Minimum follow-up was 12 months (mean, 19.8 months; range, 12–82 months).
Intervention:
The study consisted of fixation-requiring and non–fixation-requiring groups.
Main Outcome Measure:
The main outcome measure was the requirement for fixation.
Results:
Thirty-one (47.7 %) hips required internal fixation. Cox regression analysis showed that the subtrochanteric location was significantly associated with the requirement for fixation (hazard ratio, 2.713; 95% confidence interval, 1.189–6.189)
Conclusions:
About one-half of incomplete atypical femur fractures required surgical intervention, and subtrochanteric involvement could be used as a predictor of the requirement for fixation in these conditions.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>23671316</pmid><doi>10.1210/jc.2012-4322</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0021-972X |
| ispartof | The journal of clinical endocrinology and metabolism, 2013-07, Vol.98 (7), p.2742-2745 |
| issn | 0021-972X 1945-7197 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1611623418 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Aged Biological and medical sciences Endocrinopathies Feeding. Feeding behavior Female Femoral Fractures - diagnosis Femoral Fractures - diagnostic imaging Femoral Fractures - physiopathology Femoral Fractures - surgery Femoral Neck Fractures - diagnosis Femoral Neck Fractures - diagnostic imaging Femoral Neck Fractures - physiopathology Femoral Neck Fractures - surgery Follow-Up Studies Fracture Fixation, Internal Fracture Healing Fundamental and applied biological sciences. Psychology Hip Fractures - diagnosis Hip Fractures - diagnostic imaging Hip Fractures - physiopathology Hip Fractures - surgery Humans Male Medical Records Medical sciences Middle Aged Osteoporotic Fractures - diagnosis Osteoporotic Fractures - diagnostic imaging Osteoporotic Fractures - physiopathology Osteoporotic Fractures - surgery Pain, Intractable - etiology Pain, Intractable - prevention & control Postoperative Complications - prevention & control Prognosis Proportional Hazards Models Radiography Retrospective Studies Survival Analysis Tertiary Care Centers Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | Predicting Need for Fixation of Atypical Femoral Fracture |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T11%3A22%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Predicting%20Need%20for%20Fixation%20of%20Atypical%20Femoral%20Fracture&rft.jtitle=The%20journal%20of%20clinical%20endocrinology%20and%20metabolism&rft.au=Lee,%20Young-Kyun&rft.date=2013-07-01&rft.volume=98&rft.issue=7&rft.spage=2742&rft.epage=2745&rft.pages=2742-2745&rft.issn=0021-972X&rft.eissn=1945-7197&rft.coden=JCEMAZ&rft_id=info:doi/10.1210/jc.2012-4322&rft_dat=%3Cproquest_cross%3E1611623418%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1399265505&rft_id=info:pmid/23671316&rfr_iscdi=true |