Avascular necrosis after internal fixation of intracapsular hip fractures; a study of the outcome for 1023 patients
Abstract We prospectively studied 1023 patients who sustained an intracapsular hip fracture that was treated with internal fixation using contemporary methods. The overall incidence of avascular necrosis (AVN) was 6.6%. AVN was less common for undisplaced (4.0%) than for displaced fractures (9.5%) a...
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| Veröffentlicht in: | Injury 2009-11, Vol.40 (11), p.1143-1146 |
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| creator | Loizou, C.L Parker, M.J |
| description | Abstract We prospectively studied 1023 patients who sustained an intracapsular hip fracture that was treated with internal fixation using contemporary methods. The overall incidence of avascular necrosis (AVN) was 6.6%. AVN was less common for undisplaced (4.0%) than for displaced fractures (9.5%) and in men (4.9%) than women (11.4%) who had a displaced fracture. The incidence of AVN for those aged less than 60 years and who sustained a displaced fracture was 20.6%, compared to 12.5% for those aged 60–80 years and 2.5% for those aged more than 80 years. Our study showed an increased risk of AVN with younger age and in females with a displaced fracture. We found no association between the incidence of AVN and the interval between injury to surgery. |
| doi_str_mv | 10.1016/j.injury.2008.11.003 |
| format | Article |
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The overall incidence of avascular necrosis (AVN) was 6.6%. AVN was less common for undisplaced (4.0%) than for displaced fractures (9.5%) and in men (4.9%) than women (11.4%) who had a displaced fracture. The incidence of AVN for those aged less than 60 years and who sustained a displaced fracture was 20.6%, compared to 12.5% for those aged 60–80 years and 2.5% for those aged more than 80 years. Our study showed an increased risk of AVN with younger age and in females with a displaced fracture. 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The overall incidence of avascular necrosis (AVN) was 6.6%. AVN was less common for undisplaced (4.0%) than for displaced fractures (9.5%) and in men (4.9%) than women (11.4%) who had a displaced fracture. The incidence of AVN for those aged less than 60 years and who sustained a displaced fracture was 20.6%, compared to 12.5% for those aged 60–80 years and 2.5% for those aged more than 80 years. Our study showed an increased risk of AVN with younger age and in females with a displaced fracture. We found no association between the incidence of AVN and the interval between injury to surgery.</description><subject>Accidental Falls - statistics & numerical data</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Avascular necrosis</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Femur Head Necrosis - epidemiology</subject><subject>Femur Head Necrosis - etiology</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing - physiology</subject><subject>Hip fractures</subject><subject>Hip Fractures - classification</subject><subject>Hip Fractures - epidemiology</subject><subject>Hip Fractures - surgery</subject><subject>Humans</subject><subject>Incidence</subject><subject>Internal fixation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Outcome Assessment (Health Care)</subject><subject>Prospective Studies</subject><subject>Reoperation</subject><subject>Sex Distribution</subject><subject>Time Factors</subject><subject>Young Adult</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkkGL1TAUhYMozpun_0AkG3XVem_SNimCMAyOCgMu1HVI04RJ7Wtrkg6-f2_qeyi40E1CwndPcs-5hDxDKBGweT2UfhrWcCwZgCwRSwD-gOxQirYA1oiHZAfAoEAu-QW5jHEAQAGcPyYX2PKKQdXsSLy619Gsow50sibM0UeqXbKB-imvkx6p8z908vNEZ7ddBm30En9V3PmFunxOa7DxDdU0prU_bly6s3Rek5kPlro5UATG6ZJl7JTiE_LI6THap-d9T77evPty_aG4_fT-4_XVbWHqiqdC2Fb0ppOy1U2TO9ICu04jVlj3onEowYmq7ZxotEPDWgGQ2-K2a1mte4F8T16ddJcwf19tTOrgo7HjqCc7r1EJXoFglZSZfPlPkiFIRNlksDqBm1UxWKeW4A86HBWC2mJRgzrForZYFKLKseSy52f9tTvY_k_ROYcMvDgDOQ09ZlMn4-NvjjEQNc8e7snbE2ezb_feBhVN9tTY3gdrkupn_7-f_C1gRj_5_OY3e7RxmNct86hQRaZAfd5GaJsgkAA1w4r_BH7Rwgw</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Loizou, C.L</creator><creator>Parker, M.J</creator><general>Elsevier Ltd</general><general>Elsevier</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>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Avascular necrosis after internal fixation of intracapsular hip fractures; a study of the outcome for 1023 patients</title><author>Loizou, C.L ; Parker, M.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c543t-7e97dcb889a66026a71bba11415d76f180f749bf76af1c297009343eb925ad713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidental Falls - statistics & numerical data</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Avascular necrosis</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Femur Head Necrosis - epidemiology</topic><topic>Femur Head Necrosis - etiology</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing - physiology</topic><topic>Hip fractures</topic><topic>Hip Fractures - classification</topic><topic>Hip Fractures - epidemiology</topic><topic>Hip Fractures - surgery</topic><topic>Humans</topic><topic>Incidence</topic><topic>Internal fixation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Outcome Assessment (Health Care)</topic><topic>Prospective Studies</topic><topic>Reoperation</topic><topic>Sex Distribution</topic><topic>Time Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Loizou, C.L</creatorcontrib><creatorcontrib>Parker, M.J</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>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Loizou, C.L</au><au>Parker, M.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Avascular necrosis after internal fixation of intracapsular hip fractures; a study of the outcome for 1023 patients</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>40</volume><issue>11</issue><spage>1143</spage><epage>1146</epage><pages>1143-1146</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>Abstract We prospectively studied 1023 patients who sustained an intracapsular hip fracture that was treated with internal fixation using contemporary methods. The overall incidence of avascular necrosis (AVN) was 6.6%. AVN was less common for undisplaced (4.0%) than for displaced fractures (9.5%) and in men (4.9%) than women (11.4%) who had a displaced fracture. The incidence of AVN for those aged less than 60 years and who sustained a displaced fracture was 20.6%, compared to 12.5% for those aged 60–80 years and 2.5% for those aged more than 80 years. Our study showed an increased risk of AVN with younger age and in females with a displaced fracture. We found no association between the incidence of AVN and the interval between injury to surgery.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>19342046</pmid><doi>10.1016/j.injury.2008.11.003</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Accidental Falls - statistics & numerical data Adolescent Adult Age Distribution Aged Aged, 80 and over Avascular necrosis Biological and medical sciences Diseases of the osteoarticular system Female Femur Head Necrosis - epidemiology Femur Head Necrosis - etiology Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - methods Fracture Healing - physiology Hip fractures Hip Fractures - classification Hip Fractures - epidemiology Hip Fractures - surgery Humans Incidence Internal fixation Male Medical sciences Middle Aged Orthopedics Outcome Assessment (Health Care) Prospective Studies Reoperation Sex Distribution Time Factors Young Adult |
| title | Avascular necrosis after internal fixation of intracapsular hip fractures; a study of the outcome for 1023 patients |
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