Characteristics and outcomes of hip fractures in lower limb amputees |
| |
| Institution: | 1. Royal Orthopaedic Hospital, Birmingham, United Kingdom;2. Epsom and St. Helier University Hospitals, London, United Kingdom;3. Queen Victoria Hospital, East Grinstead, United Kingdom;4. Peterborough City Hospital, Peterborough, United Kingdom;1. University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Health Policy and Management;2. University of North Carolina at Chapel Hill, School of Medicine, Department of Surgery, 4008 Burnett Womack Building, CB 7228, United States;3. Department of Orthopedics, Haukeland University, Bergen, Norway;4. Department of Surgery, Kamuzu Central Hospital, Malawi;1. University of Calgary, Section of Orthopaedics, Department of Surgery, Foothills Medical Center, 29th St. NW, Calgary, Alberta T2N 5A1, Canada;2. University of British Columbia, Department of Orthopaedics, Faculty of Medicine, Vancouver General Hospital, 899 W 12th Ave, Vancouver, British Columbia V5Z 1M9, Canada;3. University of Calgary, 0490 McCaig Tower, Foothills Medical Center, 3134 Hospital Drive NW, Calgary, Alberta T2N 5A1, Canada;1. King''s Centre for Global Health and Health Partnerships, School of Population Health & Environmental Sciences, Faculty of Life Sciences and Medicine, King''s College London, London, UK;2. Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK;3. Karonga District Hospital, Karonga District Health Office, Karonga, Malawi;4. Mzuzu Central Hospital, Department of Orthopaedic Surgery, Mzuzu, Malawi;5. Malawi Epidemiology and Intervention Research Unit (MEIRU), Chilumba, Karonga District Malawi;6. Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK;7. Centre for Applied Health Research, University of Birmingham, Birmingham, UK;8. Medical Research Council/Wits University Rural Public Health and Health Transitions Research Unit, Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa;9. Extraordinary Professor, Centre for Global Surgery, Department of Global Health, Stellenbosch University, Cape Town;1. Associate Professor/Research Fellow, Department of Physiology and Chemistry, Texas Chiropractic College, Pasadena, TX;2. Professor, Department of Clinical Specialties, Department of Technique, Texas Chiropractic College, Pasadena, TX;3. Professor, Department of Clinical Specialties, Texas Chiropractic College, Pasadena, TX;4. Researcher, Memorial Bone & Joint Clinic, Houston, TX;5. Graduate Student, Texas Chiropractic College, Pasadena, TX |
| |
| Abstract: | IntroductionLower limb amputees, regardless of age are at an increased risk of developing fragility fractures of the neck of femur. The characteristics and outcomes of the fractures of the neck of femur in lower limb amputees have not been studied in detail.MethodsWe undertook a retrospective review of a prospectively collected single centre and single surgeon database between March 1996 and January 2017, using a standard proforma to identify patients who required surgical intervention for fracture neck of femur and had sustained a previous lower limb amputation and compared them with a cohort of standard hip fracture patients.ResultsTwenty-seven patients, sustaining 28 fractures of the neck of femurs were identified of which 16 were females with mean age of 78 years (50-89). Nineteen fractures were sustained on the ipsilateral side of the amputation. Results showed that seventy percent of amputees returned to their previous level of mobility and prior residence. Mortality in this group is higher as compared to a standard hip fracture patient but pain and mobility were comparable in both groups.DiscussionThe incidence of both hip fractures and amputations in increasing worldwide but no study has compared outcomes of hip fractures in amputees and compared them to a standard hip fracture patient. Amputees exhibit reduced bone density both at the hip and stump end which increases risk for osteoporosis and fragility fractures in the hip. The management of our patients followed orthopaedic principles, well established surgical interventions and rehabilitation.ConclusionThis study reveals that hip fractures in amputees can have comparable results to a standard hip fracture cohort if preoperative optimisation, planning and postoperative rehabilitation is carried out. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
