Universität zu Köln

Boese, Christoph Kolja, Buecking, Benjamin, Schwarting, Tim, Debus, Florian, Ruchholtz, Steffen, Bliemel, Christoph, Frink, Michael and Lechler, Philipp (2015). The influence of pre-existing radiographic osteoarthritis on functional outcome after trochanteric fracture. Int. Orthop., 39 (7). S. 1405 - 1411. NEW YORK: SPRINGER. ISSN 1432-5195

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Abstract

Purpose It is crucially important to optimise functional outcome after fixation of trochanteric femoral fractures. While a number of risk factors that predict a poor clinical course have been identified, the influence of pre-existing radiographic osteoarthritis (OA) of the hip is unclear. Methods The influence of pre-existing radiographic OA of the hip on short- to mid-term functional outcome was prospectively analysed in a cohort of patients undergoing proximal femoral nailing for trochanteric fracture. OA was graded according to Kellgren and Lawrence; functional outcome was assessed at six and 12 months by the Harris hip score (HHS), the timed up and go (TUG) test and the Barthel Index. Results Our cohort comprised 188 patients (58 were male and 130 female), with a mean age of 82 years. At six and 12 months postoperatively, the HHS (p < 0.001 and p = 0.008, respectively) and Barthel Index (p < 0.001 and p = 0.02, respectively) correlated significantly with the grade of pre-existing OA. After adjustment for confounding variables, there was a significant association between the grade of pre-existing OA and the HHS at six months (p = 0.02). Although we observed trends suggestive of other relationships, none reached statistical significance. Conclusions Pre-existing radiographic OA of the hip is an important determinant of clinical outcome in elderly patients with a trochanteric femoral fracture. Further studies will be needed to establish the most effective means of restoring hip function after trochanteric femoral fracture in patients with radiographic OA of the hip.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Boese, Christoph Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Buecking, Benjamin UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwarting, Tim UNSPECIFIED UNSPECIFIED UNSPECIFIED Debus, Florian UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruchholtz, Steffen UNSPECIFIED UNSPECIFIED UNSPECIFIED Bliemel, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Frink, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Lechler, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-399871
DOI:	10.1007/s00264-014-2663-9
Journal or Publication Title:	Int. Orthop.
Volume:	39
Number:	7
Page Range:	S. 1405 - 1411
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-5195
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PERTROCHANTERIC FEMORAL FRACTURES; HIP OSTEOARTHRITIS; INTERTROCHANTERIC FRACTURES; REPLACEMENT; MORTALITY; NAIL Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39987