Universität zu Köln

Boese, Christoph Kolja, Buecking, Benjamin, Bliemel, Christopher, Ruchholtz, Steffen, Frink, Michael and Lechler, Philipp (2015). The effect of osteoarthritis on functional outcome following hemiarthroplasty for femoral neck fracture: a prospective observational study. BMC Musculoskelet. Disord., 16. LONDON: BMC. ISSN 1471-2474

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Abstract

Background: The influence of pre-existing radiographic osteoarthritis on the functional outcome of elderly patientents with displaced intracapsular fractures of the femoral neck treated by hemiarthroplasty is unclear. Methods: We prospectively examined the impact of pre-existing osteoarthritis on the functional outcome of 126 elderly patients with displaced intracapsular fracture of the femoral neck treated by hemiarthroplasty. Results: The mean age of the cohort was 82.7 years. At 12 months, we observed no statistically significant differences in the Harris hip score (p = 0.545), the timed up and go test (p = 0.298), the Tinetti test (p = 0.381) or the Barthel Index (p = 0.094) between patients with Kellgren and Lawrence grades 3 or 4 osteoarthritis, and patients with grades 0 to 2 changes. Furthermore, there were no differences in complication or revision rates. Conclusions: Our findings challenge the hypothesis that pre-existing osteoarthritis is a contraindication to hemiarthroplasty in elderly patients with femoral neck fracture.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Boese, Christoph Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Buecking, Benjamin UNSPECIFIED UNSPECIFIED UNSPECIFIED Bliemel, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruchholtz, Steffen UNSPECIFIED UNSPECIFIED UNSPECIFIED Frink, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Lechler, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-389633
DOI:	10.1186/s12891-015-0767-z
Journal or Publication Title:	BMC Musculoskelet. Disord.
Volume:	16
Date:	2015
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1471-2474
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TOTAL HIP-ARTHROPLASTY; DISPLACED INTRACAPSULAR FRACTURE; INDEPENDENT PATIENTS; SURGICAL-TREATMENT; CONTROLLED-TRIAL; REPLACEMENT; MOBILE Multiple languages Orthopedics; Rheumatology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38963