Boese Christoph Kolja, Buecking Benjamin, Bliemel Christopher, Ruchholtz Steffen, Frink Michael, Lechler Philipp
Department of Trauma, Hand and Reconstructive Surgery, University of Giessen and Marburg, Baldinger Straße, 35043, Marburg, Germany.
Department of Orthopaedic and Trauma Surgery, University Hospital of Cologne, Joseph-Stelzmann-Straße 9, 50931, Cologne, Germany.
BMC Musculoskelet Disord. 2015 Oct 16;16:304. doi: 10.1186/s12891-015-0767-z.
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.
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.
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.
Our findings challenge the hypothesis that pre-existing osteoarthritis is a contraindication to hemiarthroplasty in elderly patients with femoral neck fracture.
既往存在的影像学骨关节炎对接受半髋关节置换术治疗的老年股骨颈囊内移位骨折患者功能结局的影响尚不清楚。
我们前瞻性地研究了既往存在的骨关节炎对126例接受半髋关节置换术治疗的老年股骨颈囊内移位骨折患者功能结局的影响。
该队列的平均年龄为82.7岁。在12个月时，我们观察到，凯尔格伦和劳伦斯分级为3级或4级骨关节炎的患者与分级为0至2级改变的患者在Harris髋关节评分（p = 0.545）、计时起立行走测试（p = 0.298）、Tinetti测试（p = 0.381）或巴氏指数（p = 0.094）方面无统计学显著差异。此外，并发症或翻修率也无差异。
我们的研究结果对以下假设提出了质疑，即既往存在的骨关节炎是老年股骨颈骨折患者进行半髋关节置换术的禁忌症。
