Bhan Kavyansh, Hasan Kamrul, Khan Basharat Ghafoor, Shafiq Hassan, Pimplé Mahesh
Trauma and Orthopaedics, Barts Health NHS Trust, London, GBR.
Cureus. 2021 Oct 26;13(10):e19049. doi: 10.7759/cureus.19049. eCollection 2021 Oct.
Femoral neck fractures are one of the most common fractures treated by an Orthopaedic surgeon. Arthroplasty is the recommended management for intracapsular neck of femur fractures in the elderly population owing to the high risk of avascular necrosis of the femoral head following an internal fixation. Elderly patients with intracapsular fractures deemed high risk for anaesthesia (American Society of Anaesthesiology Grade more than 2) are recommended a hip hemiarthroplasty. Routine practice throughout the United Kingdom is to obtain a postoperative check radiograph for all hip hemiarthroplasty patients prior to their discharge from the hospital. This may be done for various reasons like checking the presence of any peri-prosthetic fracture, the position of the components along with the presence of any dislocation. However, it is unclear whether a radiograph is the sole identifier of such complications. Through this study, we aim to analyse whether routine recommendation of post-operative radiographs following hip hemiarthroplasty affects the clinical outcome, and whether it is effective in identifying potential complications before the patients report any signs or symptoms.
股骨颈骨折是骨科医生治疗的最常见骨折之一。由于老年人群股骨颈囊内骨折内固定后股骨头缺血性坏死风险高，关节置换术是推荐的治疗方法。对于麻醉风险高（美国麻醉医师协会分级超过2级）的老年囊内骨折患者，建议行半髋关节置换术。英国的常规做法是，所有接受半髋关节置换术的患者在出院前都要进行术后检查X光片。这样做可能有各种原因，比如检查是否存在假体周围骨折、假体组件的位置以及是否存在脱位。然而，尚不清楚X光片是否是此类并发症的唯一识别方法。通过这项研究，我们旨在分析半髋关节置换术后常规推荐术后X光片是否会影响临床结果，以及它是否能在患者报告任何体征或症状之前有效识别潜在并发症。
