Mortality, Risk Factors and Risk Assessment after Periprosthetic Femoral Fractures—A Retrospective Cohort Study

Periprosthetic femoral fracture (PFF) is a devastating complication. Here, the authors aimed to determine the influence of the timing of surgery as a risk factor for mortality and poor postoperative outcome in patients suffering from PFF. A retrospective descriptive analysis of patients treated for...

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Bibliographic Details
Published in:Journal of clinical medicine 2021-09, Vol.10 (19), p.4324
Main Authors: El Khassawna, Thaqif, Knapp, Gero, Scheibler, Nadja, Malhan, Deeksha, Walter, Nike, Biehl, Christoph, Alt, Volker, Heiss, Christian, Rupp, Markus
Format: Article
Language:English
Subjects:
Arthritis
Bone surgery
Classification
Clinical medicine
Cohort analysis
College campuses
Comorbidity
Fractures
Hospitalization
Hospitals
Joint surgery
Medical prognosis
Mortality
Osteoarthritis
Patients
Prostheses
Risk factors
Surgical outcomes
Systemic diseases
Trauma
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Description
Summary:Periprosthetic femoral fracture (PFF) is a devastating complication. Here, the authors aimed to determine the influence of the timing of surgery as a risk factor for mortality and poor postoperative outcome in patients suffering from PFF. A retrospective descriptive analysis of patients treated for PFF between January 2010 and March 2018 was performed. In addition to patient and treatment characteristics, we assessed mortality rates and postoperative functional outcome by using the Harris Hip and WOMAC score. One-year mortality after PFF was 10.7%. Delayed surgery after 48 h did not negatively influence mortality after PFF. The postoperative hospital stay did not influence the mortality rate, nor did it correlate with medical scores of comorbidities, general health or functionalities. Cementation of stem correlated negatively with the WOMAC score. Deceased patients had a higher Charlson Comorbidity Index (CCI) score, while American society of Anaesthesiologists (ASA) scores did not show a significant difference. There were no differences between ORIF and revision arthroplasty. In conclusion, delayed surgery after 48 h does not negatively influence mortality after PFF. The CCI seems to be a suitable tool to assess patients’ risk for increased mortality after PFF, while the usually used ASA score is not able to achieve a relevant risk assessment.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm10194324