Osteoporotic Hip Fractures: The Burden of Fixation Failure
Osteoporotic hip fractures are a major cause of morbidity and mortality in the elderly. Furthermore, reduced implant anchorage in osteoporotic bone predisposes towards fixation failure and with an ageing population, even low failure rates represent a significant challenge to healthcare systems. Fixa...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/515197 |
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| _version_ | 1850160772924047360 |
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| author | J. M. Broderick R. Bruce-Brand E. Stanley K. J. Mulhall |
| author_facet | J. M. Broderick R. Bruce-Brand E. Stanley K. J. Mulhall |
| author_sort | J. M. Broderick |
| collection | DOAJ |
| description | Osteoporotic hip fractures are a major cause of morbidity and mortality in the elderly. Furthermore, reduced implant anchorage in osteoporotic bone predisposes towards fixation failure and with an ageing population, even low failure rates represent a significant challenge to healthcare systems. Fixation failure in fragility fractures of the hip ranges from 5% in peritrochanteric fractures through to 15% and 41% in undisplaced and displaced fractures of the femoral neck, respectively. Our findings, in general, support the view that failed internal fixation of these fragility fractures carries a poor prognosis: it leads to a twofold increase in the length of hospital stay and a doubling of healthcare costs. Patients are more likely to suffer a downgrade in their residential status upon discharge with a consequent increase in social dependency. Furthermore, the marked disability and reduction in quality of life evident before salvage procedures may persist at long-term followup. The risk, of course, for the elderly patient with a prolonged period of decreased functioning is that the disability becomes permanent. Despite this, however, no clear link between revision surgery and an increase in mortality has been demonstrated in the literature. |
| format | Article |
| id | doaj-art-fc8a3cedf0c24f0e849c46f84d76b188 |
| institution | OA Journals |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-fc8a3cedf0c24f0e849c46f84d76b1882025-08-20T02:23:04ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/515197515197Osteoporotic Hip Fractures: The Burden of Fixation FailureJ. M. Broderick0R. Bruce-Brand1E. Stanley2K. J. Mulhall3Mater Misericordiae University Hospital, Dublin, IrelandMater Misericordiae University Hospital, Dublin, IrelandMater Misericordiae University Hospital, Dublin, IrelandMater Misericordiae University Hospital, Dublin, IrelandOsteoporotic hip fractures are a major cause of morbidity and mortality in the elderly. Furthermore, reduced implant anchorage in osteoporotic bone predisposes towards fixation failure and with an ageing population, even low failure rates represent a significant challenge to healthcare systems. Fixation failure in fragility fractures of the hip ranges from 5% in peritrochanteric fractures through to 15% and 41% in undisplaced and displaced fractures of the femoral neck, respectively. Our findings, in general, support the view that failed internal fixation of these fragility fractures carries a poor prognosis: it leads to a twofold increase in the length of hospital stay and a doubling of healthcare costs. Patients are more likely to suffer a downgrade in their residential status upon discharge with a consequent increase in social dependency. Furthermore, the marked disability and reduction in quality of life evident before salvage procedures may persist at long-term followup. The risk, of course, for the elderly patient with a prolonged period of decreased functioning is that the disability becomes permanent. Despite this, however, no clear link between revision surgery and an increase in mortality has been demonstrated in the literature.http://dx.doi.org/10.1155/2013/515197 |
| spellingShingle | J. M. Broderick R. Bruce-Brand E. Stanley K. J. Mulhall Osteoporotic Hip Fractures: The Burden of Fixation Failure The Scientific World Journal |
| title | Osteoporotic Hip Fractures: The Burden of Fixation Failure |
| title_full | Osteoporotic Hip Fractures: The Burden of Fixation Failure |
| title_fullStr | Osteoporotic Hip Fractures: The Burden of Fixation Failure |
| title_full_unstemmed | Osteoporotic Hip Fractures: The Burden of Fixation Failure |
| title_short | Osteoporotic Hip Fractures: The Burden of Fixation Failure |
| title_sort | osteoporotic hip fractures the burden of fixation failure |
| url | http://dx.doi.org/10.1155/2013/515197 |
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