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Outcomes of Geriatric Hip Fractures Treated with AFFIXUS Hip Fracture Nail.

Mabrouk A, Madhusudan M, Waseem M, Kershaw S, Fischer J - Adv Orthop (2014)

Bottom Line: Systemic complications occurred in 29 patients (29%) and local complications in 3 patients (3%) including lag screw cutout in one patient (1%), lag screw backout in one patient (1%), and deep infection in one patient (1%).Preinjury activity level was recovered in 78% of the patients.The unique design of the lag screw and its thread spacing had effectively reduced cut-out rate.

View Article: PubMed Central - PubMed

Affiliation: ST2 Plastic Surgery, St. Andrews Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, Essex CM1 7ET, UK.

ABSTRACT
Geriatric hip fractures are one of the commonest fractures worldwide. The purpose of this study was to report the outcomes of a series of unstable geriatric hip fractures treated with AFFIXUS hip fracture nail. A retrospective study of 100 unstable geriatric hip fractures treated with AFFIXUS hip fracture nail is presented. The mean follow-up duration was 8 months (range 3-32). Of the patients 83% were female. The average age was 85 years. The fracture was treated by closed reduction and intramedullary fixation. The mean acute hospital stay was 17.6 days. Systemic complications occurred in 29 patients (29%) and local complications in 3 patients (3%) including lag screw cutout in one patient (1%), lag screw backout in one patient (1%), and deep infection in one patient (1%). Mechanical failures and periprosthetic fractures were not observed in our series. Fractures united in all patients. Preinjury activity level was recovered in 78% of the patients. The results of AFFIXUS hip fracture nail were satisfactory in most elderly patients. The unique design of the lag screw and its thread spacing had effectively reduced cut-out rate.

No MeSH data available.


Related in: MedlinePlus

(a) 83-year-old female with proximal femoral fracture (AO/OTA type 31-A3). (b) Immediate postoperative radiograph. (c) Radiograph 15 months after surgery showing the backout. (d) Radiograph after revision of the lag screw.
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fig2: (a) 83-year-old female with proximal femoral fracture (AO/OTA type 31-A3). (b) Immediate postoperative radiograph. (c) Radiograph 15 months after surgery showing the backout. (d) Radiograph after revision of the lag screw.

Mentions: Any haematomata of the surgical wound resolved satisfactorily. Cases of superficial infection also resolved favourably once the appropriate antibiotic treatment was instituted. Mechanical failures such as bending or breaking of the implant were not seen. Backout was seen in one case, 5 months after surgery for which the lag screw was revised (Figure 2). One case of cutout was observed 15 months after surgery when the fracture had united and AFFIXUS nail was removed (Figure 3). In our series we had one case of on-table revision of DHS into a short AFFIXUS nail (Figure 4), which showed the versatility of AFFIXUS nail indications.


Outcomes of Geriatric Hip Fractures Treated with AFFIXUS Hip Fracture Nail.

Mabrouk A, Madhusudan M, Waseem M, Kershaw S, Fischer J - Adv Orthop (2014)

(a) 83-year-old female with proximal femoral fracture (AO/OTA type 31-A3). (b) Immediate postoperative radiograph. (c) Radiograph 15 months after surgery showing the backout. (d) Radiograph after revision of the lag screw.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4281450&req=5

fig2: (a) 83-year-old female with proximal femoral fracture (AO/OTA type 31-A3). (b) Immediate postoperative radiograph. (c) Radiograph 15 months after surgery showing the backout. (d) Radiograph after revision of the lag screw.
Mentions: Any haematomata of the surgical wound resolved satisfactorily. Cases of superficial infection also resolved favourably once the appropriate antibiotic treatment was instituted. Mechanical failures such as bending or breaking of the implant were not seen. Backout was seen in one case, 5 months after surgery for which the lag screw was revised (Figure 2). One case of cutout was observed 15 months after surgery when the fracture had united and AFFIXUS nail was removed (Figure 3). In our series we had one case of on-table revision of DHS into a short AFFIXUS nail (Figure 4), which showed the versatility of AFFIXUS nail indications.

Bottom Line: Systemic complications occurred in 29 patients (29%) and local complications in 3 patients (3%) including lag screw cutout in one patient (1%), lag screw backout in one patient (1%), and deep infection in one patient (1%).Preinjury activity level was recovered in 78% of the patients.The unique design of the lag screw and its thread spacing had effectively reduced cut-out rate.

View Article: PubMed Central - PubMed

Affiliation: ST2 Plastic Surgery, St. Andrews Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, Essex CM1 7ET, UK.

ABSTRACT
Geriatric hip fractures are one of the commonest fractures worldwide. The purpose of this study was to report the outcomes of a series of unstable geriatric hip fractures treated with AFFIXUS hip fracture nail. A retrospective study of 100 unstable geriatric hip fractures treated with AFFIXUS hip fracture nail is presented. The mean follow-up duration was 8 months (range 3-32). Of the patients 83% were female. The average age was 85 years. The fracture was treated by closed reduction and intramedullary fixation. The mean acute hospital stay was 17.6 days. Systemic complications occurred in 29 patients (29%) and local complications in 3 patients (3%) including lag screw cutout in one patient (1%), lag screw backout in one patient (1%), and deep infection in one patient (1%). Mechanical failures and periprosthetic fractures were not observed in our series. Fractures united in all patients. Preinjury activity level was recovered in 78% of the patients. The results of AFFIXUS hip fracture nail were satisfactory in most elderly patients. The unique design of the lag screw and its thread spacing had effectively reduced cut-out rate.

No MeSH data available.


Related in: MedlinePlus