医学
骨科手术
外科
入射(几何)
假体周围
回顾性队列研究
并发症
血栓形成
静脉血栓形成
心肌梗塞
肺栓塞
冲程(发动机)
关节置换术
内科学
机械工程
光学
物理
工程类
作者
Jane Liu,Nicholas B. Frisch,Nima Mehran,Mossub Qatu,S. Trent Guthrie
出处
期刊:Orthopedics
[SLACK, Inc.]
日期:2018-09-01
卷期号:41 (5)
被引量:10
标识
DOI:10.3928/01477447-20180711-03
摘要
The purpose of this retrospective cohort study was to evaluate whether there is an increased rate of short-term medical complications following short vs long cephalomedullary nails for the treatment of intertrochanteric hip fractures. A total of 899 patients treated surgically with cephalomedullary nails from January 1, 2005, to September 1, 2014, were included. Patients who received short nails (n=334) were older and had a higher incidence of coronary artery disease and diabetes mellitus compared with patients who received long nails (n=565). The incidences of 30-day medical complications, including myocardial infarction, stroke, deep venous thrombosis, pulmonary embolism, blood transfusion, non-surgical site infection, surgical site infection, and mortality, were recorded. The orthopedic complications of periprosthetic fracture of the ipsilateral hip and implant failure through the latest outpatient follow-up were recorded. No significant difference was found between nails for any studied medical complication (63.5% short vs 66.0% long, P=.4393) or mortality (6.9% short vs 5.3% long, P=.3322). There was also no significant difference in the incidence of orthopedic complications (P=.70). Longer operating room time was associated with superficial surgical site infection. [Orthopedics. 2018; 41(5):e636-e642.].
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