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High revision rates and mortality after distal femoral replacement for periprosthetic distal femoral fractures: analysis from the German Arthroplasty Registry (EPRD).
- Source :
-
European Journal of Orthopaedic Surgery & Traumatology . Jan2024, Vol. 34 Issue 1, p331-338. 8p. - Publication Year :
- 2024
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Abstract
- Purpose: This study was initiated to analyze the outcome after distal femoral replacement (DFR) for periprosthetic distal femoral fractures (PDFF). Methods: Data from the German Arthroplasty Registry (EPRD) were analyzed. A total of 626 patients could be identified with a DFR for PDFF. Mean age was 78.8 years, and 84.2% were female. Revisions and mortality were analyzed and compared with patient groups with a similar procedure (revision total knee arthroplasty) or similar general condition (fracture total hip arthroplasty, hip hemiarthroplasty). Matched-pair-analyses were performed. Results: Within one year after surgery, 13.2% of the patients had died and further 9.4% were revised. Within four years, 32.7% had died and 19.7% were revised. Revisions were nearly twice as high as in the comparison groups. Periprosthetic infection (PJI) was the most frequent cause for revision, resulting in a PJI rate of 12.8%, which was lower in the comparison groups. Mortality after DFR was as similar high as after fracture hip arthroplasty. Conclusion: PDFF are a serious injury, and the necessary surgical treatment has a high risk of complications. Every third patient after DFR for PDFF had died and every fifth patient needed revision within 4 years after surgery. Efforts should be undertaken to provide optimal treatment to these high-risk patients to reduce unfavorable outcomes. Level of evidence: III. Registration of clinical trials: As this is a registry-derived study of data of the German Arthroplasty Registry (EPRD), no registration was performed. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 16338065
- Volume :
- 34
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- European Journal of Orthopaedic Surgery & Traumatology
- Publication Type :
- Academic Journal
- Accession number :
- 174645185
- Full Text :
- https://doi.org/10.1007/s00590-023-03582-2