title: Mid-Term Results of 121 Periprosthetic Femoral Fractures: Increased Failure and Mortality Within but not After One Postoperative Year.
abstract: Periprosthetic femoral fractures are associated with high failure rates and mortality, particularly within one postoperative year. However, mid-term results related to this issue are lacking. Thus, we performed a retrospective follow-up evaluation. Between 2007 and 2012, we treated a total of 121 consecutive patients for periprosthetic femoral fractures. After a mean of 57.2 postoperative months, we documented a total surgical revision rate of 16.5% within the first year, and the one-year mortality rate was 13.2%. Between one year and up to 7.3 postoperative years, only one surgical revision was necessary, and the mortality rate also decreased. No significant factors related to surgical revisions were detected. However, the initial hip fracture, older age, higher ASA score and dementia were associated with a higher mortality rate.
authors.affiliation: Clinic for Trauma, Orthopaedic and Sports Medicine, Hospital Barmherzige Brüder, Regensburg, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Füchtmeier
authors.affiliation: Clinic for Trauma, Orthopaedic and Sports Medicine, Hospital Barmherzige Brüder, Regensburg, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Galler
authors.affiliation: Clinic for Trauma, Orthopaedic and Sports Medicine, Hospital Barmherzige Brüder, Regensburg, Germany.
authors.forename: Franz
authors.initials: F
authors.lastname: Müller
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000401:mortality; D005260:Female; D005264:Femoral Fractures / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000209:etiology / Q000401:mortality / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D017211:Treatment Failure
keywords: complication; morbidity; mortality; outcome; periprosthetic femoral fractures