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Surgeon-stratified periprosthetic fracture risk in a single-hospital cohort of 1531 uncemented ABG-II femoral stems at primary total hip arthroplasty
ID
Kropivšek, Luka
(
Avtor
),
ID
Antolič, Vane
(
Avtor
),
ID
Mavčič, Blaž
(
Avtor
)
PDF - Predstavitvena datoteka,
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(705,52 KB)
MD5: 717319F343E45C65BF98DC5262EAA3B3
URL - Izvorni URL, za dostop obiščite
https://link.springer.com/article/10.1007/s43465-023-00996-2
Galerija slik
Izvleček
Purpose Late periprosthetic fracture risk with uncemented ABG-II femoral stems at primary total hip arthroplasty (THA) has been reported before, but single-hospital surgeon-stratified reports of this implant have never been published. We asked whether periprosthetic fracture rates of ABG-II femoral stems implanted at a single tertiary hospital depended on patients’ age, gender and the operating surgeon. Methods The study included 1531 consecutive primary ABG-II femoral stems implanted at a single tertiary hospital between January 1, 2012 and December 31, 2018. The Kaplan–Meier and Cox regression analyses were performed after 3.6–10.6 years of follow-up. Results In the cohort, we recorded 8 intraoperative, 22 early postoperative (within 90 days of implantation) and 26 late periprosthetic fractures (over 90 days postoperatively). The revision rate of ABG-II femoral stems was 5.1/100 component-years for early and 0.3/100 component-years for late periprosthetic fractures. The Kaplan–Meier cumulative probability of periprosthetic fracture was 2.1% at one, 2.3% at 2, 3.2% at 5, and 6.5% at 10 years after the implantation. Higher patient's age at operation was an independent risk factor of subsequent periprosthetic fracture (hazard ratio 1.07, 95% confidence interval 1.03–1.10; p < 0.01), regardless of the operating surgeon. Most of the fractured femora were Dorr type C (stovepipe). Conclusion The study presents the largest published ABG-II femoral stem cohort from a single hospital so far with 9291 component-years of observation. Periprosthetic fracture risk of ABG-II increased with patients’ age, had no variability between different surgeons, and was considerably higher from other uncemented femoral stems used at the same hospital.
Jezik:
Angleški jezik
Ključne besede:
total hip arthroplasty
,
periprosthetic fracture
,
cohort analysis
,
surgeon stratification
Vrsta gradiva:
Članek v reviji
Tipologija:
1.01 - Izvirni znanstveni članek
Organizacija:
MF - Medicinska fakulteta
Status publikacije:
Objavljeno
Različica publikacije:
Objavljena publikacija
Leto izida:
2023
Št. strani:
Str. 1850-1857
Številčenje:
Vol. 57, iss. 11
PID:
20.500.12556/RUL-154725
UDK:
616.7
ISSN pri članku:
1998-3727
DOI:
10.1007/s43465-023-00996-2
COBISS.SI-ID:
186240771
Datum objave v RUL:
26.02.2024
Število ogledov:
319
Število prenosov:
26
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Objavi na:
Gradivo je del revije
Naslov:
Indian journal of orthopaedics
Skrajšan naslov:
Indian j. orthop.
Založnik:
Medknow Publications
ISSN:
1998-3727
COBISS.SI-ID:
520739097
Licence
Licenca:
CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
Povezava:
http://creativecommons.org/licenses/by/4.0/deed.sl
Opis:
To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.
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