Proksimal Femur Periprostetik Kırıklarının Uzun Dönem Sonuçları ve Komplikasyonları: 48 Hastanın Retrospektif İncelemesi

Amaç: Periprostetik kırıklar, özellikle periprostetik proksimal femur kırıkları, önemi giderek artan ortopedik bir problemdir. Bu çalışmanın amacı, periprostetik femur kırıklarının uzun dönem sonuçlarını, mortalitesini ve komplikasyonlarını değerlendirmektir. Yöntemler: Proksimal femur periprostetik kırığı olan hastalar retrospektif olarak değerlendirildi. Vancouver tip B1 ve C olan hastalar plak vida osteosentezi ile ameliyat edildi. Vancouver tip B2 olan hastalar ise revizyon femoral sistemler kullanılarak ameliyat edildi. Klinik izlem fizik muayene ve radyografik olarak değerlendirilirken, fonksiyonel sonuçlar Gos skorlaması ile değerlendirildi. Bulgular: Toplam 48 hasta retrospektif olarak değerlendirildi. 16 hasta (%33,3) tip B1, 18 hasta (%37,5) tip B2 ve 14 hasta (%29,2) tip C idi. Tip B1 ve tip C olan 30 hasta (%62,5) plak vida osteosentezi ile, tip B2 olan18 hasta (%37,5) ise revizyon femoral sistemler ile tedavi edildi. Uygulanan cerrahi yöntem ile hem mortalite hem de preop/postop GOS skorlama sistemleri arasında anlamlı korelasyon vardı (p

Long-term outcomes and complications of Periprosthetic Fractures of the Proximal Femur: A Retrospective Review of 48 Patients

Objectives: Periprosthetic fractures, especially periprosthetic proximal femur fractures, are an increasingly important orthopaedic problem. The aim of this study is to evaluate long-term results, mortality and complications of periprosthetic fractures. Methods: Patients who had proximal femur periprosthetic fractures were evaluated retrospectively. Patients withVancouver type B1 and C were treated with plate-screw osteosynthesis and patients with Vancouver type B2 were operated on using revision femoral systems. Follow-up was evaluated by clinical and radiographic, and functional results were assessed by Gos scoring. Results: Totally 48 patients were evaluated retrospectively. 16 patients (33.3%) were type B1, 18 patients (37.5%) were type B2 and 14 patients (29.2%) were type C. 30 patients (62.5%) with type B1 and C were treated with plate screw osteosynthesis and 18 patients (37.5%) with type B2 treated with revision femoral systems. There was a significant correlation between the surgical method applied and both mortality and preop/postop GOS scoring systems (p

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