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These cookies do not store any personal information. Data analysis was based on the available
documentation of the operations, anaesthetic report, x-ray files and the general patient record. Es
sollte daher bei Risikopatienten eine interdisziplinare Betreuung vor allem in Zusammenarbeit mit
einem Geriater erfolgen. General health complications occurred for 15% of the patients. But opting
out of some of these cookies may have an effect on your browsing experience. We recommend that
for every prosthetic fracture, tissue and microbiological probes should be taken and long-time
incubation should be applied. These cookies will be stored in your browser only with your consent.
The periprosthetic fracture appeared for the well-grounded prostheses more often from a trauma than
the loosened prostheses (87% to 45%) due to the higher fracture rate of the loose prostheses without
the occurrence of a trauma (55%). It is mandatory to procure user consent prior to running these
cookies on your website. Objective of this retrospective elaboration was to analyse the correlation
between the. Uber alle Prothesentypen kam es im Durchschnitt 6,2 Jahre (0-26) nach
Primarimplantation zu Frakturen. Because of the increasing numbers and durability of total hip
arthroplasty, the periprosthetic femur fracture is a serious problem. For cemented prostheses the
average duration until the fracture was 7.3 years, whilst for uncemented prostheses the average
duration was 5.8 years. For uncemented prostheses the majority of fractures occurred within the first
year after primary arthroplasty (37%). Oktober 2018 Copyright by Haslbeck Sports UG
(haftungsbeschrankt) 2018 Impressum Kontakt Discaimer Datenschutzerklarung Footer Go to Top. It
reflects the primary hip arthroplasty rate depending on the sex too. In general most fractures took
place 6.2 years after initial arthroplasty (0-26 years). Different operation procedures were used
depending on the kind of fracture. All fractures were categorized using the Vancouver classification.
Liberating Structures Retrospectives Deutsch Reflections -- -- Follow Written by Torsten Irlander 23
Followers Follow Help Status About Careers Blog Privacy Terms Text to speech Teams. The average
age of the patients in this study was 78.3 (41-99) years and the relation between female patients and
male patients was 62% to 38%. The rate of infections decreased from the femoral replacement
(45%) to the prosthesis change (14-21%) and the plate fixation (9-11%). This does not necessarily
imply a higher risk for females of suffering of a periprosthetic fracture but represents the average
distribution between the sexes in this age group in Germany. The femur replacement showed
quintessentially a failure rate of 36% proving its status as a limb-salvage treatment. Fracturing of
uncemented prostheses occurred later when the prosthesis was loose. Patients of these groups should
be receiving an interdisciplinary treatment that includes a geriatric consultant. For 21% of the
patients showed a loosening of the prosthesis. Mehr Raum fur kurze Pausen hatte allen Beteiligten
wohl gut getan. Necessary Necessary immer aktiv Necessary cookies are absolutely essential for the
website to function properly. Another increase of fractures was observed after 7 years for the
uncemented prostheses (33%) and for cemented prostheses after 10 years (35%). The high number of
fractures within the first year after initial arthroplasty needs to be considered.
General health complications occurred for 15% of the patients. But opting out of some of these
cookies may have an effect on your browsing experience. The rate of infections decreased from the
femoral replacement (45%) to the prosthesis change (14-21%) and the plate fixation (9-11%). All
fractures were categorized using the Vancouver classification. The locking plates designed for the
periprosthetic fractures (LISS plus LAP, NCB periprosthetic Plate) showed superior performance
compared to the conventional plates (failure rate conventional plates 27%, LISS 13%, LISS plus
LAP 9%, NCB 0%). We also use third-party cookies that help us analyze and understand how you
use this website. Category B3 fractures increased seven years after an initial hip arthroplasty (77%).
Therefore only special developed locking plates should be used for this treatment. This category
only includes cookies that ensures basic functionalities and security features of the website. Another
increase of fractures was observed after 7 years for the uncemented prostheses (33%) and for
cemented prostheses after 10 years (35%). The antibiotic therapy should be tailored according to the
test results and possible antibiotic resistances. Category A fractures mostly occurred during the initial
hip arthroplasty. Es sollte daher bei Risikopatienten eine interdisziplinare Betreuung vor allem in
Zusammenarbeit mit einem Geriater erfolgen. The most frequent fracture categories according to the
Vancouver classification were B2 (37%) and C (37%). Objective of this retrospective elaboration
was to analyse the correlation between the. Mehr Raum fur kurze Pausen hatte allen Beteiligten wohl
gut getan. After a cement free prosthesis 41% of all fractures were categorized as B2 fractures,
whereas in the cemented version, category C (40%) was more often. Non-necessary Non-necessary
Any cookies that may not be particularly necessary for the website to function and is used
specifically to collect user personal data via analytics, ads, other embedded contents are termed as
non-necessary cookies. Our group of patients is of higher age and poorer general state of health when
encountering the periprosthetic fracture compared to the time of the primary hip arthroplasty. About
77% of the patients were seriously affected by illnesses (ASA 3, 70%, ASA 4, 7%). Fracturing of
uncemented prostheses occurred later when the prosthesis was loose. We recommend that for every
prosthetic fracture, tissue and microbiological probes should be taken and long-time incubation
should be applied. Ich glaube es ware besser gewesen, wenn jeder Teilnehmer zu Beginn nur ein
Top-Thema (sein Top-Thema) genannt hatte. It reflects the primary hip arthroplasty rate depending on
the sex too. Sie sind ohne Frage fordernder als klassische Methoden, in denen man sich auch mal
eine Pause gonnen kann. Liberating Structures Retrospectives Deutsch Reflections -- -- Follow
Written by Torsten Irlander 23 Followers Follow Help Status About Careers Blog Privacy Terms Text
to speech Teams. The femur replacement showed quintessentially a failure rate of 36% proving its
status as a limb-salvage treatment. Vor diesem Hintergrund schien es mir dann doch sinnvoll sich zu
Beginn des Meeting auszutauschen. Functional failure of the osteosynthesis or of the prosthesis was
observed in 16%.
Es sollte daher bei Risikopatienten eine interdisziplinare Betreuung vor allem in Zusammenarbeit mit
einem Geriater erfolgen. Data analysis was based on the available documentation of the operations,
anaesthetic report, x-ray files and the general patient record. Diese sollten im Rahmen einer
zweieinhalb stundigen Retrospektive mit allen Beteiligten aufbereitet werden. Retrospektiven sind
daher ein fester Bestandteil in einem PDCA (Plan-Do-Check-Act) Zyklus. The femur replacement
showed quintessentially a failure rate of 36% proving its status as a limb-salvage treatment. Because
of the increasing numbers and durability of total hip arthroplasty, the periprosthetic femur fracture is
a serious problem. These cookies do not store any personal information. In general most fractures
took place 6.2 years after initial arthroplasty (0-26 years). It is mandatory to procure user consent
prior to running these cookies on your website. Fracturing of uncemented prostheses occurred later
when the prosthesis was loose. General health complications occurred for 15% of the patients. The
periprosthetic fracture appeared for the well-grounded prostheses more often from a trauma than the
loosened prostheses (87% to 45%) due to the higher fracture rate of the loose prostheses without the
occurrence of a trauma (55%). Six patients died during their stay in hospital (2,7%). Es sollte
deutlich werden, wie jeder seine eigene Sichtweise einbringt, ohne gleich in Diskussionen
abzudriften. Functional failure of the osteosynthesis or of the prosthesis was observed in 16%. Out
of these cookies, the cookies that are categorized as necessary are stored on your browser as they are
essential for the working of basic functionalities of the website. Our group of patients is of higher
age and poorer general state of health when encountering the periprosthetic fracture compared to the
time of the primary hip arthroplasty. There was a correlation between complications related to the
general health status and the fracture class. Plating was applied in 37% and cables were used for
treatment in 3% of the cases. About 77% of the patients were seriously affected by illnesses (ASA 3,
70%, ASA 4, 7%). Mehr Raum fur kurze Pausen hatte allen Beteiligten wohl gut getan. Additionally
the trauma causing the periprosthetic fracture, the time between initial hip arthroplasty and
periprosthetic femur fracture, the implantation technique used at the primary prosthesis, the operative
technique of fracture treatment (osteosynthesis or replacement of compounds), incision-suture time,
complications encountered, the number of revision and the numbers of red blood cell concentrate
used per patient were included in the analysis. The average age of the patients in this study was 78.3
(41-99) years and the relation between female patients and male patients was 62% to 38%. The rate
of infections decreased from the femoral replacement (45%) to the prosthesis change (14-21%) and
the plate fixation (9-11%). Bei Femurersatz war er am hochsten (5,8 EK?s pro Patient). Vor diesem
Hintergrund schien es mir dann doch sinnvoll sich zu Beginn des Meeting auszutauschen.
Subsequently a fracture occurred in average 2 years earlier for the cemented prosthesis. But opting
out of some of these cookies may have an effect on your browsing experience. Complications due to
the operative procedure were found in 11% of the cases. 45% were patients with a femoral
replacement in form of seromata, haematomata, and secondary haemorrhage.
Ich glaube es ware besser gewesen, wenn jeder Teilnehmer zu Beginn nur ein Top-Thema (sein Top-
Thema) genannt hatte. The rate of loosening was higher for uncemented prostheses compared to the
cemented type and varied between the fracture types from 7% to 28% (A) and 9 to 17% (B2). The
high number of fractures within the first year after initial arthroplasty needs to be considered. We
recommend that for every prosthetic fracture, tissue and microbiological probes should be taken and
long-time incubation should be applied. Because of the increasing numbers and durability of total hip
arthroplasty, the periprosthetic femur fracture is a serious problem. The average age of the patients in
this study was 78.3 (41-99) years and the relation between female patients and male patients was
62% to 38%. Six patients died during their stay in hospital (2,7%). Category B3 fractures increased
seven years after an initial hip arthroplasty (77%). Another increase of fractures was observed after 7
years for the uncemented prostheses (33%) and for cemented prostheses after 10 years (35%).
Because of the increasing numbers and durability of total hip arthroplasty, the periprosthetic femur
fracture is a serious problem. The femur replacement showed quintessentially a failure rate of 36%
proving its status as a limb-salvage treatment. Mehr Raum fur kurze Pausen hatte allen Beteiligten
wohl gut getan. Oktober 2018 Copyright by Haslbeck Sports UG (haftungsbeschrankt) 2018
Impressum Kontakt Discaimer Datenschutzerklarung Footer Go to Top. General health complications
occurred for 15% of the patients. After a cement free prosthesis 41% of all fractures were
categorized as B2 fractures, whereas in the cemented version, category C (40%) was more often. It is
mandatory to procure user consent prior to running these cookies on your website. Sie sind ohne
Frage fordernder als klassische Methoden, in denen man sich auch mal eine Pause gonnen kann.
Functional failure of the osteosynthesis or of the prosthesis was observed in 16%. Bei Femurersatz
war er am hochsten (5,8 EK?s pro Patient). Retrospektiven sind daher ein fester Bestandteil in einem
PDCA (Plan-Do-Check-Act) Zyklus. There was a correlation between complications related to the
general health status and the fracture class. Necessary Necessary immer aktiv Necessary cookies are
absolutely essential for the website to function properly. Different operation procedures were used
depending on the kind of fracture. Subsequently a fracture occurred in average 2 years earlier for the
cemented prosthesis. All fractures were categorized using the Vancouver classification. The
surveillance period covered 2-13 years after the surgery. The most frequent fracture categories
according to the Vancouver classification were B2 (37%) and C (37%). But opting out of some of
these cookies may have an effect on your browsing experience. The antibiotic therapy should be
tailored according to the test results and possible antibiotic resistances. The locking plates designed
for the periprosthetic fractures (LISS plus LAP, NCB periprosthetic Plate) showed superior
performance compared to the conventional plates (failure rate conventional plates 27%, LISS 13%,
LISS plus LAP 9%, NCB 0%).
Therefore only special developed locking plates should be used for this treatment. Fracturing of
uncemented prostheses occurred later when the prosthesis was loose. Most likely the undetected
septic loosening could be the reason for the high infection rate. Because of the increasing numbers
and durability of total hip arthroplasty, the periprosthetic femur fracture is a serious problem. The
average age of the patients in this study was 78.3 (41-99) years and the relation between female
patients and male patients was 62% to 38%. The type of complication was depending on the
Vancouver Class, the cut-suture time, the operation procedure used and the general health status. We
recommend that for every prosthetic fracture, tissue and microbiological probes should be taken and
long-time incubation should be applied. The type of fracture was further influenced by the time
elapsed after the initial hip arthroplasty. In 42% additive cables were used for a better fixation.
Overall 49.5% of our patients had complications. General health complications occurred for 15% of
the patients. Bei Femurersatz war er am hochsten (5,8 EK?s pro Patient). It reflects the primary hip
arthroplasty rate depending on the sex too. After a cement free prosthesis 41% of all fractures were
categorized as B2 fractures, whereas in the cemented version, category C (40%) was more often.
Oktober 2018 Copyright by Haslbeck Sports UG (haftungsbeschrankt) 2018 Impressum Kontakt
Discaimer Datenschutzerklarung Footer Go to Top. This does not necessarily imply a higher risk for
females of suffering of a periprosthetic fracture but represents the average distribution between the
sexes in this age group in Germany. In general most fractures took place 6.2 years after initial
arthroplasty (0-26 years). Our group of patients is of higher age and poorer general state of health
when encountering the periprosthetic fracture compared to the time of the primary hip arthroplasty.
An impact on the durability of the prosthesis was the technique (cemented vs. There was a
correlation between complications related to the general health status and the fracture class. All
fractures were categorized using the Vancouver classification. The locking plates designed for the
periprosthetic fractures (LISS plus LAP, NCB periprosthetic Plate) showed superior performance
compared to the conventional plates (failure rate conventional plates 27%, LISS 13%, LISS plus
LAP 9%, NCB 0%). Category A fractures mostly occurred during the initial hip arthroplasty. For
21% of the patients showed a loosening of the prosthesis. The periprosthetic fracture appeared for
the well-grounded prostheses more often from a trauma than the loosened prostheses (87% to 45%)
due to the higher fracture rate of the loose prostheses without the occurrence of a trauma (55%).
These cookies will be stored in your browser only with your consent. The rate of loosening was
higher for uncemented prostheses compared to the cemented type and varied between the fracture
types from 7% to 28% (A) and 9 to 17% (B2). Ich glaube es ware besser gewesen, wenn jeder
Teilnehmer zu Beginn nur ein Top-Thema (sein Top-Thema) genannt hatte. Uber alle Prothesentypen
kam es im Durchschnitt 6,2 Jahre (0-26) nach Primarimplantation zu Frakturen. Retrospektiven sind
daher ein fester Bestandteil in einem PDCA (Plan-Do-Check-Act) Zyklus.