No Consequence for Lateral View X-Ray in Displaced Proximal Femoral Fractures in the Elderly.

Frontiers in Surgery
Christian MackeEmmanouil Liodakis

Abstract

Background: Due to demographic changes, proximal femoral fractures (PFF) in the elderly rise constantly. The standard diagnostic tool is still the X-ray of the pelvis/hip in two planes. Our hypothesis was that the lateral-view X-ray has little influence on classification, planning of the operative procedure, and choice of implant in geriatric patients. Methods: Retrospective analysis of all initial X-rays of PFF in geriatric patients (≥70 years) from May 2018 until August 2019 in a Level I Trauma center. Three experienced consultants categorized the fractures on the ap pelvis view and performed Garden and Pauwels classification as well as a two-staged classification displaced/nondisplaced [for femoral neck fractures (FNF)] or AO Classification [for intertrochanteric fractures (ITF)]. Afterward, they decided the operative strategy as well as implant choice [dynamic hip screw (DHS), intramedullary nail (IMN), or arthroplasty]. After 4 weeks, they categorized all fractures again with now available lateral view X-rays in a different order. Results: Two hundred seven patients (146 female, 61 male; 70.5 vs. 29.5%) with 90 FNF and 117 ITF (43.5 vs. 56.5%) could be included. Age was 84.6 ± 6.9 years. The treatment was in 45 cases DHS, ...Continue Reading

References

Nov 18, 2010·The British Journal of Radiology·B AlmazediG Pereira
Apr 12, 2014·Clinics in Geriatric Medicine·Susan M Friedman, Daniel Ari Mendelson
Aug 19, 2015·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Osman RiazRaees Vanker
Oct 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Dheerendra S KumarMuddu Bisalahalli
Mar 20, 2018·Injury·Tom J CrijnsUNKNOWN Science of Variation Group
Jun 13, 2018·AJR. American Journal of Roentgenology·Bharti KhuranaMichael J Weaver
Jan 15, 2019·Orthopaedics & Traumatology, Surgery & Research : OTSR·Povilas MasionisNarūnas Porvaneckas
Oct 11, 2019·Der Unfallchirurg·Carsten SchoenebergUNKNOWN AltersTraumaRegister DGU

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