Extracapsular fractures [Dataset]

[EN]Background Benefits of post-operative partial weight bearing (PWB) in extracapsular hip fractures (ECFs) have not been proved. We have assessed influence of PWB on long-term survival and the final mobility achieved, dependence and mortality-related factors. Methods Retrospective cohort study of...

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Detalles Bibliográficos
Autor: Hernández Pascual, Carlos
Tipo de recurso: conjunto de datos
Estado:Versión borrador
Fecha de publicación:2024
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/160675
Acceso en línea:http://hdl.handle.net/10366/160675
Access Level:acceso abierto
Palabra clave:Hip fracture
Fracture fixation, intramedullary
Partial weight bearing
Dependence
Mobility
Survival
Fracture Fixation, Intramedullary
Hip Fractures
Weight-Bearing
3213.15 Traumatología
fijación intramedular de fractura
soporte de peso
fracturas de cadera
id ES_572e4fffe76cdb2d4b69ac2283a35f4e
oai_identifier_str oai:gredos.usal.es:10366/160675
network_acronym_str ES
network_name_str España
repository_id_str
spelling Extracapsular fractures [Dataset]Hernández Pascual, CarlosHip fractureFracture fixation, intramedullaryPartial weight bearingDependenceMobilitySurvivalFracture Fixation, IntramedullaryHip FracturesWeight-Bearing3213.15 Traumatologíafijación intramedular de fracturasoporte de pesofracturas de cadera[EN]Background Benefits of post-operative partial weight bearing (PWB) in extracapsular hip fractures (ECFs) have not been proved. We have assessed influence of PWB on long-term survival and the final mobility achieved, dependence and mortality-related factors. Methods Retrospective cohort study of osteoporotic ECFs in ≥ 65-year-old patients who underwent surgery with trochanteric Gamma3 nails in 2014 (n=218), followed in the long term (consolidation or stabilisation). According to Baumgaertner-Fogagnolo classification (138 good, 71 acceptable and 9 poor) a postoperative protocol was applied. 116 cases bore weight before discharge (Immediate Partial Weight Bearing, IPWB=116; Not-IPWB=102), and 118 did it after a month (Early PWB, EPWB=118; Not-EPWB=100). Variables were collected from medical records and complementary studies. We used FMS (Fracture Mobility Score) and the National Mortality Database from the Spanish Ministry of Health at >5 years. EPWB and Not-EPWB were comparable, except for hospital stay and dependence. We used the Cox method for mortality. <0.05 P-values were significant. Results Survival improved in IPWB earlier than in EPWB, although there was no statistical significance. The final FMS was significantly favourable only in EPWB. Not-EPWB showed greater dependence. Age (per year of increment), moderate Charlson comorbidity index (not age-modified) and greater immediate postoperative anaemia rates were independent factors for mortality, but no radiological factors. Conclusions Postoperative PWB in ECF may increase mid-term and long-term survival rates, but considerably delayed in EPWB. Only EPWB improved final mobility. Not-EPWB presented with greater dependence. Only clinical factors were independently related to mortality, but no radiological factors were.Universidad de Salamanca202420242024info:eu-repo/semantics/datasetinfo:eu-repo/semantics/drafthttp://hdl.handle.net/10366/160675reponame:GREDOS. Repositorio Institucional de la Universidad de Salamancainstname:Universidad de Salamanca (USAL)Españolhttps://doi.org/10.1186/s12891-024-08043-3.Attribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:gredos.usal.es:10366/1606752026-06-07T06:28:51Z
dc.title.none.fl_str_mv Extracapsular fractures [Dataset]
title Extracapsular fractures [Dataset]
spellingShingle Extracapsular fractures [Dataset]
Hernández Pascual, Carlos
Hip fracture
Fracture fixation, intramedullary
Partial weight bearing
Dependence
Mobility
Survival
Fracture Fixation, Intramedullary
Hip Fractures
Weight-Bearing
3213.15 Traumatología
fijación intramedular de fractura
soporte de peso
fracturas de cadera
title_short Extracapsular fractures [Dataset]
title_full Extracapsular fractures [Dataset]
title_fullStr Extracapsular fractures [Dataset]
title_full_unstemmed Extracapsular fractures [Dataset]
title_sort Extracapsular fractures [Dataset]
dc.creator.none.fl_str_mv Hernández Pascual, Carlos
author Hernández Pascual, Carlos
author_facet Hernández Pascual, Carlos
author_role author
dc.subject.none.fl_str_mv Hip fracture
Fracture fixation, intramedullary
Partial weight bearing
Dependence
Mobility
Survival
Fracture Fixation, Intramedullary
Hip Fractures
Weight-Bearing
3213.15 Traumatología
fijación intramedular de fractura
soporte de peso
fracturas de cadera
topic Hip fracture
Fracture fixation, intramedullary
Partial weight bearing
Dependence
Mobility
Survival
Fracture Fixation, Intramedullary
Hip Fractures
Weight-Bearing
3213.15 Traumatología
fijación intramedular de fractura
soporte de peso
fracturas de cadera
description [EN]Background Benefits of post-operative partial weight bearing (PWB) in extracapsular hip fractures (ECFs) have not been proved. We have assessed influence of PWB on long-term survival and the final mobility achieved, dependence and mortality-related factors. Methods Retrospective cohort study of osteoporotic ECFs in ≥ 65-year-old patients who underwent surgery with trochanteric Gamma3 nails in 2014 (n=218), followed in the long term (consolidation or stabilisation). According to Baumgaertner-Fogagnolo classification (138 good, 71 acceptable and 9 poor) a postoperative protocol was applied. 116 cases bore weight before discharge (Immediate Partial Weight Bearing, IPWB=116; Not-IPWB=102), and 118 did it after a month (Early PWB, EPWB=118; Not-EPWB=100). Variables were collected from medical records and complementary studies. We used FMS (Fracture Mobility Score) and the National Mortality Database from the Spanish Ministry of Health at >5 years. EPWB and Not-EPWB were comparable, except for hospital stay and dependence. We used the Cox method for mortality. <0.05 P-values were significant. Results Survival improved in IPWB earlier than in EPWB, although there was no statistical significance. The final FMS was significantly favourable only in EPWB. Not-EPWB showed greater dependence. Age (per year of increment), moderate Charlson comorbidity index (not age-modified) and greater immediate postoperative anaemia rates were independent factors for mortality, but no radiological factors. Conclusions Postoperative PWB in ECF may increase mid-term and long-term survival rates, but considerably delayed in EPWB. Only EPWB improved final mobility. Not-EPWB presented with greater dependence. Only clinical factors were independently related to mortality, but no radiological factors were.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/dataset
info:eu-repo/semantics/draft
format dataset
status_str draft
dc.identifier.none.fl_str_mv http://hdl.handle.net/10366/160675
url http://hdl.handle.net/10366/160675
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.relation.none.fl_str_mv https://doi.org/10.1186/s12891-024-08043-3.
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidad de Salamanca
publisher.none.fl_str_mv Universidad de Salamanca
dc.source.none.fl_str_mv reponame:GREDOS. Repositorio Institucional de la Universidad de Salamanca
instname:Universidad de Salamanca (USAL)
instname_str Universidad de Salamanca (USAL)
reponame_str GREDOS. Repositorio Institucional de la Universidad de Salamanca
collection GREDOS. Repositorio Institucional de la Universidad de Salamanca
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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