کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3238900 1205976 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pre-operative nutritional serum parameters as predictors of failure after internal fixation in undisplaced intracapsular proximal femur fractures
ترجمه فارسی عنوان
پارامترهای سرم تغذیه قبل از عمل به عنوان پیش بینی کننده شکست پس از تثبیت داخلی در شکستگی های غیرقابل انقباض داخل شکاف پروگزیمال استخوان ران
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

IntroductionCurrent management of undisplaced hip fractures is based on internal fixation. Reported revision rates of 12–17% for this procedure negatively impact on patient morbidity and mortality. The aim of this novel study is to examine if the nutritional status of these patients is associated with failure of internal fixation.Patients and methodsA consecutive series of 111 undisplaced intracapsular hip fractures treated with cannulated screw was identified. These were retrospectively reviewed including routine admission serum investigations (lymphocyte count and albumin levels). Radiological investigations were used to assess fracture classification, posterior-tilt angle, fixation adequacy, screw configuration and failure (avascular-necrosis, non-union and screw cut-out).Results16% of fixations failed (18 patients). Patients with fixation-failure had a significantly lower albumin (35 g/l vs. 40 g/l, p = 0.02) and lymphocyte count (0.7 × 109 l vs. 1.4 × 109 l, p ≤ 0.001) than non-failure patients. Lymphocyte count, albumin level and posterior-tilt angle were independent predicators of failure on binary logistic regression analysis. We suggest that routine laboratory tests can be used to identify patients at greatest risk of failure of internal fixation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 46, Issue 8, August 2015, Pages 1571–1576
نویسندگان
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