髋关节囊内骨折：爱尔兰髋部骨折数据库中骨水泥和非骨水泥半关节置换术的比较研究。

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland Pub Date : 2023-12-21 DOI:10.1016/j.surge.2023.11.011

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引用次数: 0

摘要

背景：本研究旨在分析髋关节半关节成形术中使用骨水泥固定骨干与活动度、死亡率和出院去向之间的关系：本研究旨在分析髋关节半关节成形术中使用骨水泥固定骨干与活动度、死亡率和出院去向之间的关联：方法：研究人员对2016年至2020年爱尔兰髋部骨折数据库进行了检查，以评估术后活动度、7天、14天和住院患者死亡率以及出院去向是否存在差异：结果：2016年至2020年期间，共确定了7109例半髋关节置换术。71.6%为骨水泥植入（5172例），28.4%为非骨水泥植入（1937例）。术后第一天的活动能力（79.7% 对 80.9%）或出院时的累积活动能力评分（2.5 对 2.4）没有差异。骨水泥组和非骨水泥组的死亡率在所有时间点（7 天（0.9% 对 1.2%）、14 天（1.9% 对 2.3%）、住院患者（4% 对 5.1%））均不相同。住院时间（11 天 vs 12 天）和直接出院回家的比例（21% vs 27%）没有差异：结论：骨水泥的使用对术后死亡率、活动能力或出院目的地没有明显影响。

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Intracapsular hip fractures: A comparative study of cemented and uncemented hemiarthroplasties in the Irish hip fracture database

Background

The aim of this study was to analyse the association between use of cement for stem fixation in hip hemiarthroplasty and the outcomes of mobility, mortality, and discharge destination.

Methods

The Irish Hip Fracture Database was examined from 2016 to 2020 to assess for any difference in post op mobility, 7-day, 14-day and inpatient mortality, and discharge destination.

Results

A total of 7109 hemi-arthroplasties were identified from 2016 to 2020. 71.6 % were cemented (n = 5,172), with 28.4 % uncemented (1,937). There was no difference in day 1 post op mobilisation (79.7 % vs 80.9 %) or cumulative ambulatory score on discharge (2.5 vs 2.4). The mortality rate was equivocal at all time points between the cemented and uncemented groups (7 day (.9 % vs 1.2 %), 14 day (1.9 % vs 2.3 %), inpatient (4 % vs 5.1 %)). There was no difference in length of stay (11 vs 12 days) or discharge to home directly (21 % vs 27 %).

Conclusion

The use of cement did not have any significant difference on post op mortality, mobility or discharge destination.

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来源期刊

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 医学-外科

CiteScore

4.40

自引率

0.00%

发文量

158

审稿时长

6-12 weeks

期刊介绍： Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field. Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.