Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures

PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed....
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Shujun Yu [verfasserIn] Chen Li [verfasserIn] Yuqiao Zhong [verfasserIn] Jiacheng Zang [verfasserIn] Zhanzhe Zhou [verfasserIn] Song Wang [verfasserIn] Yinguang Zhang [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	contralateral hip refracture intertrochanteric fracture intramedullary nails elderly patients refractures

Übergeordnetes Werk:	In: Frontiers in Surgery - Frontiers Media S.A., 2014, 9(2022)
Übergeordnetes Werk:	volume:9 ; year:2022

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fsurg.2022.924585

Katalog-ID:	DOAJ022677577

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520			\|a PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments.
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allfields	10.3389/fsurg.2022.924585 doi (DE-627)DOAJ022677577 (DE-599)DOAJ7089dbbfece14ae78480c9df406893d8 DE-627 ger DE-627 rakwb eng RD1-811 Shujun Yu verfasserin aut Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments. contralateral hip refracture intertrochanteric fracture intramedullary nails elderly patients refractures Surgery Chen Li verfasserin aut Yuqiao Zhong verfasserin aut Jiacheng Zang verfasserin aut Zhanzhe Zhou verfasserin aut Song Wang verfasserin aut Yinguang Zhang verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.924585 kostenfrei https://doaj.org/article/7089dbbfece14ae78480c9df406893d8 kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.924585/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
spelling	10.3389/fsurg.2022.924585 doi (DE-627)DOAJ022677577 (DE-599)DOAJ7089dbbfece14ae78480c9df406893d8 DE-627 ger DE-627 rakwb eng RD1-811 Shujun Yu verfasserin aut Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments. contralateral hip refracture intertrochanteric fracture intramedullary nails elderly patients refractures Surgery Chen Li verfasserin aut Yuqiao Zhong verfasserin aut Jiacheng Zang verfasserin aut Zhanzhe Zhou verfasserin aut Song Wang verfasserin aut Yinguang Zhang verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.924585 kostenfrei https://doaj.org/article/7089dbbfece14ae78480c9df406893d8 kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.924585/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfields_unstemmed	10.3389/fsurg.2022.924585 doi (DE-627)DOAJ022677577 (DE-599)DOAJ7089dbbfece14ae78480c9df406893d8 DE-627 ger DE-627 rakwb eng RD1-811 Shujun Yu verfasserin aut Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments. contralateral hip refracture intertrochanteric fracture intramedullary nails elderly patients refractures Surgery Chen Li verfasserin aut Yuqiao Zhong verfasserin aut Jiacheng Zang verfasserin aut Zhanzhe Zhou verfasserin aut Song Wang verfasserin aut Yinguang Zhang verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.924585 kostenfrei https://doaj.org/article/7089dbbfece14ae78480c9df406893d8 kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.924585/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfieldsGer	10.3389/fsurg.2022.924585 doi (DE-627)DOAJ022677577 (DE-599)DOAJ7089dbbfece14ae78480c9df406893d8 DE-627 ger DE-627 rakwb eng RD1-811 Shujun Yu verfasserin aut Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments. contralateral hip refracture intertrochanteric fracture intramedullary nails elderly patients refractures Surgery Chen Li verfasserin aut Yuqiao Zhong verfasserin aut Jiacheng Zang verfasserin aut Zhanzhe Zhou verfasserin aut Song Wang verfasserin aut Yinguang Zhang verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.924585 kostenfrei https://doaj.org/article/7089dbbfece14ae78480c9df406893d8 kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.924585/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
allfieldsSound	10.3389/fsurg.2022.924585 doi (DE-627)DOAJ022677577 (DE-599)DOAJ7089dbbfece14ae78480c9df406893d8 DE-627 ger DE-627 rakwb eng RD1-811 Shujun Yu verfasserin aut Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments. contralateral hip refracture intertrochanteric fracture intramedullary nails elderly patients refractures Surgery Chen Li verfasserin aut Yuqiao Zhong verfasserin aut Jiacheng Zang verfasserin aut Zhanzhe Zhou verfasserin aut Song Wang verfasserin aut Yinguang Zhang verfasserin aut In Frontiers in Surgery Frontiers Media S.A., 2014 9(2022) (DE-627)788288954 (DE-600)2773823-1 2296875X nnns volume:9 year:2022 https://doi.org/10.3389/fsurg.2022.924585 kostenfrei https://doaj.org/article/7089dbbfece14ae78480c9df406893d8 kostenfrei https://www.frontiersin.org/articles/10.3389/fsurg.2022.924585/full kostenfrei https://doaj.org/toc/2296-875X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022
language	English
source	In Frontiers in Surgery 9(2022) volume:9 year:2022
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topic_facet	contralateral hip refracture intertrochanteric fracture intramedullary nails elderly patients refractures Surgery
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container_title	Frontiers in Surgery
authorswithroles_txt_mv	Shujun Yu @@aut@@ Chen Li @@aut@@ Yuqiao Zhong @@aut@@ Jiacheng Zang @@aut@@ Zhanzhe Zhou @@aut@@ Song Wang @@aut@@ Yinguang Zhang @@aut@@
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Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P &gt; 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P &lt; 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">contralateral hip refracture</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">intertrochanteric fracture</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">intramedullary nails</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">elderly patients</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">refractures</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield 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callnumber-first	R - Medicine
author	Shujun Yu
spellingShingle	Shujun Yu misc RD1-811 misc contralateral hip refracture misc intertrochanteric fracture misc intramedullary nails misc elderly patients misc refractures misc Surgery Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures
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topic_title	RD1-811 Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures contralateral hip refracture intertrochanteric fracture intramedullary nails elderly patients refractures
topic	misc RD1-811 misc contralateral hip refracture misc intertrochanteric fracture misc intramedullary nails misc elderly patients misc refractures misc Surgery
topic_unstemmed	misc RD1-811 misc contralateral hip refracture misc intertrochanteric fracture misc intramedullary nails misc elderly patients misc refractures misc Surgery
topic_browse	misc RD1-811 misc contralateral hip refracture misc intertrochanteric fracture misc intramedullary nails misc elderly patients misc refractures misc Surgery
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title	Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures
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title_full	Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures
author_sort	Shujun Yu
journal	Frontiers in Surgery
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author_browse	Shujun Yu Chen Li Yuqiao Zhong Jiacheng Zang Zhanzhe Zhou Song Wang Yinguang Zhang
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title_sort	risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures
callnumber	RD1-811
title_auth	Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures
abstract	PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments.
abstractGer	PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments.
abstract_unstemmed	PurposeThe purpose of this study was to identify which of the risk factors would contribute to the contralateral fracture in very elderly patients after intramedullary nail fixation.MethodsClinical data of 227 intertrochanteric fracture patients aged 80 years or older were retrospectively reviewed. Intramedullary nails (IMNs) were used on all of the patients. Potential risk factors for contralateral hip refractures were determined using univariate and logistic regression analyses.ResultsContralateral hip refractures occurred in 11 patients (4.84%). Univariate analysis revealed that age, gender, body mass index, fracture classification, hematocrit, D-dimer, and CRP level were not associated with contralateral fractures (P > 0.05). However, neurological diseases, cardiovascular disease, and visual impairments were significantly associated with contralateral fractures (P < 0.05). Multivariate analysis further revealed that neurological diseases (OR 4.25, P = 0.044) and visual impairments (OR 5.42, P = 0.015) were independent risk factors associated with contralateral refractures.ConclusionTo prevent contralateral refractures, more attention should be paid to elderly intertrochanteric fracture patients with underlying neurological disease and visual impairments.
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title_short	Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures
url	https://doi.org/10.3389/fsurg.2022.924585 https://doaj.org/article/7089dbbfece14ae78480c9df406893d8 https://www.frontiersin.org/articles/10.3389/fsurg.2022.924585/full https://doaj.org/toc/2296-875X
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author2	Chen Li Yuqiao Zhong Jiacheng Zang Zhanzhe Zhou Song Wang Yinguang Zhang
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up_date	2024-07-03T13:25:43.865Z
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Risk factors for contralateral hip refractures in patients aged over 80 years with intertrochanteric femoral fractures

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