ArticleInternational orthopaedics2015
The influence of pre-existing radiographic osteoarthritis on functional outcome after trochanteric fracture.
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.
- Short- and long-term prognostic factors associated with functional recovery in elderly patients with hip fracture: A systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Pooled it
- Predictors of poor functional outcomes and mortality in patients with hip fracture: a systematic review.BMC musculoskeletal disorders · 2019Pooled it
- The femoral neck-shaft angle on plain radiographs: a systematic review.Skeletal radiology · 2016Pooled it
- A Randomized, Placebo-Controlled Study of Romosozumab for the Treatment of Hip Fractures.The Journal of bone and joint surgery. American volume · 2020Trial
- The Effect of Pre-existing Advanced Osteoarthritis in Trochanteric Femoral Fractures on Post-intramedullary Nailing Quality of Life - A Retrospective Study.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- The effect of preexisting radiographic hip osteoarthritis on the functional recovery after surgical treatment of intertrochanteric fractures in elderly patients.Acta orthopaedica et traumatologica turcica · 2022Article
- Risk Factors for Functional Outcomes of the Elderly with Intertrochanteric Fracture: A Retrospective Cohort Study.Orthopaedic surgery · 2019Article
- Functional implications of femoral offset following hemiarthroplasty for displaced femoral neck fracture.International orthopaedics · 2016Observational
- The effect of osteoarthritis on functional outcome following hemiarthroplasty for femoral neck fracture: a prospective observational study.BMC musculoskeletal disorders · 2015Observational
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIt is crucially important to optimise functional outcome after fixation of trochanteric femoral fractures. While a number of risk factors that predict a poor clinical course have been identified, the influence of pre-existing radiographic osteoarthritis (OA) of the hip is unclear.
methodsThe influence of pre-existing radiographic OA of the hip on short- to mid-term functional outcome was prospectively analysed in a cohort of patients undergoing proximal femoral nailing for trochanteric fracture. OA was graded according to Kellgren and Lawrence; functional outcome was assessed at six and 12 months by the Harris hip score (HHS), the timed up and go (TUG) test and the Barthel Index.
resultsOur cohort comprised 188 patients (58 were male and 130 female), with a mean age of 82 years. At six and 12 months postoperatively, the HHS (p < 0.001 and p = 0.008, respectively) and Barthel Index (p < 0.001 and p = 0.02, respectively) correlated significantly with the grade of pre-existing OA. After adjustment for confounding variables, there was a significant association between the grade of pre-existing OA and the HHS at six months (p = 0.02). Although we observed trends suggestive of other relationships, none reached statistical significance.
conclusionsPre-existing radiographic OA of the hip is an important determinant of clinical outcome in elderly patients with a trochanteric femoral fracture. Further studies will be needed to establish the most effective means of restoring hip function after trochanteric femoral fracture in patients with radiographic OA of the hip.
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