ArticleGeriatric orthopaedic surgery & rehabilitation2019
Frail Patients Benefit From Less Invasive Procedures.
Article in Geriatric orthopaedic surgery & rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Using A Surgical Risk Predictor to Estimate Percutaneous Cryoablation Adverse Event Risk: A Single Center Comparative Analysis.Journal of the American College of Radiology : JACR · 2025Article
- Impact of bone quality on surgical decision-making in total hip arthroplasty: a qualitative analysis in the UK.BMJ open · 2025Article
- Cyclic testing of standalone ALIF versus TLIF in lumbosacral spines of low bone mineral density: an ex vivo biomechanical study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Multidimensional prognostic index predicts short- and long-term mortality and rehospitalizations in older patients with hip fracture.Aging clinical and experimental research · 2023Article
- Outcomes of fixation of Vancouver B periprosthetic fractures around cemented versus uncemented stems.BMC musculoskeletal disorders · 2023Article
- Percutaneous coronary intervention in patients aged 80 years old and above: a systematic review and meta-analysis.AsiaIntervention · 2022Review
- The impact of frailty on postoperative complications in geriatric patients undergoing multi-level lumbar fusion surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Atrial fibrillation and frailty.Journal of geriatric cardiology : JGC · 2020Review
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3 authors.
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Abstract
purposeA traumatic periprosthetic fracture (PPF) is a long-term complication of total hip arthroplasty. Treatment options include revision, open reposition and internal fixation (ORIF), and minimally invasive techniques (MITs). To select the optimal surgical procedure, the level of frailty has to be considered, especially in patients with geriatric trauma. The aim of this study is to determine whether a frail patient has a better outcome postoperatively after less invasive treatment. METHODS AND MATERIALS: Sixty-three patients with an PPF were analyzed in this retrospective study. The level of frailty was obtained by the complex fracture frailty index (CFFI). The CFFI combines comorbidities, laboratory tests, physical abilities, social factors, and cognitive functions. Primary outcomes in this study include mortality, minor complications, and 3 major complications (deceased, reoperation or immobility after 1 year).
resultsThirty frail patients had lower survival rates ( DISCUSSION AND
conclusionThis study shows that frail patients can be adequately detected using our frailty score CFFI and have a lower survival rate, regardless the type of surgery. Another finding is that for frail patients, more invasive surgery has a negative influence on the outcome of the treatment. Therefore, it is of great importance to assess and use the patient's level of frailty to determine the surgical procedure for a PPF.
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