Evidence map›Paper›PMID 39209984›Full record

Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Free bone fragments are associated with the development of heterotopic ossification after hemiarthroplasty for femoral neck fracture: a retrospective observational study.

Hiroyuki Yokoi, Yasuhiko Takegami, Satoshi Ochiai, Takumi Miyachi, Tetsuya Urasaki, Shiro Imagama

Abstract readObservational Study
In one paragraph

Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hiroyuki YokoiDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan. yokosada19@gmail.com.ORCID http://orcid.org/0009-0004-5972-4713
Yasuhiko TakegamiDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan.
Satoshi OchiaiDepartment of Orthopaedic Surgery, Chutoen General Medical Center, 1-1 Shobugaike, Kakegaswa-Shi, Shizuoka-Ken, 436-8555, Japan.
Takumi MiyachiDepartment of Orthopaedic Surgery, Chutoen General Medical Center, 1-1 Shobugaike, Kakegaswa-Shi, Shizuoka-Ken, 436-8555, Japan.
Tetsuya UrasakiDepartment of Orthopaedic Surgery, Chutoen General Medical Center, 1-1 Shobugaike, Kakegaswa-Shi, Shizuoka-Ken, 436-8555, Japan.
Shiro ImagamaDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, 466-8550, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHeterotopic ossification (HO) can occur after hemiarthroplasty (HA) for femoral neck fractures (FNF). This study aimed to investigate the frequency and factors contributing to the development of HO after HA.

methodsThe study included data from 92 of 183 patients (26 male and 66 female) who sustained FNF and underwent HA between April 2019 and January 2022. HO was identified on postoperative radiographic images. Patient background, operative duration, blood loss, and presence of free bone fragments immediately after surgery were compared between the HO and non-HO groups. Statistical analyses included the independent-sample t-test for continuous variables and the chi-squared test for categorical variables. A multivariate logistic regression analysis was performed using HO as an objective variable.

resultsHO occurred in 50 of the 92 (54%) patients. There were no statistically significant differences in patient backgrounds. Univariate analysis revealed significantly longer mean operative duration and greater blood loss in the HO group. Free bone fragments in the immediate postoperative period were observed in 29 of 50 (58%) patients in the HO group and in 3 of 42 (7.1%) patients in the non-HO group, a statistically significant difference. Logistic regression analysis revealed that the presence of free bone fragments was an independent explanatory factor for HO development.

conclusionThe presence of free bone fragments immediately after surgery may be significantly associated with the development of HO. Therefore, it is necessary to sufficiently remove such fragments during surgery because they may trigger HO.

Indexed as

Femoral Neck FracturesHemiarthroplastyOssification, HeterotopicPostoperative ComplicationsAgedAged, 80 and overBlood Loss, SurgicalFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesRisk FactorsFemoral neck fracturesHemiarthroplastyHeterotopic ossificationObservational study

Identifiers

PMID39209984
PMCPMC11519225

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.