Beyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.

Background Hip fractures are well researched in orthogeriatric literature. Equivalent investigations for fragility-associated periprosthetic and periosteosynthetic femoral, ankle joint, pelvic ring, and rib fractures are still rare. The purpose of this study was to evaluate mortality, functional out...

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Autores principales:	Andreas Wiedl MED, Stefan Förch MED, Alexander Otto MED, Leonard Lisitano MED, Kim Rau MED, Thilo Nachbaur MED, Edgar Mayr MED, HC
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Orthopedic surgery RD701-811 Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/1c640e4eeba44450bf7336ce42bada2c
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spelling	oai:doaj.org-article:1c640e4eeba44450bf7336ce42bada2c2021-12-01T02:04:07ZBeyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.2151-459310.1177/21514593211058969https://doaj.org/article/1c640e4eeba44450bf7336ce42bada2c2021-11-01T00:00:00Zhttps://doi.org/10.1177/21514593211058969https://doaj.org/toc/2151-4593Background Hip fractures are well researched in orthogeriatric literature. Equivalent investigations for fragility-associated periprosthetic and periosteosynthetic femoral, ankle joint, pelvic ring, and rib fractures are still rare. The purpose of this study was to evaluate mortality, functional outcome, and socioeconomic parameters associated to the upper-mentioned fragility fractures prospectively in a 2-year follow-up. Methods Over the course of a year, all periprosthetic and periosteosynthetic femoral fractures (PPFF), ankle joint fractures (AJ), pelvic ring fractures (PR), and rib fractures (RF), that were treated on a co-managed orthogeriatric ward, were assessed. Parker Mobility Score (PMS), Barthel Index (BI), place of residence, and care level were recorded. After 2 years, patients and/or relatives were contacted by mailed questionnaires or phone calls in order to calculate mortality and reevaluate the mentioned parameters. Results Follow-up rate was 77.7%, assessing 87 patients overall. The relative mortality risk was significantly increased for PR (2.9 (95% CI: 1.5–5.4)) and PPFF (3.5 (95% CI: 1.2–5.8)) but not for RF (1.5 (95% CI: 0.4–2.6)) and AJ (2.0 (95% CI: 0.0–4.0)). Every fracture group except AJ showed significantly higher BI on average at follow-up. PMS was, respectively, reduced on average for PR and RF insignificantly, but significantly for PPFF and AJ in comparison to pre-hospital values. 10.0–27.3% (each group) of patients had to leave their homes permanently; care levels were raised in 30.0–61.5% of cases. Discussion This investigation provides a perspective for further larger examinations. PR and PPFF correlate with significant increased mortality risk. Patients suffering from PPFF, PR, and RF were able to significantly recover in their activities of daily living. AJ and PPFF conclude in significant reduction of PMS after 2 years. Conclusion Any fragility fracture has its impact on mortality, function, and socioeconomic aspects and shall not be underestimated. Despite some fractures not being the most common, they are still present in daily practice.Andreas Wiedl MEDStefan Förch MEDAlexander Otto MEDLeonard Lisitano MEDKim Rau MEDThilo Nachbaur MEDEdgar Mayr MED, HCSAGE PublishingarticleOrthopedic surgeryRD701-811GeriatricsRC952-954.6ENGeriatric Orthopaedic Surgery & Rehabilitation, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811 Geriatrics RC952-954.6
spellingShingle	Orthopedic surgery RD701-811 Geriatrics RC952-954.6 Andreas Wiedl MED Stefan Förch MED Alexander Otto MED Leonard Lisitano MED Kim Rau MED Thilo Nachbaur MED Edgar Mayr MED, HC Beyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.
description	Background Hip fractures are well researched in orthogeriatric literature. Equivalent investigations for fragility-associated periprosthetic and periosteosynthetic femoral, ankle joint, pelvic ring, and rib fractures are still rare. The purpose of this study was to evaluate mortality, functional outcome, and socioeconomic parameters associated to the upper-mentioned fragility fractures prospectively in a 2-year follow-up. Methods Over the course of a year, all periprosthetic and periosteosynthetic femoral fractures (PPFF), ankle joint fractures (AJ), pelvic ring fractures (PR), and rib fractures (RF), that were treated on a co-managed orthogeriatric ward, were assessed. Parker Mobility Score (PMS), Barthel Index (BI), place of residence, and care level were recorded. After 2 years, patients and/or relatives were contacted by mailed questionnaires or phone calls in order to calculate mortality and reevaluate the mentioned parameters. Results Follow-up rate was 77.7%, assessing 87 patients overall. The relative mortality risk was significantly increased for PR (2.9 (95% CI: 1.5–5.4)) and PPFF (3.5 (95% CI: 1.2–5.8)) but not for RF (1.5 (95% CI: 0.4–2.6)) and AJ (2.0 (95% CI: 0.0–4.0)). Every fracture group except AJ showed significantly higher BI on average at follow-up. PMS was, respectively, reduced on average for PR and RF insignificantly, but significantly for PPFF and AJ in comparison to pre-hospital values. 10.0–27.3% (each group) of patients had to leave their homes permanently; care levels were raised in 30.0–61.5% of cases. Discussion This investigation provides a perspective for further larger examinations. PR and PPFF correlate with significant increased mortality risk. Patients suffering from PPFF, PR, and RF were able to significantly recover in their activities of daily living. AJ and PPFF conclude in significant reduction of PMS after 2 years. Conclusion Any fragility fracture has its impact on mortality, function, and socioeconomic aspects and shall not be underestimated. Despite some fractures not being the most common, they are still present in daily practice.
format	article
author	Andreas Wiedl MED Stefan Förch MED Alexander Otto MED Leonard Lisitano MED Kim Rau MED Thilo Nachbaur MED Edgar Mayr MED, HC
author_facet	Andreas Wiedl MED Stefan Förch MED Alexander Otto MED Leonard Lisitano MED Kim Rau MED Thilo Nachbaur MED Edgar Mayr MED, HC
author_sort	Andreas Wiedl MED
title	Beyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.
title_short	Beyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.
title_full	Beyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.
title_fullStr	Beyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.
title_full_unstemmed	Beyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.
title_sort	beyond hip fractures: other fragility fractures’ associated mortality, functional and economic importance: a 2-year-follow-up.
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/1c640e4eeba44450bf7336ce42bada2c
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Beyond Hip Fractures: Other Fragility Fractures’ Associated Mortality, Functional and Economic Importance: A 2-year-Follow-up.

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