Die Auswirkung des Schweregrads der Coxarthrose auf die proximale Femurfraktur
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Philipps-Universität Marburg
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Abstract
Proximal femoral fractures are common in older people. There is a large body of research on care, complications and complex geriatric treatment. The literature mostly refers to the risk factor osteoporosis and the fact that women are often affected due to the menopause. It is unclear whether pre-existing coxarthrosis and its degree have an influence on the localization of the fracture.
In a retrospective single-center study, patients over 65 years of age with proximal femur fractures were examined. The degree of osteoarthritis was determined using the Kellgren-Lawrence score and the localization of the fracture was determined according to the AO classification. A statistical evaluation is intended to show whether there is a correlation between coxarthrosis and the localization of the proximal femur fracture.
A total of 634 patients with a mean age of 81 years were included in the study. Of these, 315 patients had a trochanteric femur fracture and 319 patients had a femoral neck fracture. In the trochanteric femur fracture group, 215 patients (68%) had osteoarthritis grade > 2 compared to 144 patients (45%) in the femoral neck fracture group (p<0.001). Patients with severe osteoarthritis were statistically significantly more likely to have an extracapsular fracture (p<0.001).
The extent of pre-existing hip osteoarthritis correlated with the fracture pattern in patients with proximal femur fractures. Higher degrees of osteoarthritis are specifically associated with extracapsular fracture patterns, while lower degrees are associated with intracapsular fracture patterns.
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Created: 2025Issued: 2025-03-13Updated: 2025-03-13
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
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DoctoralThesis
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Coxarthroseproximal Femurfraktur
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610
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Lorenz, Sammy: Die Auswirkung des Schweregrads der Coxarthrose auf die proximale Femurfraktur. : Philipps-Universität Marburg 2025-03-13. DOI: https://doi.org/10.17192/z2025.0150.