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Abstract：
Introduction Periprosthetic femoral fractures (PFFs) present a significant burden on the health service. The incidence continues to rise globally as a result of an ageing population and an increase in the number of primary hip and knee arthroplasties being performed. This is a 10-year, retrospective, observational study that aims to better understand the outcomes of PFF in our district general hospital. Materials and methods We identified the demographic information of patients who had a PFF and looked at how the American Society of Anesthesiologists (ASA) score, time to operation, length of stay, complications, and mortality data vary depending on where the fracture is sited and the operative management employed. Results During the period between January 2011 and March 2021, we identified 214 cases of PFF. The mean age was 82.5 years with a female preponderance of 76%. Between 2011-2016 and 2017-2021, the number of cases of PFF increased and patients with an ASA score of 3 or more increased from 43% to 73%. Length of stay was longer in the proximal PFF revision group than in the proximal PFF fixation group. Overall PFF mortality rates at 30 days, 90 days, and one year were 6%, 10%, and 15%, respectively. Conclusion Over the 10-year period, there was a significant increase in the incidence of patients presenting with PFF with multiple comorbidities. Mortality rates were lower in proximal PFF patients who underwent revision procedures rather than fixation. The patient demographics, complication rates, and mortality rates were comparable to similar studies across different countries.
摘要：
介绍股骨假体周围骨折（PFF）对卫生服务构成了重大负担。由于人口老龄化以及正在进行的原发性髋和膝关节置换术的数量增加，全球发病率持续上升。这是十年，回顾性,旨在更好地了解我们地区综合医院PFF结果的观察性研究。材料和方法我们确定了PFF患者的人口统计信息，并研究了美国麻醉医师协会（ASA）的评分，操作时间,逗留时间,并发症,和死亡率数据根据骨折的位置和所采用的手术管理而有所不同。结果在2011年1月至2021年3月期间，我们发现了214例PFF。平均年龄为82.5岁，女性占76％。在2011-2016年和2017-2021年之间，PFF的病例数增加，ASA评分为3或更高的患者从43％增加到73％。近端PFF翻修组的住院时间长于近端PFF固定组。30天的总PFF死亡率，90天,一年是6%，10%,15%,分别。结论在10年期间，出现多种合并症的PFF患者的发病率显著增加.接受翻修手术而不是固定手术的近端PFF患者的死亡率较低。病人的人口统计，并发症发生率,死亡率与不同国家的类似研究相当.
