Mortalité et indépendance fonctionnelle un an après chirurgie pour fracture de l’extrémité supérieure du fémur : comparaison fracture extracapsulaire versus fracture intracapsulaire (notice n° 258949)
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| control field | 20250112073624.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Meunier, Antoine |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Mortalité et indépendance fonctionnelle un an après chirurgie pour fracture de l’extrémité supérieure du fémur : comparaison fracture extracapsulaire versus fracture intracapsulaire |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2019.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 79 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objectifs : La fracture de l’extrémité supérieure du fémur (ESF) est de mauvais pronostic avec 20 à 33 % de décès. Cette étude rétrospective monocentrique a comparé la mortalité à 1 an des patients atteints de fracture intracapsulaire (FIC) à celle de ceux atteints de fracture extracapsulaire (FEC), de l’ESF. La récupération fonctionnelle et l’institutionnalisation à 1 an étaient aussi évaluées. Méthode : 100 patients, âgés de 83,2 ans, opérés d’une FIC avec pose d’arthroplastie totale (GFIC) étaient comparés à 100 autres malades, âgés de 83,6 ans, opérés d’une FEC par ostéosynthèse (GFEC). Résultats : A 1 an, la mortalité ne différait pas significativement entre les 2 groupes (23 % pour le GFEC vs 22 % pour le GFIC), tandis que l’indépendance à la marche sans aide technique était meilleure dans le GFIC (42,3 % vs 27,3 %, p = 0,047) et le taux d’institutionnalisation était plus élevé dans le GFEC (35,8 % vs 17,3 %, p = 0,043). Conclusion : Comparée à l’ostéosynthèse, l’arthroplastie totale de hanche n’entraîne pas de surmortalité, malgré sa lourdeur. Ainsi, se pose la problématique de choix entre ces deux techniques pour le traitement des FEC. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objectives: Outcome in hip fracture patients tends to be poor, with an associated death rate of 20 to 33%. The primary aim of our monocentric retrospective study was to compare mortality rates one year after surgery in patients with extracapsular fracture versus patients with intracapsular fracture of the proximal femur. Our secondary aims were the evaluation of functional independence and the rate of institutionalization one year after surgery. Methods: We compared two groups of 100 patients. The first group had an average age of 83.2 years, and the patients underwent total hip replacement for intracapsular fracture. Patients in the second group, who underwent osteosynthesis for extracapsular fracture, were aged 83.6 years on average. Results: One year post-surgery, there was not a significant difference in mortality between the two groups (23% for extracapsular fracture vs 22% for intracapsular fracture). The rate of independent walking was significantly better in the intracapsular fracture group (42.3% vs 27.3%, p=0.047), and the rate of institutionalization was significantly higher in the extracapsular fracture group (35.8% vs 17.3%, p=0.043). Conclusion: Elderly patients with hip fracture are prone to poor outcomes. When compared with osteosynthesis, total hip replacement does not lead to higher mortality rates though it is a more complex surgery. Our findings raise questions regarding of treatment for extracapsular fracture and the choice between osteosynthesis or total hip replacement with a reconstruction of the proximal femur. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | fracture extra-capsulaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sujet âgé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | mortalité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | fracture intracapsulaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | fracture extrémité fémorale supérieure |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | intracapsular fracture |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hip fracture |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | elderly patients |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | extracapsular fracture |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | mortality |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Maczynski, Alexandre |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Asgassou, Sanaa |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Baulot, Emmanuel |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Manckoundia, Patrick |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Martz, Pierre |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gériatrie et Psychologie Neuropsychiatrie du Vieillissement | 17 | 2 | 2019-06-03 | p. 153-162 | 2115-8789 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2019-2-page-153?lang=fr">https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2019-2-page-153?lang=fr</a> |
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