Complications after surgical treatment of femoral neck fractures in men with alcohol dependence syndrome : retrospective register analysis of 154 cases

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Kosola , J , Kaipia , A , Laitinen , M K & Nieminen , J 2017 , ' Complications after surgical treatment of femoral neck fractures in men with alcohol dependence syndrome : retrospective register analysis of 154 cases ' , Archives of Orthopaedic and Trauma Surgery , vol. 137 , no. 7 , pp. 967-973 . https://doi.org/10.1007/s00402-017-2713-z

Title: Complications after surgical treatment of femoral neck fractures in men with alcohol dependence syndrome : retrospective register analysis of 154 cases
Author: Kosola, Jussi; Kaipia, Antti; Laitinen, Minna K.; Nieminen, Jyrki
Contributor: University of Helsinki, Clinicum
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
Date: 2017-07
Language: eng
Number of pages: 7
Belongs to series: Archives of Orthopaedic and Trauma Surgery
ISSN: 0936-8051
URI: http://hdl.handle.net/10138/297840
Abstract: Purpose One-third of hip fractures occur in men. The causes underlying hip fractures in men differ from those in women and include alcohol abuse. This retrospective register study evaluated the trends and results associated with different surgical treatment methods for nondisplaced and displaced femoral neck fractures in male patients with alcohol dependence syndrome. Methods Men with hip fractures were identified from a local district hospital database. Alcohol dependence syndrome was identified as a diagnosis in medical records. Results For displaced fractures, implant survival after total hip arthroplasty was significantly lower compared to hemiarthroplasty. For nondisplaced fractures, implant survival of cannulated screws was significantly lower compared to sliding hip screws. Overall patient survival for males with alcohol dependence syndrome with hip fracture was 62% at 1 year and 49% at 2 years. Patient survival in this population did not differ between displaced and nondisplaced fractures or among different surgical methods. Conclusion Patients with alcoholism who had documented evidence of alcohol dependence syndrome represented nearly half of patients
Subject: Alcoholism
Femoral neck fracture
Arthroplasty
Hemiarthroplasty
Fracture fixation
Internal
TOTAL HIP-ARTHROPLASTY
RISK-FACTORS
YOUNG-PATIENTS
ADULTS
OSTEOPOROSIS
POPULATION
FIXATION
ABUSE
WOMEN
3126 Surgery, anesthesiology, intensive care, radiology
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