Incidence and demographics of 1751 surgically treated periprosthetic femoral fractures around a primary hip prosthesis.

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Fältnamn	Indikatorer	Metadata
000		03525naa a2200325 4500
001		oai:gup.ub.gu.se/279041
003		SwePub
008		240528s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://gup.ub.gu.se/publication/2790412 URI
024	7	a https://doi.org/10.1177/11207000187795582 DOI
040		a (SwePub)gu
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Chatziagorou, Georgiosu Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xchgeo
245	1 0	a Incidence and demographics of 1751 surgically treated periprosthetic femoral fractures around a primary hip prosthesis.
264		c 2018-07-16
264	1	b SAGE Publications,c 2019
520		a Periprosthetic femoral fractures (PPFF), treated surgically, have been recorded in the Swedish Hip Arthroplasty Register (SHAR) since 1979. It is postulated that fractures treated with other methods other than stem revision have a lower registration rate, which may lead to incomplete registry data and thus, inaccurate information. We collected all PPFFs surgically treated in Sweden between 2001 and 2011 with the purpose of studying the annual incidence, demographics and distribution of fracture types with regard to type of fixation.Data was linked between the SHAR and the National Patient Register (NPR) in order to detect even those PPFFs not reported to the SHAR. Fractures were classified according to the Vancouver classification system, based on information collected from the medical charts. This procedure was validated with observer variation analysis compared to fracture classification based on radiographs. In total 1751 first-time PPFFs around primary conventional stems were included.The incidence of PPFF increased from about 1.0 per 1000 primary THRs to 1.4. Vancouver type C fractures (37% of all fractures) were more common than previously reported, and more common in cemented than in uncemented stems. The 3 most common stem designs involved were Exeter polished, Lubinus SPII, and Charnley (66.3% of all stems), partly reflecting their occurrence in the Swedish THR population.The incidence of PPFFs has increased in Sweden during the period 2001 to 2011. The improved reporting of type C fractures, after data-linking, revealed an almost 4 times higher incidence compared to previous register studies in Sweden.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Ortopedi0 (SwePub)302112 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Orthopaedics0 (SwePub)302112 hsv//eng
700	1	a Lindahl, Hans4 aut
700	1	a Garellick, Göran,d 19484 aut
700	1	a Kärrholm, Johan,d 1951u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xkarjo
710	2	a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för ortopedi4 org
773	0	t Hip international : the journal of clinical and experimental research on hip pathology and therapyd : SAGE Publicationsg 29:3, s. 282-288q 29:3<282-288x 1724-6067
773	0	t HIP Internationald : SAGE Publicationsg 29:3, s. 282-288q 29:3<282-288x 1120-7000
856	4 8	u https://gup.ub.gu.se/publication/279041
856	4 8	u https://doi.org/10.1177/1120700018779558

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Av författaren/redakt...: Chatziagorou, Ge ...; Lindahl, Hans; Garellick, Göran ...; Kärrholm, Johan, ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

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