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Orthopedic Trauma Directions 2007; 5(6): 9-17
DOI: 10.1055/s-2007-996157
Clinical topic
© Georg Thieme Verlag Stuttgart · New York

Femoral fractures

Factors associated with implant-related fractures following hip surgery
(Update to March 2005 report)
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Publication History

Publication Date:
22 November 2007 (online)

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Summary

Evidence from six studies suggests that poorer bone quality, lower canal flare index scores, fracture as the indication for the index operation, and initial prosthesis type may increase the risk implant-related fracture. There is conflicting evidence regarding age as a risk factor and sex was not a significant independent risk factor even though more females tended to have such fractures.

Given the infrequent nature of implant-related fracture, additional rigorous, multicenter and/or registry-based prognostic factor studies, which adjust for potentially confounding factors, are necessary to more carefully examine risk factors for such fractures after hip surgery.

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