Operative treatment of nonunions in the elderly: Clinical and radiographic outcomes in patients at minimum 75 years of age.
BMC Geriatr
; 22(1): 985, 2022 12 20.
Article
de En
| MEDLINE
| ID: mdl-36539691
ABSTRACT
BACKGROUND:
Limited information exists on nonunion treatment in the elderly. This retrospective study evaluates whether results of operative treatment of nonunion of the humerus or femur in patients aged ≥ 75 years are comparable to those in younger patients.METHODS:
We identified patients age ≥ 75 years with a nonunion of humerus or femur treated with open reduction and internal fixation. The Non-Union Scoring System was calculated. Complications, clinical outcome, and radiographic findings were assessed. Primary endpoint was nonunion healing. A literature review compared time to healing of humeral and femoral nonunion in younger populations.RESULTS:
We identified 45 patients treated for a nonunion of humerus or femur with > 12 months follow-up. Median age was 79 years (range 75-96). Median time to presentation was 12 months (range 4-127) after injury, median number of prior surgeries was 1 (range 0-4). Union rate was 100%, with median time to union 6 months (range 2-42). Six patients underwent revision for persistent nonunion and healed without further complications.CONCLUSIONS:
Using a protocol of debridement, alignment, compression, stable fixation, bone grafting and early motion, patients aged 75 years or older can reliably achieve healing when faced with a nonunion of the humerus or femur. LEVEL OF EVIDENCE IV.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Fractures non consolidées
Type d'étude:
Etiology_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Limites:
Aged
/
Aged80
/
Humans
Langue:
En
Journal:
BMC Geriatr
Sujet du journal:
GERIATRIA
Année:
2022
Type de document:
Article
Pays d'affiliation:
Pays-Bas