The Association of Prior Fragility Fractures on 8-Year Periprosthetic Fracture Risk Following Total Hip Arthroplasty

被引:8
作者
Zhao, Amy Y. [1 ]
Agarwal, Amil R. [1 ]
Harris, Andrew B. [2 ]
Cohen, Jordan S. [3 ]
Golladay, Gregory J. [4 ]
Thakkar, Savyasachi C. [2 ]
机构
[1] George Washington Hosp, Dept Orthoped Surg, 2300 M St, Washington, DC 20037 USA
[2] Johns Hopkins Dept Orthopaed Surg, Adult Reconstruct Div, Columbia, MD USA
[3] Univ Penn, Dept Orthoped Surg, Philadelphia, PA 19104 USA
[4] Virginia Commonwealth Univ Hlth, Dept Orthopaed Surg, Richmond, VA USA
关键词
total hip arthroplasty; fragility fracture; periprosthetic fracture; osteoporosis; bone health; OSTEOPOROSIS; BARRIERS; CARE;
D O I
10.1016/j.arth.2023.02.043
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Fragility fractures are often the initial clinical presentation of osteoporosis. Patients who have a history of fragility fractures undergoing total hip arthroplasty (THA) have an increased risk of 2-year postoperative complications. However, the association of recent fragility fractures with complications beyond 2 years following THA remains unknown. The purpose of this study was to characterize the association of prior fragility fractures with 8-year risks of revision THA, periprosthetic fracture (PPF), and secondary fragility fracture. Methods: Patients aged 50 years and more who underwent THA for osteoarthritis were identified in a large national database. Patients were stratified based on whether they sustained a fragility fracture within 3 years prior to THA. There were 18,529 patients who had a prior fragility fracture and 408,753 who did not have a prior fragility fracture. Demographics and comorbidities were collected. Kaplan-Meier and Cox Proportional Hazards analyses were used to observe the cumulative incidences of all-cause revision, PPF, and secondary fragility fracture within 8 years of index surgery. Results: Patients who had recent fragility fracture had significantly higher risks of revision THA (Hazard Ratio [HR] 1.7; P <.001), PPF (HR 2.2; P <.001), and secondary fragility fracture (HR 4.9; P <.001). Conclusion: Prior fragility fracture was shown to be a significant risk factor for revision THA, PPF, and secondary fragility fracture within 8 years of THA. Identification of these high-risk patients with an emphasis on preoperative and postoperative bone health optimization may help minimize these complications. (c) 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码:S265 / +
页数:10
相关论文
共 22 条
[1]  
Abdel MP, 2016, BONE JOINT J, V98B, P461, DOI [10.1302/0301-620X.98B4, 10.1302/0301-620X.98B4.37201]
[2]   Outcomes post fragility fracture among members of an integrated healthcare organization [J].
Adams, Annette L. ;
Ryan, Denison S. ;
Li, Bonnie H. ;
Williams, Setareh A. ;
Wang, Yamei ;
Weiss, Richard J. ;
Black, Dennis M. .
OSTEOPOROSIS INTERNATIONAL, 2022, 33 (04) :783-790
[3]  
Bledsoe Lauren, 2018, Am J Orthop (Belle Mead NJ), V47, DOI 10.12788/ajo.2018.0112
[4]   Commercial Claims Data Sources: PearlDiver and Individual Payer Databases [J].
Bolognesi, Michael P. ;
Habermann, Elizabeth B. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2022, 104 (SUPPL 3) :15-17
[5]   The Epidemiology of Revision Total Knee Arthroplasty in the United States [J].
Bozic, Kevin J. ;
Kurtz, Steven M. ;
Lau, Edmund ;
Ong, Kevin ;
Chiu, Vanessa ;
Vail, Thomas P. ;
Rubash, Harry E. ;
Berry, Daniel J. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (01) :45-51
[6]   Recurrent Fragility Fractures: A Cross-sectional Analysis [J].
Dang, Debbie Y. ;
Zetumer, Samuel ;
Zhang, Alan L. .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2019, 27 (02) :E85-E91
[7]   Comorbidity measures for use with administrative data [J].
Elixhauser, A ;
Steiner, C ;
Harris, DR ;
Coffey, RN .
MEDICAL CARE, 1998, 36 (01) :8-27
[8]   10-Year Probability of Recurrent Fractures Following Wrist and Other Osteoporotic Fractures in a Large Clinical Cohort An Analysis From the Manitoba Bone Density Program [J].
Hodsman, Anthony B. ;
Leslie, William D. ;
Tsang, James F. ;
Gamble, Greg D. .
ARCHIVES OF INTERNAL MEDICINE, 2008, 168 (20) :2261-2267
[9]   Incidence and Circumstances of Falls in Women Before and After Total Hip Arthroplasty: A Prospective Cohort Study [J].
Ikutomo, Hisashi ;
Nagai, Koutatsu ;
Tagomori, Keiichi ;
Miura, Namika ;
Nakagawa, Norikazu ;
Masuhara, Kensaku .
JOURNAL OF ARTHROPLASTY, 2018, 33 (07) :2268-2272
[10]   A Calcar Collar Is Protective Against Early Torsional/Spiral Periprosthetic Femoral Fracture A Paired Cadaveric Biomechanical Analysis [J].
Johnson, Aaron J. ;
Desai, Shivam ;
Zhang, Chunyang ;
Koh, Kyung ;
Zhang, Li-Qun ;
Costales, Timothy ;
O'Toole, Robert V., III ;
Manson, Theodore T. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2020, 102 (16) :1427-1433