Abstract:
Objectives:Different criteria for assessing the reduction quality of trochanteric fractures have been reported. The Baumgaertner reduction quality criteria (BRQC) are relatively common and the Chang reduction quality criteria (CRQC) are relatively new. The objectives of the current study were to compare the reliability of the BRQC and CRQC in predicting mechanical complications and to investigate the clinical implications of the CRQC. Methods:A total of 168 patients were assessed in a retrospective observational study. Clinical information including age, sex, fracture side, American Society of Anesthesiologists (ASA) classification, tip-apex distance (TAD), fracture classification, reduction quality, blade position, BRQC, CRQC, bone quality, and the occurrence of mechanical complications were used in the statistical analysis. Results:A total of 127 patients were included in the full analysis, and mechanical complications were observed in 26 patients. The TAD, blade position, BRQC and CRQC were significantly associated with mechanical complications in the univariate analysis. Only the TAD (p = 0.025) and the CRQC (p < 0.001) showed significant results in the multivariate analysis. In the comparison of the receiver operating characteristic curves, the CRQC also performed better than the BRQC. Conclusion:The CRQC are reliable in predicting mechanical complications and are more reliable than the BRQC. Future studies could use the CRQC to assess fracture reduction quality. Intraoperatively, the surgeon should refer to the CRQC to achieve good reduction in trochanteric fractures.Cite this article: Bone Joint Res 2019;8:502-508.
journal_name
Bone Joint Resjournal_title
Bone & joint researchauthors
Mao W,Ni H,Li L,He Y,Chen X,Tang H,Dong Ydoi
10.1302/2046-3758.810.BJR-2019-0032.R1subject
Has Abstractpub_date
2019-11-02 00:00:00pages
502-508issue
10issn
2046-3758pii
10.1302_2046-3758.810.BJR-2019-0032.R1journal_volume
8pub_type
杂志文章abstract:Objectives:The aim of this study was to analyze drain fluid, blood, and urine simultaneously to follow the long-term release of vancomycin from a biphasic ceramic carrier in major hip surgery. Our hypothesis was that there would be high local vancomycin concentrations during the first week with safe low systemic trough...
journal_title:Bone & joint research
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abstract:OBJECTIVES:To assess the structure and extracellular matrix molecule expression of osteogenic cell sheets created via culture in medium with both dexamethasone (Dex) and ascorbic acid phosphate (AscP) compared either Dex or AscP alone. METHODS:Osteogenic cell sheets were prepared by culturing rat bone marrow stromal c...
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doi:10.1302/2046-3758.511.BJR-2016-0013.R1
更新日期:2016-11-01 00:00:00
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doi:10.1302/2046-3758.83.BJR-2018-0049.R1
更新日期:2019-04-02 00:00:00
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更新日期:2016-12-01 00:00:00
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journal_title:Bone & joint research
pub_type: 杂志文章
doi:10.1302/2046-3758.14.2000019
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doi:10.1302/2046-3758.33.2000226
更新日期:2014-03-10 00:00:00
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更新日期:2020-05-16 00:00:00
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更新日期:2019-08-02 00:00:00
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更新日期:2017-02-01 00:00:00
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更新日期:2020-05-16 00:00:00
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更新日期:2013-09-16 00:00:00
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更新日期:2012-11-01 00:00:00
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更新日期:2016-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1302/2046-3758.54.2000628
更新日期:2016-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1302/2046-3758.33.2000257
更新日期:2014-03-20 00:00:00