{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T11:44:56Z","timestamp":1697197496882},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinik M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurg"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec><jats:title>Hintergrund<\/jats:title><jats:p>Die Versorgung distaler periprothetischer Femurfrakturen (PFF) stellt aufgrund des geriatrischen Patientenkollektivs eine gro\u00dfe interdisziplin\u00e4re Herausforderung dar und erfolgt (abh\u00e4ngig vom Frakturtyp) h\u00e4ufig mittels winkelstabiler Plattenosteosynthese (WPO), wobei bisher nur wenige Daten zum klinischen Outcome existieren. Ziel der Untersuchung ist die Identifikation von Risikofaktoren f\u00fcr ein schlechtes Outcome und erh\u00f6hte Mortalit\u00e4t.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methoden<\/jats:title><jats:p>In dieser retrospektiven Studie wurden 36 F\u00e4lle mit distaler PFF untersucht. Eingeschlossen wurden nur Versorgungen mit WPO. Neben relevanten Vorerkrankungen (ASA-Score, Charlson Index), der Frakturmorphologie und relevante Komplikationen, wurden u.a. die 1- und 3-Jahres-Mortalit\u00e4t, sowie das klinische Outcome mit Hilfe des Lysholm-Scores erfasst.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Die 1- und 3- Jahres Mortalit\u00e4t betrug 9% bzw. 26%, wobei dies ausschlie\u00dflich ASA 3 und 4 Patienten betraf. Der Lysholm Score zeigte eine hohe Variabilit\u00e4t (65\u202f\u00b1\u200927\u00a0Punkte) mit h\u00f6heren Werten in der ASA 1-2 Subgruppe (82 vs. 63 Punkte) aber unabh\u00e4ngig vom Frakturtyp. Als Risikofaktoren f\u00fcr die 3-Jahres Mortalit\u00e4t konnten der pr\u00e4operative ASA-Score, der Charlson Komorbidit\u00e4tsindex und das Patientenalter identifiziert werden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Diskussion<\/jats:title><jats:p>Die dargestellte Fallserie weist eine hohe absolute Mortalit\u00e4tsrate auf, auch wenn diese im Vergleich zu bisher publizierten Daten, etwas geringer war. Die Rate an Sekund\u00e4rdislokationen, fehlender Frakturheilung oder Folgeoperationen war ebenfalls gering. Die WPO erscheint daher als geeignete Versorgung f\u00fcr Frakturen mit stabiler Prothese. Jedoch besteht eine hohe Variabilit\u00e4t im klinischen Outcome unabh\u00e4ngig vom Frakturtyp, sowie signifikant erh\u00f6hte Mortalit\u00e4tsraten bei vorerkrankten Patienten.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00113-020-00911-6","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T10:03:33Z","timestamp":1605866613000},"page":"473-480","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Winkelstabile Plattenosteosynthese bei distalen periprothetischen Femurfrakturen","Locking plate fixation of distal periprosthetic femoral fractures"],"prefix":"10.1007","volume":"124","author":[{"given":"C.","family":"Gassner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Sommer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Rubenbauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. M.","family":"Keppler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Liesaus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. C.","family":"Prall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Kammerlander","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"B\u00f6cker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"F\u00fcrmetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,11,20]]},"reference":[{"key":"911_CR1","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/j.arth.2006.12.054","volume":"22","author":"D Backstein","year":"2007","unstructured":"Backstein\u00a0D, Safir\u00a0O, Gross\u00a0A (2007) Periprosthetic fractures of the knee. J\u00a0Arthroplasty 22:45\u201349","journal-title":"J Arthroplasty"},{"key":"911_CR2","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1016\/S0030-5898(05)70073-0","volume":"30","author":"DJ Berry","year":"1999","unstructured":"Berry\u00a0DJ (1999) Epidemiology: hip and knee. Orthop Clin North Am 30:183\u2013190","journal-title":"Orthop Clin North Am"},{"key":"911_CR3","first-page":"217","volume":"53","author":"RS Burnett","year":"2004","unstructured":"Burnett\u00a0RS, Bourne\u00a0RB (2004) Periprosthetic fractures of the tibia and patella in total knee arthroplasty. Instr Course Lect 53:217\u2013235","journal-title":"Instr Course Lect"},{"issue":"Suppl 11","key":"911_CR4","doi-asserted-by":"publisher","first-page":"S208","DOI":"10.1002\/acr.20632","volume":"63","author":"NJ Collins","year":"2011","unstructured":"Collins\u00a0NJ, Misra\u00a0D, Felson\u00a0DT et al (2011) Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis Care Res 63(Suppl 11):S208\u2013S228","journal-title":"Arthritis Care Res"},{"key":"911_CR5","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1111\/os.12199","volume":"7","author":"NA Ebraheim","year":"2015","unstructured":"Ebraheim\u00a0NA, Kelley\u00a0LH, Liu\u00a0X et\u00a0al (2015) Periprosthetic distal femur fracture after total knee arthroplasty: a\u00a0systematic review. Orthop Surg 7:297\u2013305","journal-title":"Orthop Surg"},{"issue":"6","key":"911_CR6","doi-asserted-by":"publisher","first-page":"1176","DOI":"10.1016\/j.injury.2018.04.025","volume":"49","author":"D Eschbach","year":"2018","unstructured":"Eschbach\u00a0D, Buecking\u00a0B, Kivioja\u00a0H et\u00a0al (2018) One year after proximal or distal periprosthetic fracture of the femur\u2014two conditions with divergent outcomes? Injury 49(6):1176\u20131182","journal-title":"Injury"},{"key":"911_CR7","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1186\/s12891-017-1855-z","volume":"18","author":"JKM Fakler","year":"2017","unstructured":"Fakler\u00a0JKM, Ponick\u00a0C, Edel\u00a0M et\u00a0al (2017) A new classification of TKA periprosthetic femur fractures considering the implant type. BMC Musculoskelet Disord 18:490","journal-title":"BMC Musculoskelet Disord"},{"key":"911_CR8","doi-asserted-by":"publisher","first-page":"1403","DOI":"10.1007\/s00402-016-2543-4","volume":"136","author":"M Gosch","year":"2016","unstructured":"Gosch\u00a0M, Hoffmann-Weltin\u00a0Y, Roth\u00a0T et al (2016) Orthogeriatric co-management improves the outcome of long-term care residents with fragility fractures. Arch Orthop Trauma Surg 136:1403\u20131409","journal-title":"Arch Orthop Trauma Surg"},{"key":"911_CR9","first-page":"658","volume":"111","author":"A Hagel","year":"2014","unstructured":"Hagel\u00a0A, Siekmann\u00a0H, Delank\u00a0KS (2014) Periprosthetic femoral fracture\u2014an interdisciplinary challenge. Dtsch Arztebl Int 111:658\u2013664","journal-title":"Dtsch Arztebl Int"},{"key":"911_CR10","doi-asserted-by":"publisher","first-page":"27","DOI":"10.2106\/00004623-199301000-00005","volume":"75","author":"WL Healy","year":"1993","unstructured":"Healy\u00a0WL, Siliski\u00a0JM, Incavo\u00a0SJ (1993) Operative treatment of distal femoral fractures proximal to total knee replacements. J\u00a0Bone Joint Surg Am 75:27\u201334","journal-title":"J Bone Joint Surg Am"},{"key":"911_CR11","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1016\/j.injury.2017.11.040","volume":"49","author":"JS Hoellwarth","year":"2018","unstructured":"Hoellwarth\u00a0JS, Fourman\u00a0MS, Crossett\u00a0L et\u00a0al (2018) Equivalent mortality and complication rates following periprosthetic distal femur fractures managed with either lateral locked plating or a\u00a0distal femoral replacement. Injury 49:392\u2013397","journal-title":"Injury"},{"key":"911_CR12","unstructured":"Statistisches Bundesamt Deutschland (23.10.2017) Fallpauschalenbezogene Krankenhausstatistik (DRG-Statistik) Diagnosen, Prozeduren, Fallpauschalen und Case Mix der vollstation\u00e4ren Patientinnen und Patienten in Krankenh\u00e4usern. https:\/\/www-Genesis.Destatis.De\/Genesis\/Online\/Logon?Sequenz=Tabelleergebnis&Selectionname=12621-0002&Zeitscheiben=16&Sachmerkmal=Alt577&Sachschluessel=Altvoll000A,Altvoll040,Altvoll060,Altvoll065,Altvoll080. Zugegriffen: 14.06.2018"},{"key":"911_CR13","unstructured":"Statistisches Bundesamt Deutschland (20.11.2017) Diagnosedaten der Patienten und Patientinnen in Krankenh\u00e4usern (einschl. Sterbe- und Stundenf\u00e4lle). https:\/\/www.Destatis.De\/De\/Publikationen\/Thematisch\/Gesundheit\/Krankenhaeuser\/Fallpauschalenkrankenhaus2120640167004.Pdf. Zugegriffen: 14.06.2018"},{"key":"911_CR14","doi-asserted-by":"publisher","first-page":"936","DOI":"10.2106\/JBJS.17.01222","volume":"100","author":"C Kammerlander","year":"2018","unstructured":"Kammerlander\u00a0C, Pfeufer\u00a0D, Lisitano\u00a0LA et al (2018) Inability of older adult patients with hip fracture to maintain postoperative weight-bearing restrictions. J\u00a0Bone Joint Surg Am 100:936\u2013941","journal-title":"J Bone Joint Surg Am"},{"key":"911_CR15","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1016\/j.injury.2012.02.014","volume":"43","author":"C Kammerlander","year":"2012","unstructured":"Kammerlander\u00a0C, Riedm\u00fcller\u00a0P, Gosch\u00a0M et\u00a0al (2012) Functional outcome and mortality in geriatric distal femoral fractures. Injury 43:1096\u20131101","journal-title":"Injury"},{"key":"911_CR16","doi-asserted-by":"publisher","first-page":"S637","DOI":"10.1007\/s00198-010-1396-x","volume":"21","author":"C Kammerlander","year":"2010","unstructured":"Kammerlander\u00a0C, Roth\u00a0T, Friedman\u00a0SM et al (2010) Ortho-geriatric service\u2014a literature review comparing different models. Osteoporos Int 21:S637\u2013S646","journal-title":"Osteoporos Int"},{"key":"911_CR17","doi-asserted-by":"publisher","first-page":"1951","DOI":"10.1007\/s00264-015-2970-9","volume":"39","author":"W Kim","year":"2015","unstructured":"Kim\u00a0W, Song\u00a0JH, Kim\u00a0JJ (2015) Periprosthetic fractures of the distal femur following total knee arthroplasty: even very distal fractures can be successfully treated using internal fixation. Int Orthop 39:1951\u20131957","journal-title":"Int Orthop"},{"key":"911_CR18","first-page":"658","volume":"50","author":"JP Little","year":"1995","unstructured":"Little\u00a0JP (1995) Consistency of ASA grading. Anaesthesia 50:658\u2013659","journal-title":"Anaesthesia"},{"key":"911_CR19","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1177\/036354658201000306","volume":"10","author":"J Lysholm","year":"1982","unstructured":"Lysholm\u00a0J, Gillquist\u00a0J (1982) Evaluation of knee ligament surgery results with special emphasis on use of a\u00a0scoring scale. Am J Sports Med 10:150\u2013154","journal-title":"Am J Sports Med"},{"key":"911_CR20","doi-asserted-by":"crossref","first-page":"297","DOI":"10.55095\/achot2012\/043","volume":"79","author":"S Mardian","year":"2012","unstructured":"Mardian\u00a0S, Wichlas\u00a0F, Schaser\u00a0KD et\u00a0al (2012) Periprosthetic fractures around the knee: update on therapeutic algorithms for internal fixation and revision arthroplasty. Acta Chir Orthop Traumatol Cech 79:297\u2013306","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"911_CR21","doi-asserted-by":"publisher","first-page":"1436","DOI":"10.1016\/S0140-6736(96)07495-8","volume":"349","author":"CJ Murray","year":"1997","unstructured":"Murray\u00a0CJ, Lopez\u00a0AD (1997) Global mortality, disability, and the contribution of risk factors: Global Burden of Disease study. Lancet 349:1436\u20131442","journal-title":"Lancet"},{"key":"911_CR22","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1097\/BOT.0000000000001078","volume":"32","author":"P Myers","year":"2018","unstructured":"Myers\u00a0P, Laboe\u00a0P, Johnson\u00a0KJ et\u00a0al (2018) Patient mortality in geriatric distal femur fractures. J\u00a0Orthop Trauma 32:111\u2013115","journal-title":"J Orthop Trauma"},{"key":"911_CR23","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/S0030-5898(05)70075-4","volume":"30","author":"CH Rorabeck","year":"1999","unstructured":"Rorabeck\u00a0CH, Taylor\u00a0JW (1999) Classification of periprosthetic fractures complicating total knee arthroplasty. Orthop Clin North Am 30:209\u2013214","journal-title":"Orthop Clin North Am"},{"key":"911_CR24","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1016\/S0030-5898(05)70081-X","volume":"30","author":"CH Rorabeck","year":"1999","unstructured":"Rorabeck\u00a0CH, Taylor\u00a0JW (1999) Periprosthetic fractures of the femur complicating total knee arthroplasty. Orthop Clin North Am 30:265\u2013277","journal-title":"Orthop Clin North Am"},{"key":"911_CR25","doi-asserted-by":"publisher","first-page":"S615","DOI":"10.1007\/s00198-010-1401-4","volume":"21","author":"T Roth","year":"2010","unstructured":"Roth\u00a0T, Kammerlander\u00a0C, Gosch\u00a0M et\u00a0al (2010) Outcome in geriatric fracture patients and how it can be improved. Osteoporos Int 21:S615\u2013S619","journal-title":"Osteoporos Int"},{"issue":"03","key":"911_CR26","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1055\/s-0043-123831","volume":"156","author":"AJ Schreiner","year":"2018","unstructured":"Schreiner\u00a0AJ, Gonser\u00a0C, Ihle\u00a0C et\u00a0al (2018) Adverse events in the treatment of periprosthetic fractures around the knee\u2014a clinical and radiological outcome analysis. Z\u00a0Orthop Unfall 156(03):287\u2013297","journal-title":"Z Orthop Unfall"},{"key":"911_CR27","doi-asserted-by":"publisher","first-page":"e0143365","DOI":"10.1371\/journal.pone.0143365","volume":"10","author":"J Stausberg","year":"2015","unstructured":"Stausberg\u00a0J, Hagn\u00a0S (2015) New morbidity and comorbidity scores based on the structure of the ICD-10. PLoS One 10:e143365","journal-title":"PLoS One"},{"key":"911_CR28","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1302\/0301-620X.92B3.22996","volume":"92","author":"PN Streubel","year":"2010","unstructured":"Streubel\u00a0PN, Gardner\u00a0MJ, Morshed\u00a0S et\u00a0al (2010) Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a\u00a0lateral locked plate? J\u00a0Bone Joint Surg Br 92:527\u2013534","journal-title":"J Bone Joint Surg Br"},{"key":"911_CR29","doi-asserted-by":"publisher","first-page":"1188","DOI":"10.1007\/s11999-010-1530-2","volume":"469","author":"PN Streubel","year":"2011","unstructured":"Streubel\u00a0PN, Ricci\u00a0WM, Wong\u00a0A et\u00a0al (2011) Mortality after distal femur fractures in elderly patients. Clin Orthop Relat Res 469:1188\u20131196","journal-title":"Clin Orthop Relat Res"},{"key":"911_CR30","doi-asserted-by":"publisher","first-page":"12","DOI":"10.5435\/00124635-200401000-00003","volume":"12","author":"ET Su","year":"2004","unstructured":"Su\u00a0ET, Dewal\u00a0H, Di Cesare\u00a0PE (2004) Periprosthetic femoral fractures above total knee replacements. J\u00a0Am Acad Orthop Surg 12:12\u201320","journal-title":"J Am Acad Orthop Surg"},{"key":"911_CR31","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-198509000-00007","volume":"198","author":"Y Tegner","year":"1985","unstructured":"Tegner\u00a0Y, Lysholm\u00a0J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43\u201349","journal-title":"Clin Orthop Relat Res"},{"key":"911_CR32","doi-asserted-by":"publisher","first-page":"e8169","DOI":"10.1097\/MD.0000000000008169","volume":"96","author":"J Zhang","year":"2017","unstructured":"Zhang\u00a0J, Chen\u00a0X, Wang\u00a0J et\u00a0al (2017) Poor prognosis after surgery for intertrochanteric fracture in elderly patients with clopidogrel treatment: a\u00a0cohort study. Medicine 96:e8169","journal-title":"Medicine"},{"key":"911_CR33","doi-asserted-by":"publisher","first-page":"1551","DOI":"10.2106\/00004623-199510000-00010","volume":"77","author":"JD Zuckerman","year":"1995","unstructured":"Zuckerman\u00a0JD, Skovron\u00a0ML, Koval\u00a0KJ et\u00a0al (1995) Postoperative complications and mortality associated with operative delay in older patients who have a\u00a0fracture of the hip. J\u00a0Bone Joint Surg Am 77:1551\u20131556","journal-title":"J Bone Joint Surg Am"}],"container-title":["Der Unfallchirurg"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-020-00911-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-020-00911-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-020-00911-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T22:33:57Z","timestamp":1697150037000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00113-020-00911-6"}},"subtitle":["Klinisches Outcome und Mortalit\u00e4t","Clinical outcome and mortality"],"short-title":[],"issued":{"date-parts":[[2020,11,20]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["911"],"URL":"https:\/\/doi.org\/10.1007\/s00113-020-00911-6","relation":{},"ISSN":["0177-5537","1433-044X"],"issn-type":[{"value":"0177-5537","type":"print"},{"value":"1433-044X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,20]]},"assertion":[{"value":"15 September 2020","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 November 2020","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"C.\u00a0Gassner, F.\u00a0Sommer, B.\u00a0Rubenbauer, A.M.\u00a0Keppler, Y.\u00a0Liesaus, W.C.\u00a0Prall, C.\u00a0Kammerlander, W.\u00a0B\u00f6cker und J.\u00a0F\u00fcrmetz geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Diese retrospektive Studie erfolgte nach Konsultation der zust\u00e4ndigen Ethikkommission und im Einklang mit nationalem Recht.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}