{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:02:04Z","timestamp":1785488524889,"version":"3.56.0"},"reference-count":49,"publisher":"Akademiai Kiado Zrt.","issue":"39","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,9,28]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    Az id\u0151s, illetve nagyon id\u0151s lakoss\u00e1gn\u00e1l el\u0151fordul\u00f3\n                    cs\u00edp\u0151t\u00e1ji t\u00f6r\u00e9sek megjelen\u00e9se gyakori. A s\u00e9r\u00fcl\u00e9sek jelent\u0151s csoportj\u00e1t a\n                    medialis combnyakt\u00f6r\u00e9sek adj\u00e1k, amelyek traumatol\u00f3giai kezel\u00e9se alapvet\u0151en\n                    operat\u00edv m\u00f3don v\u00e9gzend\u0151. A ter\u00e1pia sor\u00e1n az id\u0151s s\u00e9r\u00fcltekn\u00e9l a mobilit\u00e1s lehet\u0151\n                    leggyorsabb vissza\u00e1ll\u00edt\u00e1sa \u00e9rdek\u00e9ben els\u0151sorban az \u00edz\u00fcletp\u00f3tl\u00f3 m\u00f3dszerek\n                    v\u00e1lasztand\u00f3k.\n                    <jats:italic>Anyag \u00e9s m\u00f3dszerek:<\/jats:italic>\n                    Jelen vizsg\u00e1latunk sor\u00e1n 229,\n                    medialis combnyakt\u00f6r\u00e9s miatt bipol\u00e1ris hemiarthroplastic\u00e1n \u00e1tesett p\u00e1ciens\n                    perioperat\u00edv adatait \u00e9rt\u00e9kelt\u00fck retrospekt\u00edv m\u00f3don. Ut\u00e1nk\u00f6vet\u00e9s\u00fcnk sor\u00e1n\n                    kifejezett figyelmet ford\u00edtottunk a p\u00e1ciensek hemoglobin\u00e9rt\u00e9keire, illetve a\n                    m\u0171t\u00e9t k\u00f6r\u00fcli komplik\u00e1ci\u00f3k vizsg\u00e1lat\u00e1ra.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A m\u0171t\u00e9ti\n                    beavatkoz\u00e1sokat a p\u00e1ciensek 76,5%-\u00e1n\u00e1l tudtuk 24 \u00f3r\u00e1n bel\u00fcl elv\u00e9gezni, m\u00edg az\n                    ell\u00e1t\u00e1s csup\u00e1n 7 p\u00e1ciensn\u00e9l h\u00faz\u00f3dott 48 \u00f3r\u00e1n t\u00falra. \u00c1ltal\u00e1nos perioperat\u00edv\n                    sz\u00f6v\u0151dm\u00e9nnyel 73 p\u00e1ciensn\u00e9l (31,9%) tal\u00e1lkoztunk. A komplik\u00e1ci\u00f3k el\u0151fordul\u00e1sa\n                    f\u00fcggetlennek bizonyult a nemt\u0151l, az \u00e9letkort\u00f3l, az implant\u00e1tum r\u00f6gz\u00edt\u00e9si\n                    m\u00f3dj\u00e1t\u00f3l, a beavatkoz\u00e1s elv\u00e9gz\u00e9s\u00e9nek id\u0151pontj\u00e1t\u00f3l vagy a m\u0171t\u00e9t hossz\u00e1t\u00f3l. A\n                    sz\u00f6v\u0151dm\u00e9nyek m\u00e9rt\u00e9ke \u00e9s az antikoagul\u00e1ns ter\u00e1pia k\u00f6z\u00f6tt azonban nem szignifik\u00e1ns\n                    tendencia mutatkozott. Ezenk\u00edv\u00fcl a komplik\u00e1ci\u00f3k szignifik\u00e1ns kapcsolat\u00e1t\n                    tapasztaltuk a dementi\u00e1val \u00e9s azzal, hogy milyen hamar ker\u00fclt sor a m\u0171t\u00e9ti\n                    ell\u00e1t\u00e1sra. M\u00edg a p\u00e1ciensek 55,9%-a r\u00e9szes\u00fclt or\u00e1lis antikoagul\u00e1ns ter\u00e1pi\u00e1ban,\n                    addig 24,9%-ukn\u00e1l volt sz\u00fcks\u00e9g v\u00e9rp\u00f3tl\u00e1sra. A transzf\u00fazi\u00f3 ig\u00e9nye egy\u00e9rtelm\u0171\n                    \u00f6sszef\u00fcgg\u00e9st mutatott az antikoagul\u00e1ns k\u00e9sz\u00edtm\u00e9nyek alkalmaz\u00e1s\u00e1val (p = 0,022),\n                    valamint emelkedett volt a cementez\u00e9ssel r\u00f6gz\u00edtett implant\u00e1tum haszn\u00e1latakor (p\n                    = 0,005), illetve szignifik\u00e1nsan \u00f6sszef\u00fcgg\u00f6tt a m\u0171t\u00e9ti id\u0151 hossz\u00e1val (p =\n                    0,001).\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    Az id\u0151s \u00e9s nagyon id\u0151s, ez\u00e1ltal m\u00e1r\n                    \u00e1ltal\u00e1ban t\u00f6bb alapbetegs\u00e9ggel is rendelkez\u0151, medialis combnyakt\u00f6r\u00e9st szenvedett\n                    p\u00e1ciensek kezel\u00e9se sor\u00e1n k\u00fcl\u00f6n\u00f6sen fontos a lehet\u0151 leghamarabb elv\u00e9gzett \u00e9s\n                    lehet\u0151 legk\u00edm\u00e9letesebb m\u0171t\u00e9ti ell\u00e1t\u00e1s a mobiliz\u00e1ci\u00f3 miel\u0151bbi megkezd\u00e9se \u00e9s a\n                    komplik\u00e1ci\u00f3k cs\u00f6kkent\u00e9se \u00e9rdek\u00e9ben. Erre seb\u00e9szi szempontb\u00f3l a bipol\u00e1ris\n                    hemiarthroplastica gyorsan \u00e9s j\u00f3 eredm\u00e9nyekkel alkalmazhat\u00f3 elj\u00e1r\u00e1s.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    Mindazon\u00e1ltal a korai m\u0171t\u00e9ti ter\u00e1pi\u00e1t\n                    gyakran h\u00e1tr\u00e1ltathatj\u00e1k a p\u00e1ciensek \u00e1ltal szedett antikoagul\u00e1ns k\u00e9sz\u00edtm\u00e9nyek.\n                    Emiatt, valamint a perioperat\u00edv sz\u00f6v\u0151dm\u00e9nyek es\u00e9ly\u00e9nek minimaliz\u00e1l\u00e1s\u00e1hoz a korai\n                    ell\u00e1t\u00e1son t\u00fal fontos a p\u00e1ciensek megfelel\u0151 hemoglobin-menedzsmentje \u00e9s a\n                    t\u00e1rsbetegs\u00e9gek p\u00e1rhuzamos kezel\u00e9se, amelyben nagy seg\u00edts\u00e9g lehet egy, a\n                    kezel\u00e9sben a kezdetekt\u0151l akt\u00edvan k\u00f6zrem\u0171k\u00f6d\u0151 geri\u00e1ter szakorvos. Orv Hetil.\n                    2025; 166(39): 1538\u20131548.\n                  <\/jats:p>","DOI":"10.1556\/650.2025.33401","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T07:43:17Z","timestamp":1759909397000},"page":"1538-1548","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["80 \u00e9v feletti, medialis combnyakt\u00f6r\u00f6tt p\u00e1cienseken v\u00e9gzett bipol\u00e1ris cs\u00edp\u0151prot\u00e9zis-be\u00fcltet\u00e9s perioperat\u00edv eredm\u00e9nyei"],"prefix":"10.1556","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9649-2817","authenticated-orcid":true,"given":"M\u00e1t\u00e9","family":"Burkus","sequence":"first","affiliation":[{"name":"Die Filderklinik, \u00c1ltal\u00e1nos, Hasi, Mellkas- \u00e9s Balesetseb\u00e9szet, Seb\u00e9szeti Ortop\u00e9dia Im Haberschlai 7, 70794 Filderstadt, Baden-W\u00fcrttemberg N\u00e9metorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krist\u00f3f","family":"J\u00f3zsef","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Gerincgy\u00f3gy\u00e1szati K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Bruch","sequence":"additional","affiliation":[{"name":"Die Filderklinik, \u00c1ltal\u00e1nos, Hasi, Mellkas- \u00e9s Balesetseb\u00e9szet, Seb\u00e9szeti Ortop\u00e9dia Im Haberschlai 7, 70794 Filderstadt, Baden-W\u00fcrttemberg N\u00e9metorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Rupp M, Walter N, Pfeifer C, et al. The incidence of fractures among\n                    the adult population of Germany. An analysis from 2009 through 2019. Dtsch\n                    \u00c4rztebl Int. 2021; 118: 665\u2013669."},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Burkus M, Bruch A, Bergmann EM, et al. Valgising angular stable\n                    plate fixation in the treatment of multifragmentary proximal humeral fractures\n                    in elderly patients. Arch Orthop Trauma Surg. 2024; 144:\n                    1637\u20131645.","DOI":"10.1007\/s00402-024-05218-4"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Rapp K, B\u00fcchele G, Dreinh\u00f6fer K, et al. Epidemiology of hip\n                    fractures: systematic literature review of German data and an overview of the\n                    international literature. Z Gerontol Geriatr. 2019; 52: 10\u201316.","DOI":"10.1007\/s00391-018-1382-z"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Hagino H. Current and future burden of hip and vertebral fractures\n                    in Asia. Yonago Acta Med. 2021; 64: 147\u2013154.","DOI":"10.33160\/yam.2021.05.001"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Burkus M, Bruch A, Bergmann EM, et al. Excellent functional outcomes\n                    after operative treatment of multifragmentary, dislocated proximal humeral\n                    fractures in patients over 65 years of age. [Jelent\u0151s funkcion\u00e1lis eredm\u00e9nyek a\n                    65 \u00e9v feletti p\u00e1ciensek t\u00f6bbr\u00e9szes, elmozdult proximalis humerust\u00f6r\u00e9seinek\n                    osteosynthesis\u00e9t k\u00f6vet\u0151en.] Orv Hetil. 2024; 165: 775\u2013784.\n                    [Hungarian]","DOI":"10.1556\/650.2024.33048"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Szymski D, Walter N, Lang S, et al. Incidence and treatment of\n                    intracapsular femoral neck fractures in Germany. Arch Orthop Trauma Surg. 2023;\n                    143: 2529\u20132537.","DOI":"10.1007\/s00402-022-04504-3"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Quaranta M, Miranda L, Oliva F, et al. Haemoglobin and transfusions\n                    in elderly patients with hip fractures: the effect of a dedicated\n                    orthogeriatrician. J Orthop Surg Res. 2021; 16: 387.","DOI":"10.1186\/s13018-021-02524-0"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Burkus M, Bruch A. The current state of the background, incidence,\n                    and treatment strategies of hip fractures. [A cs\u00edp\u0151t\u00e1ji t\u00f6r\u00e9sek h\u00e1tter\u00e9nek,\n                    el\u0151fordul\u00e1s\u00e1nak \u00e9s kezel\u00e9si strat\u00e9gi\u00e1j\u00e1nak aktu\u00e1lis helyzete.] Orv Hetil. 2025;\n                    166: 1163\u20131171. 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Outcomes of internal fixation versus\n                    hemiarthroplasty for elderly patients with an undisplaced femoral neck fracture:\n                    a systematic review and meta-analysis. J Orthop Surg Res. 2019; 14:\n                    320.","DOI":"10.1186\/s13018-019-1377-5"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Ramadanov N, J\u00f3\u017awiak K, Hauptmann M, et al. Cannulated screws versus\n                    dynamic hip screw versus hemiarthroplasty versus total hip arthroplasty in\n                    patients with displaced and non-displaced femoral neck fractures: a systematic\n                    review and frequentist network meta-analysis of 5703 patients. J Orthop Surg\n                    Res. 2023; 18: 625.","DOI":"10.1186\/s13018-023-04114-8"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Florschutz AV, Langford JR, Haidukewych GJ, et al. Femoral neck\n                    fractures: current management. J Orthop Trauma 2015; 29:\n                    121\u2013129.","DOI":"10.1097\/BOT.0000000000000291"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Liu Y, Chen X, Zhang P, et al. Comparing total hip arthroplasty and\n                    hemiarthroplasty for the treatment of displaced femoral neck fracture in the\n                    active elderly over 75\u2009years old: a systematic review and meta-analysis of\n                    randomized control trials. J Orthop Surg Res. 2020; 15: 215.","DOI":"10.1186\/s13018-020-01725-3"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"M\u00fcller-Mai CM, Schulze Raestrup US, Kostuj T, et al. One-year\n                    outcomes for proximal femoral fractures. Posthospital analysis of mortality and\n                    care levels based on health insurance data. [Einjahresverl\u00e4ufe nach proximalen\n                    Femurfrakturen. Poststation\u00e4re Analyse von Letalit\u00e4t und Pflegestufen durch\n                    Kassendaten.] Unfallchirurg 2015; 118: 780\u2013794. [German]","DOI":"10.1007\/s00113-013-2534-7"},{"key":"R16","unstructured":"Resolution of the Federal Joint Committee on a guideline for the\n                    treatment of femoral fractures near the hip joint. [Beschluss des Gemeinsamen\n                    Bundesausschusses u\u0308ber eine Richtlinie zur Versorgung der hu\u0308ftgelenknahen\n                    Femurfraktur.] 2019. Available from:\n                        https:\/\/www.g-ba.de\/downloads\/40-268-6681\/2019-11-22_QSFFx-RL_Erstfassung.pdf\n                    [accessed: July 29, 2025]. [German]"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Gleich J, Neuerburg C, Schoeneberg C, et al. Time to surgery after\n                    proximal femur fracture in geriatric patients depends on hospital size and\n                    provided level of care: analysis of the Registry for Geriatric Trauma (ATR-DGU).\n                    Eur J Trauma Emerg Surg. 2023; 49: 1827\u20131833.","DOI":"10.1007\/s00068-023-02246-4"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Aletto C, Aicale R, Pezzuti G, et al. Impact of an orthogeriatrician\n                    on length of stay of elderly patient with hip fracture. Osteoporos Int. 2020;\n                    31: 2161\u20132166.","DOI":"10.1007\/s00198-020-05510-0"},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Xu WN, Xue QY. Long-term efficacy of screw fixation vs\n                    hemiarthroplasty for undisplaced femoral neck fracture in patients over 65\u2009years\n                    of age: a systematic review and meta-analysis. Orthop Surg. 2021; 13:\n                    3\u201313.","DOI":"10.1111\/os.12910"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Bhandari M, Einhorn TA, Guyatt G, et al. Total hip arthroplasty or\n                    hemiarthroplasty for hip fracture. N Engl J Med. 2019; 381:\n                    2199\u20132208.","DOI":"10.1056\/NEJMoa1906190"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Lewis DP, W\u00e6ver D, Thorninger R, et al. Erratum to \u2018Hemiarthroplasty\n                    versus total hip arthroplasty for the management of displaced neck of femur\n                    fractures: a systematic review and meta-analysis\u1fbd. (J Arthroplasty 2019; 34:\n                    1837\u20131843.) J Arthroplasty 2019; 34(12): 3137\u20133141.","DOI":"10.1016\/j.arth.2019.08.061"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Migliorini F, Maffulli N, Trivellas M, et al. Total hip arthroplasty\n                    compared to bipolar and unipolar hemiarthroplasty for displaced hip fractures in\n                    the elderly: a Bayesian network meta-analysis. Eur J Trauma Emerg Surg. 2022;\n                    48: 2655\u20132666.","DOI":"10.1007\/s00068-022-01905-2"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Ramadanov N, Salzmann M, Voss M, et al. The influence of operation\n                    time for hip hemiarthroplasty on complication rates and mortality in patients\n                    with femoral neck fracture: a retrospective data analysis. J Orthop Surg Res.\n                    2024; 19: 311.","DOI":"10.1186\/s13018-024-04797-7"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Zhang BF, Wang PF, Huang H, et al. Interventions for treating\n                    displaced intracapsular femoral neck fractures in the elderly: a Bayesian\n                    network meta-analysis of randomized controlled trials. Sci Rep. 2017; 7:\n                    13103.","DOI":"10.1038\/s41598-017-13377-1"},{"key":"R25","doi-asserted-by":"crossref","unstructured":"Luo S, Qin W, Yu L, et al. Total hip arthroplasty versus\n                    hemiarthroplasty in the treatment of active elderly patients over 75 years with\n                    displaced femoral neck fractures: a retrospective study. BMC Musculoskelet\n                    Disord. 2023; 24: 745.","DOI":"10.1186\/s12891-023-06860-6"},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Imam MA, Shehata M, Abdallah AR, et al. Unipolar versus bipolar\n                    hemiarthroplasty for displaced femoral neck fractures: A pooled analysis of\n                    30,250 participants data. Injury 2019; 50: 1694\u20131708.","DOI":"10.1016\/j.injury.2019.06.004"},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Middleton RG, Uzoigwe CE, Young PS, et al. Peri-operative mortality\n                    after hemiarthroplasty for fracture of the hip: does cement make a difference?\n                    Bone Joint J. 2014; 96-B: 1185\u20131191.","DOI":"10.1302\/0301-620X.96B9.33935"},{"key":"R28","doi-asserted-by":"crossref","unstructured":"Jameson SS, Jensen CD, Elson DW, et al. Cemented versus cementless\n                    hemiarthroplasty for intracapsular neck of femur fracture \u2013 a comparison of\n                    60,848 matched patients using national data. Injury 2013; 44:\n                    730\u2013734.","DOI":"10.1016\/j.injury.2012.10.031"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Langslet E, Frihagen F, Opland V, et al. Cemented versus uncemented\n                    hemiarthroplasty for displaced femoral neck fractures: 5-year followup of a\n                    randomized trial. Clin Orthop Relat Res. 2014; 472: 1291\u20131299.","DOI":"10.1007\/s11999-013-3308-9"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Elmenshawy AF, Salem KH. Cemented versus cementless bipolar\n                    hemiarthroplasty for femoral neck fractures in the elderly. EFORT Open Rev.\n                    2021; 6: 380\u2013386.","DOI":"10.1302\/2058-5241.6.200057"},{"key":"R31","doi-asserted-by":"crossref","unstructured":"Mattisson L, Bojan A, Enocson A. Epidemiology, treatment and\n                    mortality of trochanteric and subtrochanteric hip fractures: data from the\n                    Swedish fracture register. BMC Musculoskelet Disord. 2018; 19:\n                    369.","DOI":"10.1186\/s12891-018-2276-3"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"Surace P, Sultan AA, George J, et al. The association between\n                    operative time and short-term complications in total hip arthroplasty: an\n                    analysis of 89,802 surgeries. J Arthroplasty 2019; 34: 426\u2013432.","DOI":"10.1016\/j.arth.2018.11.015"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Nowak LL, Schemitsch EH. Duration of surgery affects the risk of\n                    complications following total hip arthroplasty. Bone Joint J. 2019;\n                    101-B(6_Supple_B): 51\u201356.","DOI":"10.1302\/0301-620X.101B6.BJJ-2018-1400.R1"},{"key":"R34","doi-asserted-by":"crossref","unstructured":"Zhang N, Zhang D, Ren S, et al. Relationship between preoperative\n                    hemoglobin levels and length of stay in elderly patients with hip fractures: a\n                    retrospective cohort study. Medicine (Baltimore) 2024; 103:\n                    e38518.","DOI":"10.1097\/MD.0000000000038518"},{"key":"R35","doi-asserted-by":"crossref","unstructured":"Korbmacher JG, Schulze-Raestrup U, Nowak H, et al. Osteosynthetic\n                    treatment of proximal femoral fractures. The timing of treatment is delayed in\n                    cases of pre-existing anticoagulation: Results of the data of external inpatient\n                    quality assurance from North Rhine-Westphalia with 24,786 cases within the\n                    framework of using secondary data. [Proximale osteosynthetisch versorgte\n                    Femurfrakturen. Der Versorgungszeitpunkt verz\u00f6gert sich bei vorbestehender\n                    Antikoagulation: Ergebnisse der Daten der externen station\u00e4ren\n                    Qualit\u00e4tssicherung aus Nordrhein-Westfalen mit einer Fallzahl von 24.786 F\u00e4llen\n                    im Rahmen sekund\u00e4rer Datennutzung.] Unfallchirurg 2021; 124: 642\u2013650.\n                    [German]","DOI":"10.1007\/s00113-020-00923-2"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Bonnaire F, Bula P, Schellong S. Management of pre-existing\n                    anticoagulation for timely treatment of proximal femoral fractures. [Management\n                    vorbestehender Antikoagulation zur zeitgerechten Versorgung von h\u00fcftnahen\n                    Frakturen.] Unfallchirurg 2019; 122: 404\u2013410. [German]","DOI":"10.1007\/s00113-019-0646-4"},{"key":"R37","doi-asserted-by":"crossref","unstructured":"Z\u00e1troch I, Fazakas J. 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