Optimaler Zeitpunkt zur prothetischen Versorgung von Schenkelhalsfrakturen: CRP als Marker der postoperativen immunologischen Reaktion

M. Neumaier; H. Vester; F. Martetschläger; T. Freude; M. A. Scherer; U. Stöckle

doi:10.1007/s00104-010-2043-y

Optimaler Zeitpunkt zur prothetischen Versorgung von Schenkelhalsfrakturen: CRP als Marker der postoperativen immunologischen Reaktion

Translated title of the contribution: Optimal timing of operations to treat fractures of the femoral neck with endoprotheses: CRP as a parameter of postoperative immunologic reaction

M. Neumaier, H. Vester, F. Martetschläger, T. Freude, M. A. Scherer, U. Stöckle

Associate Professorship of Sports Orthopaedy

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Background: The optimal time to perform endoprosthesis of hip fractures in the elderly is still under discussion. CRP as an objective marker of postoperative inflammatory reaction should give an indication if early or late surgery is favored. Methods: CRP values from 122 patients with no complications after hip arthroplasty of femoral neck fractures were analyzed in context with the time between the trauma and the operation. Results: In early surgery within 24 h after trauma the CRP values were significantly lower than in delayed surgery. Conclusion: The lower postoperative inflammatory reaction after early surgery of hip fractures provides a better outcome when treated with arthroplasty.

Translated title of the contribution	Optimal timing of operations to treat fractures of the femoral neck with endoprotheses: CRP as a parameter of postoperative immunologic reaction
Original language	German
Pages (from-to)	921-926
Number of pages	6
Journal	Chirurg
Volume	82
Issue number	10
DOIs	https://doi.org/10.1007/s00104-010-2043-y
State	Published - Oct 2011

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title = "Optimaler Zeitpunkt zur prothetischen Versorgung von Schenkelhalsfrakturen: CRP als Marker der postoperativen immunologischen Reaktion",

abstract = "Background: The optimal time to perform endoprosthesis of hip fractures in the elderly is still under discussion. CRP as an objective marker of postoperative inflammatory reaction should give an indication if early or late surgery is favored. Methods: CRP values from 122 patients with no complications after hip arthroplasty of femoral neck fractures were analyzed in context with the time between the trauma and the operation. Results: In early surgery within 24 h after trauma the CRP values were significantly lower than in delayed surgery. Conclusion: The lower postoperative inflammatory reaction after early surgery of hip fractures provides a better outcome when treated with arthroplasty.",

keywords = "CRP, Femoral neck fracture, Hip arthroplasty, Operative trauma, Timing of operation",

author = "M. Neumaier and H. Vester and F. Martetschl{\"a}ger and T. Freude and Scherer, {M. A.} and U. St{\"o}ckle",

year = "2011",

month = oct,

doi = "10.1007/s00104-010-2043-y",

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T1 - Optimaler Zeitpunkt zur prothetischen Versorgung von Schenkelhalsfrakturen

T2 - CRP als Marker der postoperativen immunologischen Reaktion

AU - Neumaier, M.

AU - Vester, H.

AU - Martetschläger, F.

AU - Freude, T.

AU - Scherer, M. A.

AU - Stöckle, U.

PY - 2011/10

Y1 - 2011/10

N2 - Background: The optimal time to perform endoprosthesis of hip fractures in the elderly is still under discussion. CRP as an objective marker of postoperative inflammatory reaction should give an indication if early or late surgery is favored. Methods: CRP values from 122 patients with no complications after hip arthroplasty of femoral neck fractures were analyzed in context with the time between the trauma and the operation. Results: In early surgery within 24 h after trauma the CRP values were significantly lower than in delayed surgery. Conclusion: The lower postoperative inflammatory reaction after early surgery of hip fractures provides a better outcome when treated with arthroplasty.

AB - Background: The optimal time to perform endoprosthesis of hip fractures in the elderly is still under discussion. CRP as an objective marker of postoperative inflammatory reaction should give an indication if early or late surgery is favored. Methods: CRP values from 122 patients with no complications after hip arthroplasty of femoral neck fractures were analyzed in context with the time between the trauma and the operation. Results: In early surgery within 24 h after trauma the CRP values were significantly lower than in delayed surgery. Conclusion: The lower postoperative inflammatory reaction after early surgery of hip fractures provides a better outcome when treated with arthroplasty.

KW - CRP

KW - Femoral neck fracture

KW - Hip arthroplasty

KW - Operative trauma

KW - Timing of operation

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DO - 10.1007/s00104-010-2043-y

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SN - 0009-4722

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Optimaler Zeitpunkt zur prothetischen Versorgung von Schenkelhalsfrakturen: CRP als Marker der postoperativen immunologischen Reaktion

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