This study supports Spanish data collection and analysis on Periprosthetic and Peri-implant fractures of the upper and lower limb. Treatment and clinical management of this fractures are complex and goes along with complications. There will be more than 70 hospitals providing information. This study will provide evidence on which is the best treatment for every unique patient. This will help trauma surgeons and geriatricians to provide better treatments, to improve health care in our society, reducing mortality, morbidity, improving functional outcomes, and reducing costs, which in turn will be advances in trauma care.
There is no clinical evidence on which are the best treatment options for Periprosthetic and Peri-implant fractures of the upper and lower limb. This is a multi-center collaborative study seeking to obtain a big number of patients. Data collection includes previous health status and quality of life, which is the clinical management and treatment, as well as the outcome after one month, six months and one year. The investigators will be able to define risk factors and clinical attitudes, which influence on the patient outcome. And therefore, be able to establish treatment protocols and give management recommendations based on the observed clinical evidence to improve healing indexes, morbidity and mortality, function, grade of autonomy and quality of live. Main questions to be answered are: 1. which is the epidemiology of Periprosthetic and Peri-implant fractures and how are they treated in Spain, 2. Identify risk factors for complications and worse outcomes, 3. which is the morbidity and mortality, 4. influence of the fracture type and implants already placed on management and outcome, 5. influence of the treatment on patients' grade of independency, and 6. identified which are the risk factors for treatment failure.
Study Type
OBSERVATIONAL
Enrollment
2,500
Mutua Universitaria de Tarrasa
Barcelona, Spain
RECRUITINGAlthaia, Xarxa Assistencial Universitària de Manresa
Barcelona, Spain
RECRUITINGHospital Clinic
Barcelona, Spain
RECRUITINGHospital Universitario Vall d´Hebrón
Barcelona, Spain
RECRUITINGHospital de Jove
Gijón, Spain
RECRUITINGHospital Universitario 12 de Octubre
Madrid, Spain
RECRUITINGHospital Clínico Universitario de Valladolid
Valladolid, Spain
RECRUITINGMortality
Rate of mortality at anytime from fracture diagnose up to 12 months
Time frame: Up to 12 months
Fracture classification
Fracture classification using the UCS for periprosthetic fractures, and the adapted H. Broggi classification for peri-implant fractures. Number of patients in each classification group
Time frame: Pre-operatively (Day -1)
Treatment
Number of patients treated with fixation or revision and fixation or implant removal
Time frame: Post-operatively (Day +1)
Fracture healing
Rate of bone union on X-rays
Time frame: Up to 12 months
Health related quality of life
EuroQuality of Life 5Dimensions 5Leves (EQ5D5L)
Time frame: Up to 12 months
Dependency
Clinical frailty scale (1-9) 1=very fit, 9=terminally ill
Time frame: Up to 12 months
Mental situation
Pfeiffer test
Time frame: Up to 12 months
Gait
FFN-MCD mobility scale (Fragility Fracture Network-Minimum Common Dataset). 1-5: 1=independent mobility, 5=No functional mobility
Time frame: Up to 12 months
Bone protector treatment
Is the patient under treatment with vitamine D, calcium, bone formation, bone modeling?
Time frame: Up to 12 months
Life style change
Need to change place of living because of the fracture or its sequels.
Time frame: Up to 12 months
Medical or Surgical complications
in need of at least one in-hospital night.
Time frame: Up to 12 months
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