Cited by 185Bone fractures and treatmentsHip and Femur FracturesBone health and osteoporosis research

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The influence of osteoporosis in femoral fracture healing time

Nikolaou, Vassilios S., Efstathopoulos, Nicolas, Kontakis, George, Kanakaris, Nikolaos K., Giannoudis, Peter V.·2009·Injury

DOI 10.1016/j.injury.2008.10.035

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Abstract

Aim In order to assess the effect of osteoporosis on healing time, the files of 165 patients with femoral shaft fractures that were treated in our institution with locked-reamed intramedullary nailing were retrospectively reviewed.Patients and methods Patients with open fractures, pathological fractures, revision surgery, severe brain injuries and prolonged ITU stay were excluded. In all patients the Singh-index score for osteoporosis and the canal bone ratio (CBR) were assigned. Sixty-six patients fulfilled the inclusion criteria. Patients were divided into two groups; group A (29 patients) consisted of patients over 65 years old with radiological evidence of osteoporosis and group B (37 patients) of patients between 18 and 40 years old with no signs of osteoporosis.Results In all group A patients Singh score < or =4 and CBR>0.50 were assigned, suggesting the presence of osteoporosis, whereas all group B patients were assigned with Singh score > or =5 and CBR<0.48. Fractures of group A healed in 19.38+/-5.9 weeks (12-30) and in group B 16.19+/-5.07 weeks (10-28), P=0.02.Conclusions Fracture healing of nailed femoral diaphyseal fractures is significantly delayed in older osteoporotic patients. Further studies are required to clarify the exact impact of osteoporosis in the whole healing process.

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Authors: Nikolaou, V. S., Efstathopoulos, N., Kontakis, G., Kanakaris, N. K., & Giannoudis, P. V.
Affiliations: University of Leeds (GB)
National and Kapodistrian University of Athens (GR)
University of Crete (GR)
Corresponding author: Giannoudis, Peter V.
ORCID: Kontakis, George
Kanakaris, Nikolaos K.
Giannoudis, Peter V.
Venue: Injury
Publisher: Elsevier BV
Published: 2009-06
Volume: 40
Issue: 6
Pages: 663-668
ISSN: 0020-1383 (ISSN-L)
DOI: 10.1016/j.injury.2008.10.035
OpenAlex: W2004960578
Cited by: 185
References: 67
Citations by year: 2026: 9 · 2025: 7 · 2024: 11 · 2023: 14 · 2022: 7 · 2021: 12 · 2020: 11 · 2019: 9 · 2018: 12 · 2017: 18 · 2016: 14 · 2015: 19 · 2014: 10 · 2013: 6 · 2012: 6
FWCI: 5.82
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Injury (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
Health Sciences › Medicine › Surgery › Hip and Femur Fractures
Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
Keywords: osteoporosis, femoral shaft fracture, fracture healing time, Singh index, intramedullary nailing, locked intramedullary nailing, elderly patients, bone quality
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Female, Femoral Fractures, Fracture Fixation, Intramedullary, Humans, Male, Osteoporosis, Radiography, Retrospective Studies, Time Factors, Bone Density, Injury Severity Score, Weight-Bearing, Fracture Healing, Diaphyses, Young Adult

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The influence of osteoporosis in femoral fracture healing time

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