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Hemiarthroplasty compared with internal fixation for treatment of nondisplaced femoral neck fractures in elderly patients: a retrospective study.

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Abstract:

INTRODUCTION:Internal fixation (IF) with cannulated screws is the most widely accepted operation method for nondisplaced femoral neck fractures (FNFs) in elderly patients. However, there were higher rate of reoperation, severe complications and poorer functional outcomes reported in these patients treated with IF. The purpose of this research is to compare the prognosis, complications, reoperation and mortality of bipolar hemiarthroplasty (HA) with IF of cannulated screws in elderly patients. METHODS:All elderly patients (>75 years of age) with nondisplaced FNFs from January 2010 to December 2015 at our institution were included in this study. Patients treated with HA and IF with cannulated screws were compared. Outcome measures included the surgical complications, perioperative parameters, hip joint function, reoperation and mortality. RESULTS:The blood loss of HA group (150.0 ± 55.1 mL) was statistically more than IF group (40.5 ± 15.7 mL, p = 0.001). However, the blood transfusion rate was similar between two groups (p = 0.102). At the last follow-up, there were total 14 (34.1%) severe surgical complications in the IF group, compared to 9 (10.1%) in the HA group (P = 0.001). No difference was detected between two groups with respect to the HHS and VAS at the last follow-up. Compared with the HA group, the IF group had much more reoperation in the follow up period (p = 0.001). There was no statistically differences of mortality rate between HA group (39.3%, 35/89) and IF group (34.1%, 14/41) (p=0.571). CONCLUSIONS:As a treatment option for nondisplaced intracapsular FNFs in elderly patients, HA showed the merits of a less surgical complications and less reoperations, while IF demonstrated a shorter surgical time and less intraoperative blood loss. Meanwhile, there was no significant difference in the hip joint function and mortality rate in midterm follow-up. Further evaluation with a longer follow-up is recommended to strengthen these findings.

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED

INJURY
最新影响因子:2.586 期刊ISSN:0020-1383 CiteScore:
出版周期:Monthly 是否OA:YES 出版年份:1969

期刊官方网址:http://www.journals.elsevier.com/injury/

期刊投稿地址:http://ees.elsevier.com/jinj/default.asp?acw=2

自引率:23.90% 研究方向:医学-急救医学
出版地区:ENGLAND

SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)

NCBI查询:PubMed Central (PMC)链接全文检索(pubmed central)

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED 期刊简介

英文简介:

Injury is an established, internationally renowned academic journal focusing on the rapidly evolving fields of trauma and accident surgery. The journal encourages the exchange of information among all members of the accident and emergency trauma team. Topics covered by Injury include trauma systems and management; surgical procedures; epidemiological studies; surgery (of all tissues); resuscitation; biomechanics; rehabilitation; anaesthesia; radiology and wound management. Regular features include original research papers; review papers; case reports; book reviews; ideas and innovations detailing novel and effective solutions to surgical problems; calendar of courses and worldwide meetings. The journal publishes a series of special supplements documenting the work of AO/ASIF Research, Development and Clinical Studies.

中文简介:(来自Google、百度翻译)

《伤病》是一本公认的国际知名学术期刊,专注于快速发展的创伤和意外手术领域。该杂志鼓励在事故和紧急创伤小组的所有成员之间交换信息。损伤涉及的主题包括创伤系统和管理;外科手术;流行病学研究;外科手术(所有组织);复苏;生物力学;康复;麻醉;放射学和伤口管理。常规功能包括原始研究论文;回顾论文;病例报告;书评;详细介绍外科问题新颖有效解决方案的想法和创新;课程日历和全球会议。该杂志出版了一系列专门的补充资料,记录了AO/ASIF研究、开发和临床研究的工作。

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED 期刊中科院评价数据

最新中科院分区

大类(学科) 小类(学科) 学科排名
医学 CRITICAL CARE MEDICINE(危重症监护医学) 4区
EMERGENCY MEDICINE(急诊医学) 3区
ORTHOPEDICS(整形外科学) 3区
SURGERY(外科学) 3区
21/33
8/26
31/77
76/200

最新公布的期刊年发文量

年度总发文量 年度论文发表量 年度综述发表量
529 489 40
总被引频次:14027
特征因子:0.019180

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED 期刊CiteScore评价数据

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引文计数(2018)

文献(2015-2017)

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SCLmago期刊等级衡量经过加权后的期刊受引用次数,引用次数的加权值由施引期刊的学科领域和声望(SJR)决定。
SNIP:
每篇文章中来源出版物的标准化影响将实际受引用情况对照期刊所属学科领域中预期的受引用情况进行衡量。

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INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED 投稿经验

(由下方点评分析获得,4人参与,3446人阅读)

最新评论(不代表本站观点)

  • avatar

    liting7111

    研究方向:骨关节 损伤 影像

    审稿时间: 6个月内 接受率: 中等(50%命中)

    我在12年投了一篇论著,13年2月份拒稿,但是编辑欢迎修改后重投,4月份重投,三个月后小修,8月底修回接收了。14年9月份再次投稿一篇论著,有了上次的投稿经验,前几天审稿意见回来,直接接受了。杂志还是相当不错的,考虑要全面,不足和长处都要考虑清楚,语言要流畅。
    2019-09-16
  • avatar

    liting7111

    接受率: 一般容易(75%命中)

    投了篇骨科文章,投稿后三个月直接通知接收。
    2019-06-15
  • avatar

    liting7111

    研究方向:骨肌系统 影像学研究

    审稿时间: 3个月内 接受率: 中等(50%命中)

    6月初投稿就under review,到8月初显示Under Editor Evaluation,9月初修回,再次小修,审稿人只提了几个效益或,副主编很看好文章,建议我好好修改,修完立即给他发。9月10号修回,9月28号通知录用了。
    2019-02-18
  • avatar

    liting7111

    研究方向:骨科

    今年7月20号投稿,8月初就拒稿了,没有外审,建议修改成technique note也不能保证接收。效率不错,之后就转投了。
    2019-01-02

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