Summary
In 279 patients who had undergone total hip replacement because of primary coxarthrosis, the occurrence of fractures, other diseases, and roentgen examinations was compared with that in the same number of age- and sexmatched controls from the same population. Coxarthrosis patients had had significantly more fractures than the controls before their hip operation but did not have significantly more after the operation except for fracture distal to the femur implant, which was rare but occurred only in the patients who had undergone surgery. Fragility fractures, including hip fractures, were equally frequent in coxarthrosis patients and controls. There was a higher tendency to morbidity in conditions related to ageing and degeneration; diabetes, however, was less frequent in coxarthrosis patients. Coxarthrosis patients had also had more frequent examinations of their gastro intestinal tract and their kidneys.
Zusammenfassung
Die Frequenz von Frakturen, anderen Krankeiten und Röntgen-Befunden bei 279 Patienten mit primärer Coxarthrose, die alle mit totalem Hüftgelenkersatz operiert worden waren, wurden untersucht. Diese Patienten wurden mit 279 Kontrollen von gleichem Alter und Geschlecht verglichen. Die Untersuchung zeigte, daß Frakturen bei den Coxarthrosepatienten vor der Operation häufiger vorkamen als bei den Kontrollen. Nach der Operation war die Frequenz der Frakturen der beiden Gruppen gleich, mit Ausnahme von Frakturen unter halb der Hüftprothese, die nur bei den Coxarthrosepatienten vorkamen. Die fragilen Frakturen waren ebenso häufig bei den Coxarthrosepatienten wie bei den Kontrollen. Krankeiten, die auf hohes Alter zu beziehen sind, kamen bei den Coxarthrosepatienten häufiger vor, Zuckerkrankheit ausgenommen. Bei den Coxarthrosepatienten waren Röntgenuntersuchungen des Darmkanals und der Nieren häufiger gemacht worden.
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Financial support was obtained from the Swedish Medical Research Council (project no. B 84-17X-02737-16), the Alfred Österlund Foundation, and the Greta and Johan Kock Foundation
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Lindberg, H., Nilsson, B.E. Coinciding morbidity in patients with coxarthrosis. Arch. Orth. Traum. Surg. 104, 82–84 (1985). https://doi.org/10.1007/BF00454242
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DOI: https://doi.org/10.1007/BF00454242