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

Chirurg. 2011 Oct;82(10):921-6. doi: 10.1007/s00104-010-2043-y.
[Article in German]

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.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip*
  • C-Reactive Protein / analysis*
  • Female
  • Femoral Neck Fractures / immunology*
  • Femoral Neck Fractures / surgery*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / diagnosis
  • Postoperative Complications / immunology*
  • Postoperative Complications / surgery
  • Predictive Value of Tests
  • Prognosis
  • Prospective Studies
  • Reoperation
  • Secondary Prevention
  • Systemic Inflammatory Response Syndrome / diagnosis
  • Systemic Inflammatory Response Syndrome / immunology*
  • Time Factors

Substances

  • C-Reactive Protein