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Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital
Thesis (MMed)--Stellenbosch University, 2022.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867613897347825664 |
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| access_status_str | Open Access |
| author | Khan, Suhayl Ahmed |
| author2 | Jordaan, Daniel Jacobus |
| author_browse | Jordaan, Daniel Jacobus Khan, Suhayl Ahmed |
| author_facet | Jordaan, Daniel Jacobus Khan, Suhayl Ahmed |
| author_sort | Khan, Suhayl Ahmed |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2022. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/126386 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:26.328Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/126386 Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital Khan, Suhayl Ahmed Jordaan, Daniel Jacobus Burger, Marilize Cornelle Ferreira, Nando Faculty of Medicine and Health Sciences. Dept. of Surgical Sciences. Orthopaedic Surgery. Femur neck -- Fractures Arthroplasty -- Patients Hip joint -- Wounds and injuries Fractures -- Care Metastasis Total hip replacement -- Patients -- Care -- Evaluation Arthroplasty -- Evaluation UCTD Thesis (MMed)--Stellenbosch University, 2022. ENGLISH ABSTRACT: Background: This study aimed to determine the prevalence of pathological neck of femur (NOF) fractures at a tertiary referral hospital through histological examination of specimens in all NOF fracture patients undergoing hip arthroplasty. A secondary aim was to determine whether the current practice of sending all femoral heads for histological evaluation, to avoid missing unsuspected malignancies, is financially warranted. Methods: A retrospective folder review of patients who underwent arthroplasty for NOF fractures was conducted. Patients with suspected pathological fractures were managed by the divisional Bone Tumour Unit whilst fragility traumatic fractures were managed by the Arthroplasty Unit. All femoral heads were sent for histological analysis regardless of suspicion of pathological fracture. Quotes from the public and private sector were sought to determine cost implications of sending femoral head specimens for histology Results: A total of 311 patients were included. Of these, 11 patients (3,5%) had suspected pathological fractures, with fragility/traumatic fractures being diagnosed in the remaining 300 patients (96.5%). Histology results were available for 195 patients (62.7%) including all of the patients with suspected pathological fractures. No unexpected malignant histological results were observed whilst 9 of the suspected pathological fracture group had pathological fractures, confirmed with histology. Conclusion: Pathological lesions were identified in 2.9% of patients undergoing arthroplasty for NOF fractures in our population, which is higher than other reports in the literature. Routine histological screening of femoral heads to exclude pathological fracture might not be necessary and cost effective, as pathological lesions can accurately be identified by clinical and radiographic evaluation. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2023-01-26T06:18:39Z 2023-01-26T06:18:39Z 2022-12 Thesis http://hdl.handle.net/10019.1/126386 en_ZA Stellenbosch University 36 pages : illustrations application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Femur neck -- Fractures Arthroplasty -- Patients Hip joint -- Wounds and injuries Fractures -- Care Metastasis Total hip replacement -- Patients -- Care -- Evaluation Arthroplasty -- Evaluation UCTD Khan, Suhayl Ahmed Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital |
| title | Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital |
| title_full | Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital |
| title_fullStr | Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital |
| title_full_unstemmed | Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital |
| title_short | Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital |
| title_sort | prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital |
| topic | Femur neck -- Fractures Arthroplasty -- Patients Hip joint -- Wounds and injuries Fractures -- Care Metastasis Total hip replacement -- Patients -- Care -- Evaluation Arthroplasty -- Evaluation UCTD |
| url | http://hdl.handle.net/10019.1/126386 |
| work_keys_str_mv | AT khansuhaylahmed prevalenceofpathologicalneckoffemurfracturesinpatientsundergoingarthroplastyatatertiaryreferralhospital |