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Alcohol abuse and healing complications after cervical hip fractures

Nyquist, Fredrik LU ; Overgaard, Angelica ; Düppe, Henrik LU and Obrant, Karl LU (1998) In Alcohol and Alcoholism 33(4). p.373-380
Abstract
Osteonecrosis of the femoral head following femoral neck fractures is a common condition. Spontaneous osteonecrosis, is, however, a rare disorder, which is observed with increased frequency in alcohol abusers. In this retrospective study, we followed 512 consecutive male patients who had sustained femoral neck fractures between 1984 and 1992; 82 of these 512 patients (16%) had earlier been registered at the Department of Alcohol Diseases as high consumers of alcohol. The aim of the study was to determine the relationship between the rate of healing complications and alcohol consumption. No differences were observed in the degree of fracture dislocation, frequency of femoral head necrosis, and pseudoarthrosis among the abusers. Furthermore,... (More)
Osteonecrosis of the femoral head following femoral neck fractures is a common condition. Spontaneous osteonecrosis, is, however, a rare disorder, which is observed with increased frequency in alcohol abusers. In this retrospective study, we followed 512 consecutive male patients who had sustained femoral neck fractures between 1984 and 1992; 82 of these 512 patients (16%) had earlier been registered at the Department of Alcohol Diseases as high consumers of alcohol. The aim of the study was to determine the relationship between the rate of healing complications and alcohol consumption. No differences were observed in the degree of fracture dislocation, frequency of femoral head necrosis, and pseudoarthrosis among the abusers. Furthermore, no differences were found in causative events, primary operative treatment, post-operative complications, and the number of secondary operations. The abusers were significantly younger, had a higher rate of early retirement, and had an increased death rate. Our study suggests that alcohol complicates the healing process to a lesser extent than earlier thought, and that osteonecrosis of the femoral head after femoral neck fractures is equally common in non-abusers as in abusers. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Alcohol and Alcoholism
volume
33
issue
4
pages
373 - 380
publisher
Oxford University Press
external identifiers
  • pmid:9719396
  • scopus:0031874335
ISSN
1464-3502
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Joint and Soft Tissue Unit (013242920), Clinical and Molecular Osteoporosis Research Unit (013242930), Reconstructive Surgery (013240300), Diagnostic Radiology, (Lund) (013038000)
id
ec572f84-e833-4050-a9c7-a52040df124f (old id 1113071)
alternative location
http://alcalc.oxfordjournals.org/cgi/reprint/33/4/373
date added to LUP
2016-04-01 11:58:53
date last changed
2024-03-25 19:13:38
@article{ec572f84-e833-4050-a9c7-a52040df124f,
  abstract     = {{Osteonecrosis of the femoral head following femoral neck fractures is a common condition. Spontaneous osteonecrosis, is, however, a rare disorder, which is observed with increased frequency in alcohol abusers. In this retrospective study, we followed 512 consecutive male patients who had sustained femoral neck fractures between 1984 and 1992; 82 of these 512 patients (16%) had earlier been registered at the Department of Alcohol Diseases as high consumers of alcohol. The aim of the study was to determine the relationship between the rate of healing complications and alcohol consumption. No differences were observed in the degree of fracture dislocation, frequency of femoral head necrosis, and pseudoarthrosis among the abusers. Furthermore, no differences were found in causative events, primary operative treatment, post-operative complications, and the number of secondary operations. The abusers were significantly younger, had a higher rate of early retirement, and had an increased death rate. Our study suggests that alcohol complicates the healing process to a lesser extent than earlier thought, and that osteonecrosis of the femoral head after femoral neck fractures is equally common in non-abusers as in abusers.}},
  author       = {{Nyquist, Fredrik and Overgaard, Angelica and Düppe, Henrik and Obrant, Karl}},
  issn         = {{1464-3502}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{373--380}},
  publisher    = {{Oxford University Press}},
  series       = {{Alcohol and Alcoholism}},
  title        = {{Alcohol abuse and healing complications after cervical hip fractures}},
  url          = {{http://alcalc.oxfordjournals.org/cgi/reprint/33/4/373}},
  volume       = {{33}},
  year         = {{1998}},
}