Assessment of frailty, performance and functional independence in patients with periprosthetic fractures associated with total hip arthroplasty
Bibliographic record
Abstract
Periprosthetic fractures (PFs) associated with total hip arthroplasty are significant postoperative complications after hip prosthesis implantation surgery. The aim of this study was to evaluate the fragility, performance and functional independence of patients with PFs associated with total hip arthroplasty. A cross-sectional study was conducted between January and October 2024. The 101 patients evaluated were divided into 3 groups: the group consisting of hip arthroplasty patients - named ATS group (n=36), the group consisting of periprosthetic fractures patients - named PF group (n=11), the group consisting of stage III and IV coxarthrosis patients - named OAH group (n=42). Mean scores fall in the range of pre-fragility - mild frailty for ATS and OAH groups (7.098 ± 2.289 vs. 6.939 ± 1.405), with no significant differences between them, while the mean score of PF group falls in the range of moderate-severe frailty (11.727 ± 3.289). Our data analysis suggests a marked impairment of functional independence in more than 90% of PF patients versus 32% of patients in the ATS group and about 20% of patients in the OAH group; about 75% of patients in the PF group have a significant impairment of functional perfomance. Periprosthetic hip fractures are associated with advancing age and increased fragility. Functional performance and independence of patients with periprosthetic fractures, more than 3 months after fracture, is significantly impaired and is associated with frailty status and advanced age.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".