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More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden: Registry analysis of 144,607 patients, 1998–2007

BACKGROUND AND PURPOSE: The surgical methods for treatment of femoral neck fractures and trochanteric hip fractures vary. We describe the changes in Sweden over the period 1998–2007 and the regional differences in treatment. PATIENTS AND METHODS: Data on 144,607 patients were drawn from the National...

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Autores principales: Rogmark, Cecilia, Spetz, Curt-Lennart, Garellick, Göran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214748/
https://www.ncbi.nlm.nih.gov/pubmed/20860442
http://dx.doi.org/10.3109/17453674.2010.506631
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author Rogmark, Cecilia
Spetz, Curt-Lennart
Garellick, Göran
author_facet Rogmark, Cecilia
Spetz, Curt-Lennart
Garellick, Göran
author_sort Rogmark, Cecilia
collection PubMed
description BACKGROUND AND PURPOSE: The surgical methods for treatment of femoral neck fractures and trochanteric hip fractures vary. We describe the changes in Sweden over the period 1998–2007 and the regional differences in treatment. PATIENTS AND METHODS: Data on 144,607 patients were drawn from the National Patient Register. RESULTS: The proportion of femoral neck fractures treated with arthroplasty increased from 10% in 1998 to 52% in 2007. The use of intramedullary (IM) nails for pertrochanteric fractures increased from 5% to 20%, at the expense of the use of different sliding hip screws. In subtrochanteric fractures, the use of IM nails increased from 32% to 72%. Re-admissions within 180 days due to hip complications were more common after internal fixation for femoral neck fractures than after arthroplasty, and more common after intramedullary nailing of pertrochanteric fractures than after use of sliding hip screws. Treatment varied substantially within Sweden, particularly regarding the use of IM nails. INTERPRETATION: An increase in arthroplasties reflects an evidence-based treatment rationale for femoral neck fractures, whereas the increase in use of IM nails in pertrochanteric fractures lacks scientific support. The geographic variations call for national treatment guidelines. Further clinical trials are needed to solve the treatment issues regarding per- and subtrochanteric fractures.
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spelling pubmed-32147482011-11-25 More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden: Registry analysis of 144,607 patients, 1998–2007 Rogmark, Cecilia Spetz, Curt-Lennart Garellick, Göran Acta Orthop Research Article BACKGROUND AND PURPOSE: The surgical methods for treatment of femoral neck fractures and trochanteric hip fractures vary. We describe the changes in Sweden over the period 1998–2007 and the regional differences in treatment. PATIENTS AND METHODS: Data on 144,607 patients were drawn from the National Patient Register. RESULTS: The proportion of femoral neck fractures treated with arthroplasty increased from 10% in 1998 to 52% in 2007. The use of intramedullary (IM) nails for pertrochanteric fractures increased from 5% to 20%, at the expense of the use of different sliding hip screws. In subtrochanteric fractures, the use of IM nails increased from 32% to 72%. Re-admissions within 180 days due to hip complications were more common after internal fixation for femoral neck fractures than after arthroplasty, and more common after intramedullary nailing of pertrochanteric fractures than after use of sliding hip screws. Treatment varied substantially within Sweden, particularly regarding the use of IM nails. INTERPRETATION: An increase in arthroplasties reflects an evidence-based treatment rationale for femoral neck fractures, whereas the increase in use of IM nails in pertrochanteric fractures lacks scientific support. The geographic variations call for national treatment guidelines. Further clinical trials are needed to solve the treatment issues regarding per- and subtrochanteric fractures. Informa Healthcare 2010-10 2010-10-08 /pmc/articles/PMC3214748/ /pubmed/20860442 http://dx.doi.org/10.3109/17453674.2010.506631 Text en Copyright: © Nordic Orthopaedic Federation http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.
spellingShingle Research Article
Rogmark, Cecilia
Spetz, Curt-Lennart
Garellick, Göran
More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden: Registry analysis of 144,607 patients, 1998–2007
title More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden: Registry analysis of 144,607 patients, 1998–2007
title_full More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden: Registry analysis of 144,607 patients, 1998–2007
title_fullStr More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden: Registry analysis of 144,607 patients, 1998–2007
title_full_unstemmed More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden: Registry analysis of 144,607 patients, 1998–2007
title_short More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden: Registry analysis of 144,607 patients, 1998–2007
title_sort more intramedullary nails and arthroplasties for treatment of hip fractures in sweden: registry analysis of 144,607 patients, 1998–2007
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214748/
https://www.ncbi.nlm.nih.gov/pubmed/20860442
http://dx.doi.org/10.3109/17453674.2010.506631
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