Key result
Increasing age was associated with higher reoperation rates for closed reduction and percutaneous pinning, but lower reoperation rates for hemiarthroplasty in femoral neck fractures.
Why the study?
What is the impact of age on reoperation rates for femoral neck fractures treated with internal fixation and hemiarthroplasty?
Observational (n=949)
No
What is the impact of age on reoperation rates for femoral neck fractures treated with internal fixation and hemiarthroplasty?
Increasing age is associated with higher reoperation rates following CRPP for nondisplaced femoral neck fractures, but lower reoperation rates following HA for displaced fractures.
May inform age-based reoperation counseling after CRPP or HA; leaves open need for prospective validation before changing thresholds.
METHODS: A retrospective comparative study was performed at a level 1 trauma center at which electronic medical records and digital radiographs were reviewed for 949 femoral neck fractures. For the primary outcome of reoperation based on age, Kaplan-Meier models were built and analysis applied. RESULTS: A total of 334 fractures were nondisplaced treated with closed reduction and percutaneous pinning (CRPP), and 615 were displaced managed with hemiarthroplasty (HA). Overall, 98 patients (10.33%) required reoperation. Increasing reoperation rates for CRPP was seen with each subsequent age group. The opposite was seen with HA in which increasing age groups showed lower reoperation rates.
No takes yet. Share an insight, caveat, or question.
Griffin et al. (2016) conducted an observational in Femoral neck fractures (n=949). Age and treatment type (CRPP vs HA) vs. Different age groups was evaluated on Reoperation based on age. Increasing age was associated with higher reoperation rates for closed reduction and percutaneous pinning, but lower reoperation rates for hemiarthroplasty in femoral neck fractures.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: