National trends in total hip arthroplasty for traumatic hip fractures: An analysis of a nationwide all-payer database.

National trends in total hip arthroplasty for traumatic hip fractures: An analysis of a nationwide all-payer database. World J Orthop. 2020 Jan 18;11(1):18-26 Authors: Boniello AJ, Lieber AM, Denehy K, Cavanaugh P, Kerbel YE, Star A Abstract BACKGROUND: Hemiarthroplasty (HA) has traditionally been the treatment of choice for elderly patients with displaced femoral neck fractures. Ideal treatment for younger, ambulatory patients is not as clear. Total hip arthroplasty (THA) has been increasingly utilized in this population however the factors associated with undergoing HA or THA have not been fully elucidated. AIM: To examine what patient characteristics are associated with undergoing THA or HA. To determine if outcomes differ between the groups. METHODS: We queried the Nationwide Inpatient Sample (NIS) for patients that underwent HA or THA for a femoral neck fracture between 2005 and 2014. The NIS comprises a large representative sample of inpatient hospitalizations in the United States. International Classifications of Disease, Ninth Edition (ICD-9) codes were used to identify patients in our sample. Demographic variables, hospital characteristics, payer status, medical comorbidities and mortality rates were compared between the two procedures. Multivariate logistic regression analysis was then performed to identify independent risk factors of treatment utilized. RESULTS: Of the total 502060 patients who were...
Source: World Journal of Orthopaedics - Category: Orthopaedics Tags: World J Orthop Source Type: research