Michelson JD, Myers A, Jinnah R, Cox Q, Van Natta M (1995) Epidemiology of hip fractures among the elderly. Vergara I, Vrotsou K, Orive M, Gonzalez N, Garcia S, Quintana JM (2014) Factors related to functional prognosis in elderly patients after accidental hip fractures: a prospective cohort study. Acta Orthop 85(1):54–59īrauer CA, Coca-Perraillon M, Cutler DM, Rosen AB (2009) Incidence and mortality of hip fractures in the United States.
Mundi S, Pindiprolu B, Simunovic N, Bhandari M (2014) Similar mortality rates in hip fracture patients over the past 31 years. Knowledge of these short-term outcomes may guide surgeons in counseling hip fracture patients peri-operatively. With respect to anatomic region, geriatric hip fractures have similar short-term mortality and medical AE profiles with differences in transfusion, reoperation, and readmission rates. Furthermore, patients with IT fractures had a slightly lower risk-adjusted incidence of unplanned reoperation and hospital readmission (7.8 vs. Patients with IT and ST fractures had higher risk-adjusted incidence of postoperative blood transfusion relative to FN fractures (18.5%). The overall risk-adjusted rate of minor and major medical AEs within 30 days and risk-adjusted rate of wound complications was not significantly different between FN, IT, and ST fractures. Risk-adjusted 30-day mortality was not significantly different between patients with ST (5.8%, p = 0.735) and IT (7.3%, p = 0.169) femur fractures relative to those with FN fractures (6.6%).
In total, 8220 geriatric hip fracture patients were identified. Multivariate regression was used to calculate relative risks of adverse events (AEs) between groups. Primary patient demographic and perioperative data were collected and correlated with 30-day postoperative complications and outcomes.
#Femoral neck vs intertrochanteric fracture series
The targeted hip fracture series of the American College of Surgeons National Surgical Quality Improvement Program database was queried to identify geriatric (≥ 65 years) patients who sustained operative FN, IT, and ST hip fractures.
This study characterizes postoperative complications and outcomes of hip fractures distinguished by anatomic region. Relative outcomes based on the anatomical subtype of fracture are not well studied. Most geriatric hip fractures occur in the femoral neck (FN) and intertrochanteric (IT) regions of the femur, while a minority occur in the subtrochanteric (ST) region.
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