TY - JOUR
T1 - Total hip arthroplasty for femoral neck fracture
T2 - Comparing in-hospital mortality, complications, and disposition to an elective patient population
AU - Sassoon, Adam
AU - D'Apuzzo, Michele
AU - Sems, Stephen
AU - Cass, Joseph
AU - Mabry, Tad
PY - 2013/10
Y1 - 2013/10
N2 - Patients treated with total hip arthroplasty (THA) for osteoarthritis (OA) and femoral neck fracture (FNF) between 1990-2007 were compared using the National Hospital Discharge Survey (NHDS). In-hospital, post-operative complications and disposition were compared at six-year intervals to establish trends over time. A total of 2,160,061 THAs were performed for OA, while 174,641 were performed for FNF. Peri-operative mortality and pulmonary embolism rates following elective THA were lower at each interval when compared to THA performed for FNF (P<. 0.001). Hematomas, infections, and dislocations were also higher in the traumatic group. The FNF group showed improvements with respect to mortality and rates of pulmonary embolism, infection, and dislocation over time. During the most recent interval, there was no difference in dislocation rates between the two groups. The length of stay and the percentage of patients discharging to a rehab facility were significantly higher in the FNF group at each time interval.
AB - Patients treated with total hip arthroplasty (THA) for osteoarthritis (OA) and femoral neck fracture (FNF) between 1990-2007 were compared using the National Hospital Discharge Survey (NHDS). In-hospital, post-operative complications and disposition were compared at six-year intervals to establish trends over time. A total of 2,160,061 THAs were performed for OA, while 174,641 were performed for FNF. Peri-operative mortality and pulmonary embolism rates following elective THA were lower at each interval when compared to THA performed for FNF (P<. 0.001). Hematomas, infections, and dislocations were also higher in the traumatic group. The FNF group showed improvements with respect to mortality and rates of pulmonary embolism, infection, and dislocation over time. During the most recent interval, there was no difference in dislocation rates between the two groups. The length of stay and the percentage of patients discharging to a rehab facility were significantly higher in the FNF group at each time interval.
KW - Femoral neck fracture
KW - Total hip arthroplasty
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U2 - 10.1016/j.arth.2013.01.027
DO - 10.1016/j.arth.2013.01.027
M3 - Article
C2 - 23523489
AN - SCOPUS:84885020420
SN - 0883-5403
VL - 28
SP - 1659
EP - 1662
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 9
ER -