Increased use of intramedullary nails for intertrochanteric proximal femoral fractures in veterans affairs hospitals: a comparative effectiveness study

The Journal of Bone and Joint Surgery. American Volume
Tiffany A RadcliffEvelyn Hutt

Abstract

Intramedullary nails for stabilizing intertrochanteric proximal femoral fractures have been available since the early 1990s. The nails are inserted percutaneously and have theoretical mechanical advantages over plates and screws, but they have not been demonstrated to improve patient outcomes. Still, use of intramedullary nails is becoming more common. The goal of this study was to examine trends in the use and associated outcomes of intramedullary nailing compared with sliding hip screws in Veterans Affairs (VA) hospitals. Review of the VA Surgical Quality Improvement Program (VASQIP) data identified 5244 male patients in whom an intertrochanteric proximal femoral fracture had been treated in a VA hospital between 1998 and 2005. The overall sample was used to assess trends in device use, thirty-day mortality, thirty-day surgical complications, and one-year mortality. Next, propensity score matching methods were used to compare 1013 patients identified as having been treated with an intramedullary nail with 1013 patients who had a sliding-screw procedure. Multiple logistic regression models for the matched sample were used to calculate odds ratios for mortality and complications according to the choice of internal fracture fixa...Continue Reading

References

Nov 19, 1997·The Medical Journal of Australia·T H DiamondP Smerdely
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Aug 27, 2002·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A TrombettiR Rizzoli
Sep 19, 2003·Archives of Orthopaedic and Trauma Surgery·F FogagnoloC A J Paccola
Dec 16, 2003·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Lois E WehrenJay Magaziner
Nov 17, 2007·Journal of the American Geriatrics Society·Dustin D FrenchLaurence Z Rubenstein
Jan 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Tiffany A RadcliffEvelyn Hutt
Apr 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Mary L ForteMarc F Swiontkowski
Apr 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Jeffrey O AnglenUNKNOWN American Board of Orthopaedic Surgery Research Committee

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Citations

Oct 23, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Josh VaughnChristopher Born
Aug 8, 2015·Geriatric Orthopaedic Surgery & Rehabilitation·Evelyn HuttEmily Whitfield
Apr 16, 2015·International Orthopaedics·Christoph Kolja BoesePhilipp Lechler
Aug 20, 2019·Journal of Orthopaedic Trauma·Joseph T PattersonAlfred C Kuo
Jul 21, 2015·Archives of Orthopaedic and Trauma Surgery·M J O'MalleyI S Tarkin
Apr 25, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Brian C WernerSeth R Yarboro
Dec 20, 2014·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Feng GaoXiao-Lin Li
Apr 23, 2014·Journal of Orthopaedic Trauma·Christopher BooneKevin D Grant
Mar 8, 2016·Singapore Medical Journal·Choon Chiet HongDiarmuid Murphy
Jul 1, 2020·Expert Review of Medical Devices·Abhishek ChitnisChantal E Holy
Mar 12, 2021·Archives of Orthopaedic and Trauma Surgery·Harminder SaraiMichael Schuetz
Mar 27, 2021·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A ShahA Judge
Jul 5, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Hsuan-Hsiao MaChien-Shun Wang

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