AIMS: The aim of this study was to investigate the association between the type of operation used to treat a trochanteric fracture of the hip and 30-day mortality.
PATIENTS AND METHODS: Data on 82 990 patients from the National Hip Fracture Database were analyzed using generalized linear models with incremental case-mix adjustment for patient, non-surgical and surgical characteristics, and socioeconomic factors.
RESULTS: The use of short and long intramedullary nails was associated with an increase in 30-day mortality (adjusted odds ratio (OR) 1.125, 95% confidence interval (CI) 1.040 to 1.218; p = 0.004) compared with the use of sliding hip screws (12.5% increase). If this were causative, it would represent 98 excess deaths over the four-year period of the study and one excess death would be caused by treating 112 patients with an intramedullary nail rather than a sliding hip screw.
CONCLUSION: There is a 12.5% increase in the risk of 30-day mortality associated with the use of an intramedullary nail compared with a sliding hip screw in the treatment of a trochanteric fractures of the hip.
|Number of pages||9|
|Journal||Bone and Joint Journal|
|Early online date||2 Jan 2019|
|Publication status||Published - Jan 2019|
- Centre for Surgical Research
- Aged, 80 and over
- Bone Nails
- Bone Screws
- Fracture Fixation, Intramedullary/instrumentation
- Hip Fractures/mortality
- Length of Stay/statistics & numerical data
- Middle Aged
- Prospective Studies
- United Kingdom/epidemiology