Routine follow-up is unnecessary after intramedullary fixation of trochanteric femoral fractures-Analysis of 995 cases.

Autor: Halonen LM; Department of Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, PO Box 266, HUS FI-00026, Finland. Electronic address: lauri.halonen@hus.fi., Vasara H; Department of Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, PO Box 266, HUS FI-00026, Finland., Stenroos A; Department of Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, PO Box 266, HUS FI-00026, Finland., Kosola J; Department of Orthopedics and Traumatology, Kanta-Häme Central Hospital, Finland.
Jazyk: angličtina
Zdroj: Injury [Injury] 2020 Jun; Vol. 51 (6), pp. 1343-1345. Date of Electronic Publication: 2020 Mar 10.
DOI: 10.1016/j.injury.2020.03.033
Abstrakt: Background and Purpose: Approximately 2000 trochanteric fractures are operated in Finland annually. These fractures make a major burden to health care system and affected individuals. The role of routine follow-up has been questioned in multiple fracture types.
Patients and Methods: We analyzed routine follow-up visits after intramedullary fixation of trochanteric fractures (n = 995). Patients were followed up from patient registries until 2 years or death. Planned and unplanned follow-up visits were analyzed.
Results: Altogether 9 patients (0.9%) had a change in treatment at planned outpatient visit. 6 of these were due to mechanical complication, 1 due to refracture and 2 due to delayed unions. 64 (6.4%) patients had a change in treatment plan because of an unplanned visit: 28 infections, 6 pressure sores, 15 mechanic complications and 14 refractures and 1 AVN, respectively.
Interpretation: Routine follow-up visits are a burden both to the patients and health care system, with less than 1% leading to changes in treatment. Our suggestion is to give good instructions to patients and rehabilitation facilities instead of routine follow-up.
Competing Interests: Declaration of Competing Interest Authors declare no conflicts of interest. There was no financial support for the research. No writing aid obtained.
(Copyright © 2020. Published by Elsevier Ltd.)
Databáze: MEDLINE
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