Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures

Autor: Sanjit R. Konda MD, Christian A. Pean MS, Abraham M. Goch BS, Adam C. Fields BA, Kenneth A. Egol MD
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Geriatric Orthopaedic Surgery & Rehabilitation, Vol 6 (2015)
Druh dokumentu: article
ISSN: 2151-4585
2151-4593
21514585
DOI: 10.1177/2151458515608225
Popis: Purpose: To compare and contrast postoperative complications in the geriatric population following open reduction and internal fixation (ORIF) for (DF) fractures relative to femoral neck (FN) fractures. Methods: Patients aged 65 years and older in the American College of Surgeons National Surgical Quality Improvement Program database who underwent ORIF for FN fractures or DF fractures from 2005 to 2012 were identified. Differences in rates of any adverse events (AAEs), serious adverse events (SAEs), infectious complications, and mortality between groups were explored using univariate and multivariate analyses. Results: The DF cohort had a higher proportion of females (81.95% vs 71.35%, P < .001), were younger (79.41 ± 7.93 vs 82.11 ± 7.26 years old, P < .001), and had a lower age adjusted modified Charlson comorbidity index score (4.22 ± 1.32 vs 4.49 ± 1.35, P = .02). Cases with DF and FN did not differ in AAE (20.05% vs 20.20%, P = .94), SAE (12.03% vs 13.19%, P = .51), infectious complication (4.26% vs 4.22%, P = .97), hospital length of stay (7.32 ± 6.73 days vs 7.02 ± 10.67 days, P = .59), or mortality rates (4.51% vs 5.99%, P = .23). Multivariate analyses revealed that fracture type did not impact AAE ( P = .28), SAE ( P = .58), infectious complications ( P = .83), or mortality ( P = .85) rates. Conclusion: Postoperative morbidity and mortality of geriatric patients who sustain DF and FN fractures treated operatively were comparable. This information can be used when risk stratifying and prognosticating for elderly patients undergoing these procedures.
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