We performed a retrospective analysis of prospectively collected data using the ACS NSQIP ® database. ) These studies utilized ICD-9 and ICD-10 coding, however, medical billers, resident case logs, and certain databases, like the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP ®) database rely on Current Procedural Codes (CPT) instead. looked specifically at the Medicare population from 1991 to 2008 and found that the percentage of hip fractures treated nonoperatively, with internal fixation, HA, or THA remained fairly constant over time. reviewed inpatient data from 1990 to 2001 and found that overall, regardless of age, there was a decrease in the use of THA for the treatment of femoral neck fractures. There have been many studies, however, that have shown function after THA to be superior to HA. Total hip arthroplasty (THA) has historically been preserved for younger, active patients that have a history of hip osteoarthritis. ) In very elderly or chronically ill patients, surgeons tend to proceed with a hemiarthroplasty (HA). Non-displaced fractures can be treated with internal screw fixation, although several studies have demonstrated internal fixation as a less optimal treatment, particularly in the elderly population. Typically, these fractures are classified as either non-displaced or displaced. There are a number of treatment options for fractures of the femoral neck. ) As the population continues to age the absolute number of falls, and subsequently the number of fractures, are set to increase. Hip fractures decrease patient independence, mobility, and have been associated with increased risk of mortality. ) Increased numbers of falls in combination with increased susceptibility for fracture from age-associated decreases in bone mineral density, as well as the presence of other co-existing comorbidities makes the geriatric population particularly susceptible to fracture. Over one-third of adults age 65 or older suffer a fall each year. ) This number has increased compared to the previous 5 years. In 2014, there were over 320,000 hip fractures that presented to the emergency department in the United States with the majority occurring in women age 65 or older. Hip fractures are among the most common injuries seen by orthopedic surgeons and are especially prevalent in the geriatric population.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |