Frequency and Treatment Trends for Periprosthetic Fractures About Total Hip Arthroplasty in the United States

Abstract Introduction Periprosthetic proximal hip fractures (PPHFx) are challenging complications that have become increasingly more prevalent. Wide variability exists in the quality and size of prior studies pertaining to hospital stay information. This study used the largest publicly available database in the US to evaluate perioperative hospital data of PPHFx. Methods The HCUP-NIS was used to analyze trends related to the frequency, fracture type, mortality, treatment, patient demographics, time to surgery, length of stay, and hospital charges associated with PPHFx from 2006-2010. Results From 2006-2010, average patient age (76.7 years), hospital characteristics, rate of PPHFx, treatment choice, length of stay (8.03 days), mortality (2.6%), disposition (78.1% to skilled nursing facility or inpatient rehab), and time to procedure (1.98 days) all remained relatively stable. The Southern US had the highest frequency of PPHFx and females had nearly twice the rate of PPHFx each year at an average of 67%. Despite these consistencies, hospital charges increased by an average of 8.3% per year over the study period ($27,683 over 5 years, p