Surgical procedures in femoral neck fractures in Finland: a nationwide study between 1998 and 2011
Purpose For femoral neck fractures, recent scientific evidence supports cemented hemiarthroplasty (HA) over uncemented HA and suggests that total hip arthroplasty (THA) should be performed more frequently. We report the current surgical trends in treating femoral neck fractures in Finland. Methods T...
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| Veröffentlicht in: | International orthopaedics 2014-08, Vol.38 (8), p.1685-1690 |
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| creator | Hongisto, Markus T. Pihlajamäki, Harri Niemi, Seppo Nuotio, Maria Kannus, Pekka Mattila, Ville M. |
| description | Purpose
For femoral neck fractures, recent scientific evidence supports cemented hemiarthroplasty (HA) over uncemented HA and suggests that total hip arthroplasty (THA) should be performed more frequently. We report the current surgical trends in treating femoral neck fractures in Finland.
Methods
The study was conducted using the Finnish National Hospital Discharge Register and included all Finns at least 50 years of age who underwent surgery for femoral neck fractures from 1998 through 2011. Age- and sex-specific incidence rates and annual proportion of each treatment method were calculated.
Results
During 1998–2011, a total of 49,514 operations for femoral neck fracture were performed in Finland. The proportion of uncemented HA increased from 8.1 % in 2005 to 22.2 % in 2011. During the same time, the proportion of cemented HA decreased from 63.9 to 52.5 %, internal fixation decreased from 23.2 to 16.1 % and THA increased from 4.9 to 9.2 %.
Conclusions
Between 2005 and 2011, the proportion of uncemented HA for femoral neck fractures increased markedly in Finland, while cemented HA and internal fixation declined. During this time, the use of THA nearly doubled. The current evidence-based guidelines for treatment of femoral neck fractures were mainly followed, but the increase in uncemented HA procedures contradicts recent scientific evidence. |
| doi_str_mv | 10.1007/s00264-014-2346-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_522050</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1550078359</sourcerecordid><originalsourceid>FETCH-LOGICAL-c550t-688413aafa452cacd6edd87ce94a11d55643c25596c78ea2eb2bb38009d03afe3</originalsourceid><addsrcrecordid>eNp9UcFuEzEQtRCIhsIHcEE-cjF4vLbXywEJVRSQKnEAzpbXng1uEzvYu4369zhKWtELJ1vz3ryZN4-Q18DfAef9-8q50JJxkEx0UjP9hKxAdoIpGNRTsuKdBCb0oM7Ii1qvOYdeG3hOzoTslZbKrMj4Yynr6N2G7kr2GJaClcZEJ9zm0qoJ_Q2divPzPXIZ08al8IE6mtwcc9rHgLTOS7ijI857xERhGAxtJCo4wEvybHKbiq9O7zn5dfn558VXdvX9y7eLT1fMK8Vnpo2R0Dk3OamEdz5oDMH0HgfpAIJqC3deKDVo3xt0Akcxjp3hfAi8cxN254Qddesed8todyVuXbmz2UV7Kt20H1olBFe88T8e-Q3ZYvCY5ub4UdtjJMXfdp1vrQRQAAeBtyeBkv8sWGe7jdXjpp0H81ItNF-8N50aGhWOVF9yrQWnhzHA7SFLe8zStiztIUurW8-bf_d76LgPrxHEyXCD0hqLvc5LSe3G_1H9C5CyqvQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1550078359</pqid></control><display><type>article</type><title>Surgical procedures in femoral neck fractures in Finland: a nationwide study between 1998 and 2011</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>SWEPUB Freely available online</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Hongisto, Markus T. ; Pihlajamäki, Harri ; Niemi, Seppo ; Nuotio, Maria ; Kannus, Pekka ; Mattila, Ville M.</creator><creatorcontrib>Hongisto, Markus T. ; Pihlajamäki, Harri ; Niemi, Seppo ; Nuotio, Maria ; Kannus, Pekka ; Mattila, Ville M.</creatorcontrib><description>Purpose
For femoral neck fractures, recent scientific evidence supports cemented hemiarthroplasty (HA) over uncemented HA and suggests that total hip arthroplasty (THA) should be performed more frequently. We report the current surgical trends in treating femoral neck fractures in Finland.
Methods
The study was conducted using the Finnish National Hospital Discharge Register and included all Finns at least 50 years of age who underwent surgery for femoral neck fractures from 1998 through 2011. Age- and sex-specific incidence rates and annual proportion of each treatment method were calculated.
Results
During 1998–2011, a total of 49,514 operations for femoral neck fracture were performed in Finland. The proportion of uncemented HA increased from 8.1 % in 2005 to 22.2 % in 2011. During the same time, the proportion of cemented HA decreased from 63.9 to 52.5 %, internal fixation decreased from 23.2 to 16.1 % and THA increased from 4.9 to 9.2 %.
Conclusions
Between 2005 and 2011, the proportion of uncemented HA for femoral neck fractures increased markedly in Finland, while cemented HA and internal fixation declined. During this time, the use of THA nearly doubled. The current evidence-based guidelines for treatment of femoral neck fractures were mainly followed, but the increase in uncemented HA procedures contradicts recent scientific evidence.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-014-2346-6</identifier><identifier>PMID: 24756458</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Hip - statistics & numerical data ; Arthroplasty, Replacement, Hip - trends ; Bone Cements ; Evidence-Based Medicine - trends ; Female ; Femoral Neck Fractures - epidemiology ; Femoral Neck Fractures - surgery ; Finland - epidemiology ; Fracture Fixation, Internal - statistics & numerical data ; Fracture Fixation, Internal - trends ; Hemiarthroplasty - statistics & numerical data ; Hemiarthroplasty - trends ; Humans ; Incidence ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Practice Guidelines as Topic ; Retrospective Studies ; Sex Factors</subject><ispartof>International orthopaedics, 2014-08, Vol.38 (8), p.1685-1690</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c550t-688413aafa452cacd6edd87ce94a11d55643c25596c78ea2eb2bb38009d03afe3</citedby><cites>FETCH-LOGICAL-c550t-688413aafa452cacd6edd87ce94a11d55643c25596c78ea2eb2bb38009d03afe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4115110/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4115110/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,552,727,780,784,885,27923,27924,41487,42556,51318,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24756458$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:129498757$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Hongisto, Markus T.</creatorcontrib><creatorcontrib>Pihlajamäki, Harri</creatorcontrib><creatorcontrib>Niemi, Seppo</creatorcontrib><creatorcontrib>Nuotio, Maria</creatorcontrib><creatorcontrib>Kannus, Pekka</creatorcontrib><creatorcontrib>Mattila, Ville M.</creatorcontrib><title>Surgical procedures in femoral neck fractures in Finland: a nationwide study between 1998 and 2011</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
For femoral neck fractures, recent scientific evidence supports cemented hemiarthroplasty (HA) over uncemented HA and suggests that total hip arthroplasty (THA) should be performed more frequently. We report the current surgical trends in treating femoral neck fractures in Finland.
Methods
The study was conducted using the Finnish National Hospital Discharge Register and included all Finns at least 50 years of age who underwent surgery for femoral neck fractures from 1998 through 2011. Age- and sex-specific incidence rates and annual proportion of each treatment method were calculated.
Results
During 1998–2011, a total of 49,514 operations for femoral neck fracture were performed in Finland. The proportion of uncemented HA increased from 8.1 % in 2005 to 22.2 % in 2011. During the same time, the proportion of cemented HA decreased from 63.9 to 52.5 %, internal fixation decreased from 23.2 to 16.1 % and THA increased from 4.9 to 9.2 %.
Conclusions
Between 2005 and 2011, the proportion of uncemented HA for femoral neck fractures increased markedly in Finland, while cemented HA and internal fixation declined. During this time, the use of THA nearly doubled. The current evidence-based guidelines for treatment of femoral neck fractures were mainly followed, but the increase in uncemented HA procedures contradicts recent scientific evidence.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip - statistics & numerical data</subject><subject>Arthroplasty, Replacement, Hip - trends</subject><subject>Bone Cements</subject><subject>Evidence-Based Medicine - trends</subject><subject>Female</subject><subject>Femoral Neck Fractures - epidemiology</subject><subject>Femoral Neck Fractures - surgery</subject><subject>Finland - epidemiology</subject><subject>Fracture Fixation, Internal - statistics & numerical data</subject><subject>Fracture Fixation, Internal - trends</subject><subject>Hemiarthroplasty - statistics & numerical data</subject><subject>Hemiarthroplasty - trends</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Practice Guidelines as Topic</subject><subject>Retrospective Studies</subject><subject>Sex Factors</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNp9UcFuEzEQtRCIhsIHcEE-cjF4vLbXywEJVRSQKnEAzpbXng1uEzvYu4369zhKWtELJ1vz3ryZN4-Q18DfAef9-8q50JJxkEx0UjP9hKxAdoIpGNRTsuKdBCb0oM7Ii1qvOYdeG3hOzoTslZbKrMj4Yynr6N2G7kr2GJaClcZEJ9zm0qoJ_Q2divPzPXIZ08al8IE6mtwcc9rHgLTOS7ijI857xERhGAxtJCo4wEvybHKbiq9O7zn5dfn558VXdvX9y7eLT1fMK8Vnpo2R0Dk3OamEdz5oDMH0HgfpAIJqC3deKDVo3xt0Akcxjp3hfAi8cxN254Qddesed8todyVuXbmz2UV7Kt20H1olBFe88T8e-Q3ZYvCY5ub4UdtjJMXfdp1vrQRQAAeBtyeBkv8sWGe7jdXjpp0H81ItNF-8N50aGhWOVF9yrQWnhzHA7SFLe8zStiztIUurW8-bf_d76LgPrxHEyXCD0hqLvc5LSe3G_1H9C5CyqvQ</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Hongisto, Markus T.</creator><creator>Pihlajamäki, Harri</creator><creator>Niemi, Seppo</creator><creator>Nuotio, Maria</creator><creator>Kannus, Pekka</creator><creator>Mattila, Ville M.</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>20140801</creationdate><title>Surgical procedures in femoral neck fractures in Finland: a nationwide study between 1998 and 2011</title><author>Hongisto, Markus T. ; Pihlajamäki, Harri ; Niemi, Seppo ; Nuotio, Maria ; Kannus, Pekka ; Mattila, Ville M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c550t-688413aafa452cacd6edd87ce94a11d55643c25596c78ea2eb2bb38009d03afe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip - statistics & numerical data</topic><topic>Arthroplasty, Replacement, Hip - trends</topic><topic>Bone Cements</topic><topic>Evidence-Based Medicine - trends</topic><topic>Female</topic><topic>Femoral Neck Fractures - epidemiology</topic><topic>Femoral Neck Fractures - surgery</topic><topic>Finland - epidemiology</topic><topic>Fracture Fixation, Internal - statistics & numerical data</topic><topic>Fracture Fixation, Internal - trends</topic><topic>Hemiarthroplasty - statistics & numerical data</topic><topic>Hemiarthroplasty - trends</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Practice Guidelines as Topic</topic><topic>Retrospective Studies</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hongisto, Markus T.</creatorcontrib><creatorcontrib>Pihlajamäki, Harri</creatorcontrib><creatorcontrib>Niemi, Seppo</creatorcontrib><creatorcontrib>Nuotio, Maria</creatorcontrib><creatorcontrib>Kannus, Pekka</creatorcontrib><creatorcontrib>Mattila, Ville M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hongisto, Markus T.</au><au>Pihlajamäki, Harri</au><au>Niemi, Seppo</au><au>Nuotio, Maria</au><au>Kannus, Pekka</au><au>Mattila, Ville M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical procedures in femoral neck fractures in Finland: a nationwide study between 1998 and 2011</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>38</volume><issue>8</issue><spage>1685</spage><epage>1690</epage><pages>1685-1690</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
For femoral neck fractures, recent scientific evidence supports cemented hemiarthroplasty (HA) over uncemented HA and suggests that total hip arthroplasty (THA) should be performed more frequently. We report the current surgical trends in treating femoral neck fractures in Finland.
Methods
The study was conducted using the Finnish National Hospital Discharge Register and included all Finns at least 50 years of age who underwent surgery for femoral neck fractures from 1998 through 2011. Age- and sex-specific incidence rates and annual proportion of each treatment method were calculated.
Results
During 1998–2011, a total of 49,514 operations for femoral neck fracture were performed in Finland. The proportion of uncemented HA increased from 8.1 % in 2005 to 22.2 % in 2011. During the same time, the proportion of cemented HA decreased from 63.9 to 52.5 %, internal fixation decreased from 23.2 to 16.1 % and THA increased from 4.9 to 9.2 %.
Conclusions
Between 2005 and 2011, the proportion of uncemented HA for femoral neck fractures increased markedly in Finland, while cemented HA and internal fixation declined. During this time, the use of THA nearly doubled. The current evidence-based guidelines for treatment of femoral neck fractures were mainly followed, but the increase in uncemented HA procedures contradicts recent scientific evidence.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24756458</pmid><doi>10.1007/s00264-014-2346-6</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | International orthopaedics, 2014-08, Vol.38 (8), p.1685-1690 |
| issn | 0341-2695 1432-5195 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SWEPUB Freely available online; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Age Factors Aged Aged, 80 and over Arthroplasty, Replacement, Hip - statistics & numerical data Arthroplasty, Replacement, Hip - trends Bone Cements Evidence-Based Medicine - trends Female Femoral Neck Fractures - epidemiology Femoral Neck Fractures - surgery Finland - epidemiology Fracture Fixation, Internal - statistics & numerical data Fracture Fixation, Internal - trends Hemiarthroplasty - statistics & numerical data Hemiarthroplasty - trends Humans Incidence Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Practice Guidelines as Topic Retrospective Studies Sex Factors |
| title | Surgical procedures in femoral neck fractures in Finland: a nationwide study between 1998 and 2011 |
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