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. 2010 Oct;81(5):588-92.
doi: 10.3109/17453674.2010.506631.

More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden

Cecilia Rogmark  1 , Curt-Lennart Spetz, Göran Garellick
Affiliations

More intramedullary nails and arthroplasties for treatment of hip fractures in Sweden

Cecilia Rogmark et al. Acta Orthop. 2010 Oct.

Abstract

Background and purpose: The surgical methods for treatment of femoral neck fractures and trochanteric hip fractures vary. We describe the changes in Sweden over the period 1998–2007 and the regional differences in treatment. Patients and methods Data on 144,607 patients were drawn from the National Patient Register.

Results: The proportion of femoral neck fractures treated with arthroplasty increased from 10% in 1998 to 52% in 2007. The use of intramedullary (IM) nails for pertrochanteric fractures increased from 5% to 20%, at the expense of the use of different sliding hip screws. In subtrochanteric fractures, the use of IM nails increased from 32% to 72%. Re-admissions within 180 days due to hip complications were more common after internal fixation for femoral neck fractures than after arthroplasty, and more common after intramedullary nailing of pertrochanteric fractures than after use of sliding hip screws. Treatment varied substantially within Sweden, particularly regarding the use of IM nails.

Interpretation: An increase in arthroplasties reflects an evidence-based treatment rationale for femoral neck fractures, whereas the increase in use of IM nails in pertrochanteric fractures lacks scientific support. The geographic variations call for national treatment guidelines. Further clinical trials are needed to solve the treatment issues regarding per- and subtrochanteric fractures.

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Figures

Figure 1.
Figure 1.
Surgical methods used for pertrochanteric fracture (S72.1) over time.
Figure 2.
Figure 2.
Surgical methods used for subtrochanteric fracture (S72.2) over time.
Figure 3.
Figure 3.
Surgical methods used for femoral neck fracture (S72.0) over time.
Figure 4.
Figure 4.
Use of arthroplasty for femoral neck fracture (S72.0) in different age groups over time.
Figure 5.
Figure 5.
Use of arthroplasty for femoral neck fracture (S72.0) in different Swedish counties, 2005–2007
Figure 6.
Figure 6.
Use of intramedullary nail for pertrochanteric fracture (S72.1) in different Swedish counties, 2005–2007
Figure 7.
Figure 7.
Use of intramedullary nail for subtrochanteric fracture (S72.2) in different Swedish counties, 2005–2007
See this image and copyright information in PMC

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