Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures
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 Q...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2015-12-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/2151458515608225 |
| _version_ | 1811293040002727936 |
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| author | Sanjit R. Konda MD Christian A. Pean MS Abraham M. Goch BS Adam C. Fields BA Kenneth A. Egol MD |
| author_facet | Sanjit R. Konda MD Christian A. Pean MS Abraham M. Goch BS Adam C. Fields BA Kenneth A. Egol MD |
| author_sort | Sanjit R. Konda MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T04:55:29Z |
| format | Article |
| id | doaj.art-b3cad68743d24453a253df39f9903019 |
| institution | Directory Open Access Journal |
| issn | 2151-4585 2151-4593 |
| language | English |
| last_indexed | 2024-04-13T04:55:29Z |
| publishDate | 2015-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-b3cad68743d24453a253df39f99030192022-12-22T03:01:31ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45852151-45932015-12-01610.1177/2151458515608225Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck FracturesSanjit R. Konda MD0Christian A. Pean MS1Abraham M. Goch BS2Adam C. Fields BA3Kenneth A. Egol MD4Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, New York, NY, USADepartment of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USADepartment of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USAIcahn School of Medicine at Mount Sinai, New York, NY, USADepartment of Orthopaedic Surgery, Jamaica Hospital Medical Center, New York, NY, USAPurpose: 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.https://doi.org/10.1177/2151458515608225 |
| spellingShingle | Sanjit R. Konda MD Christian A. Pean MS Abraham M. Goch BS Adam C. Fields BA Kenneth A. Egol MD Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures |
| title_full | Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures |
| title_fullStr | Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures |
| title_full_unstemmed | Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures |
| title_short | Comparison of Short-Term Outcomes of Geriatric Distal Femur and Femoral Neck Fractures |
| title_sort | comparison of short term outcomes of geriatric distal femur and femoral neck fractures |
| url | https://doi.org/10.1177/2151458515608225 |
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