J Korean Med Sci.  2013 Sep;28(9):1407-1408. 10.3346/jkms.2013.28.9.1407.

National Trends of Surgical Treatment for Intertrochanteric Fractures in Korea

• Lee YK
• Yoon BH
• Nho JH
• Kim KC
• Ha YC
• Koo KH

• KMID: 1793062
• DOI: http://doi.org/10.3346/jkms.2013.28.9.1407

Abstract

Intramedullary nailing has been reported to have better outcome compared with traditional plate fixation in surgical treatment of intertrochanteric fractures. We evaluated the trends of surgical treatment of intertrochanteric fracture in Korea. Data of patients with intertrochanteric fractures, who were operated between the years of 2006 and 2011, was obtained from the Health Insurance Review and Assessment Service. The ratio of intramedullary nailing increased from 27.9% in 2006 to 64.3% in 2011 (P < 0.001), while the ratio of plate fixation decreased. During recent 5 yr, the utilization of intramedullary nailing doubled in clinical practice of intertrochanteric fractures in Korea.

Keyword

Trends; Hip Fractures; Surgical Procedures, Operative; Fracture Fixation, Internal; Claim Registry

MeSH Terms

Aged
Aged, 80 and over
Asian Continental Ancestry Group
Cohort Studies
Databases, Factual
Female
Fracture Fixation, Intramedullary/*trends
Hip Fractures/*surgery
Humans
Male
Middle Aged
Republic of Korea

Figure

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  Fig. 1 Proportion of each procedure for intertrochanteric fractures.

Reference

1. Zhang B, Chiu KY, Wang M. Hip arthroplasty for failed internal fixation of intertrochanteric fractures. J Arthroplasty. 2004; 19:329–333.

2. Hsu CJ, Chou WY, Chiou CP, Chang WN, Wong CY. Hemi-arthroplasty with supplemental fixation of greater trochanter to treat failed hip screws of femoral intertrochanteric fracture. Arch Orthop Trauma Surg. 2008; 128:841–845.

3. Haidukewych GJ, Berry DJ. Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures. J Bone Joint Surg Am. 2003; 85-A:899–904.

4. Anglen JO, Weinstein JN. American Board of Orthopaedic Surgery Research Committee. Nail or plate fixation of intertrochanteric hip fractures: changing pattern of practice: a review of the American Board of Orthopaedic Surgery Database. J Bone Joint Surg Am. 2008; 90:700–707.

5. Parker MJ, Bowers TR, Pryor GA. Sliding hip screw versus the Targon PF nail in the treatment of trochanteric fractures of the hip: a randomised trial of 600 fractures. J Bone Joint Surg Br. 2012; 94:391–397.

6. Pajarinen J, Lindahl J, Michelsson O, Savolainen V, Hirvensalo E. Pertrochanteric femoral fractures treated with a dynamic hip screw or a proximal femoral nail: a randomised study comparing post-operative rehabilitation. J Bone Joint Surg Br. 2005; 87:76–81.

7. Barton TM, Gleeson R, Topliss C, Greenwood R, Harries WJ, Chesser TJ. A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective randomized trial. J Bone Joint Surg Am. 2010; 92:792–798.

8. Lippuner K, Johansson H, Kanis JA, Rizzoli R. Remaining lifetime and absolute 10-year probabilities of osteoporotic fracture in Swiss men and women. Osteoporos Int. 2009; 20:1131–1140.

9. Park C, Ha YC, Jang S, Jang S, Yoon HK, Lee YK. The incidence and residual lifetime risk of osteoporosis-related fractures in Korea. J Bone Miner Metab. 2011; 29:744–751.

10. Yoon HK, Park C, Jang S, Jang S, Lee YK, Ha YC. Incidence and mortality following hip fracture in Korea. J Korean Med Sci. 2011; 26:1087–1092.