Short-term Medical Complications Following Short Versus Long Cephalomedullary Nails.

Document Type

Article

Publication Date

9-1-2018

Publication Title

Orthopedics

Keywords

Aged, Aged, 80 and over, Blood Transfusion, Bone Nails, Female, Fracture Fixation, Intramedullary, Hip Fractures, Humans, Male, Middle Aged, Periprosthetic Fractures, Postoperative Complications, Prosthesis Design, Retrospective Studies, Surgical Wound Infection

Abstract

The purpose of this retrospective cohort study was to evaluate whether there is an increased rate of short-term medical complications following short vs long cephalomedullary nails for the treatment of intertrochanteric hip fractures. A total of 899 patients treated surgically with cephalomedullary nails from January 1, 2005, to September 1, 2014, were included. Patients who received short nails (n=334) were older and had a higher incidence of coronary artery disease and diabetes mellitus compared with patients who received long nails (n=565). The incidences of 30-day medical complications, including myocardial infarction, stroke, deep venous thrombosis, pulmonary embolism, blood transfusion, non-surgical site infection, surgical site infection, and mortality, were recorded. The orthopedic complications of periprosthetic fracture of the ipsilateral hip and implant failure through the latest outpatient follow-up were recorded. No significant difference was found between nails for any studied medical complication (63.5% short vs 66.0% long, P=.4393) or mortality (6.9% short vs 5.3% long, P=.3322). There was also no significant difference in the incidence of orthopedic complications (P=.70). Longer operating room time was associated with superficial surgical site infection. [Orthopedics. 2018; 41(5):e636-e642.].

Medical Subject Headings

Aged; Aged, 80 and over; Blood Transfusion; Bone Nails; Female; Fracture Fixation, Intramedullary; Hip Fractures; Humans; Male; Middle Aged; Periprosthetic Fractures; Postoperative Complications; Prosthesis Design; Retrospective Studies; Surgical Wound Infection

PubMed ID

30011050

Volume

41

Issue

5

First Page

e636

Last Page

e642

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