Trends in Cemented Fixation in Hemiarthroplasty for Hip Fractures in Canada

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2024-06-01 DOI:10.1016/j.artd.2024.101441

Christiaan H. Righolt PhD , Gavin C.A. Wood MB ChB, FRCSEdin , Jason R. Werle MD, FRCSC , Eric R. Bohm MD, MSc, FRCSC

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引用次数: 0

Abstract

Bacground

The use of cemented fixation is widely recommended in hip arthroplasty for hip fractures, although it is not used universally.

Methods

We describe the trends in cementing prevalence in hemiarthroplasty for hip fractures in Canada for patients ≥55 years old between April 2017 and March 2022.

Results

The national prevalence of cemented fixation increased from 43% in 2017/18 to 58% in 2021/22, but there was a large variety of both the baseline prevalence and the trends across the country and between individual hospitals. The proportion of surgeons only performing cementless fixation fell from 30% to 21% between 2018/19 and 2021/22.

Conclusions

As cemented fixation is now universally recommended, more coordination is needed to track these trends and to help drive implementation of this evidence-based practice across Canada.

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加拿大髋部骨折半关节成形术中的骨水泥固定趋势

方法我们描述了2017年4月至2022年3月期间加拿大≥55岁患者髋部骨折半关节成形术中骨水泥固定的流行趋势。结果全国骨水泥固定的流行率从2017/18年度的43%增至2021/22年度的58%，但基线流行率以及全国和单个医院之间的趋势差异很大。在2018/19年度至2021/22年度期间，只进行无骨水泥固定的外科医生比例从30%下降到21%.结论由于骨水泥固定是目前普遍推荐的做法，因此需要更多的协调来跟踪这些趋势，并帮助推动这一循证做法在加拿大全国范围内的实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.