Hip hemiarthroplasty versus closed reduction percutaneous pinning: A matched cohort analysis of 18,242 patients

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2024-12-31 DOI:10.1016/j.jor.2024.12.043

Anubhav Thapaliya , Paul Gudmundsson , Benjamin Montanez , Varatharaj Mounasamy , Senthil Sambandam

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Abstract

Background

Closed reduction and percutaneous pinning (CRPP) and hemiarthroplasty are two common surgical treatments for hip fracture management, with different risks and benefits. This study compares short- and long-term outcomes in patients treated with CRPP versus hemiarthroplasty to emphasize the need for strategic surgical selection.

Methods

This retrospective cohort study extracted de-identified patient data using relevant ICD-9, ICD-10, and CPT codes from the TriNetX Research Network. Two cohorts were generated: 10,179 patients receiving hemiarthroplasty and 12,436 patients receiving CRPP. Propensity score matching adjusted for age, sex, obesity status, and tobacco use, producing matched groups of 9121 patients each. Statistical significance was set at P < 0.01.

Conclusion

CRPP patients had lower rates of transfusion, infection, and periprosthetic complications compared to hemiarthroplasty in matched cohorts. These findings highlight the need for careful surgical selection, particularly in vulnerable patients with increased risk of complications – such as patients on dialysis treatment. Further research is needed to refine patient selection criteria to optimize hip fracture outcomes and mitigate mortality risk.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.