Geriatric Distal Femur Fractures Treated With Distal Femoral Replacement Are Associated With Higher Rates of Readmissions and Complications.

ABSTRACT:

Objective

Compare mortality and complications of distal femur fracture repair among elderly patients who receive operative fixation versus distal femur replacement (DFR).

Design

Retrospective comparison.

Setting

Medicare beneficiaries.

Patients/participants

Patients 65 years of age and older with distal femur fracture identified using Center for Medicare & Medicaid Services data from 2016 to 2019.

Intervention

Operative fixation (open reduction with plating or intramedullary nail) or DFR.

Main outcome measurements

Mortality, readmissions, perioperative complications, and 90-day cost were compared between groups using Mahalanobis nearest-neighbor matching to account for differences in age, sex, race, and the Charlson Comorbidity Index.

Results</

SUBMITTER: Dekeyser GJ 

PROVIDER: S-EPMC10524623 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature