The trends in treatment of femoral neck fractures in the Medicare population from 1991 to 2008.

ABSTRACT:

Background

We examined trends in the treatment of femoral neck fractures over the last two decades.

Methods

We used Medicare Part A administrative data to identify patients hospitalized for closed femoral neck fracture from 1991 to 2008. We used codes from the International Classification of Diseases, Ninth Revision, to categorize treatment as nonoperative, internal fixation, hemiarthroplasty, and total hip arthroplasty. We examined differences in treatment according to hospital hip fracture volume, hospital location (rural or urban), and teaching status.

Results

Our sample consisted of 1,119,423 patients with intracapsular hip fractures occurring from 1991 to 2008. We found a generally stable trend over time in the percentage of patients managed with nonoperative tre

SUBMITTER: Miller BJ 

PROVIDER: S-EPMC3763808 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature