While interdisciplinary protocols and expedited surgical treatment improve the management of hip fractures in the elderly, the impact of such interventions on patients specifically undergoing arthroplasty for a femoral neck fracture is not clear. We sought to evaluate the efficacy of an interdisciplinary protocol for the management of patients with a femoral neck fracture who are treated with an arthroplasty. In 2017, our institution introduced a standardized interdisciplinary hip fracture protocol. We retrospectively reviewed adult patients who underwent hemiarthroplasty (HA) or total hip arthroplasty (THA) for femoral neck fracture between July 2012 and March 2020, and compared patient characteristics and outcomes between those treated before and after the introduction of the protocol.Aims
Methods
Increasingly, patients with bilateral hip arthritis wish to undergo staged total hip arthroplasty (THA). With the rise in demand for arthroplasty, perioperative risk assessment and counselling is crucial for shared decision making. However, it is unknown if complications that occur after a unilateral hip arthroplasty predict complications following surgery of the contralateral hip. We used nationwide linked discharge data from the Healthcare Cost and Utilization Project between 2005 and 2014 to analyze the incidence and recurrence of complications following the first- and second-stage operations in staged bilateral total hip arthroplasty (BTHAs). Complications included perioperative medical adverse events within 30 to 60 days, and infection and mechanical complications within one year. Conditional probabilities and odds ratios (ORs) were calculated to determine whether experiencing a complication after the first stage of surgery increased the risk of developing the same complication after the second stage.Aims
Patients and Methods
Increasingly, patients with bilateral hip arthritis wish to undergo staged total hip arthroplasty. With the rise in demand for arthroplasty perioperative risk assessment and counseling is critical for shared decision making; however, it is unknown if complications that occur after a unilateral hip arthroplasty predict complications following surgery of the contralateral hip. We used nation-wide linked discharge data from the Hospital Cost and Utilization Project from 2005–2014 to analyze the incidence and recurrence of complications following the first and second stage operations in staged bilateral total hip arthroplasty (BTHAs). Complications included perioperative risks within 30–60 days, and infection and mechanical complications within one year. Conditional probabilities and odds ratios were calculated to determine whether experiencing a complication after the first stage of surgery increased the risk of developing the same complication after the second stage.Introduction
Methods
