Displaced Femoral Neck Fractures In Workersu2019 Compensation Patients Aged 45 65 Years Is It Best To Fix The Fracture Or Replace The Joint
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Displaced Femoral Neck Fractures In Workersu2019 Compensation Patients Aged 45 65 Years Is It Best To Fix The Fracture Or Replace The Joint
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Author : Jeremy M.
language : en
Publisher:
Release Date : 2017
Displaced Femoral Neck Fractures In Workersu2019 Compensation Patients Aged 45 65 Years Is It Best To Fix The Fracture Or Replace The Joint written by Jeremy M. and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
PurposeOptimal surgical management of displaced femoral neck fractures (dFNFs) in patients 45-65 years old is poorly understood. We evaluated how treatment selection between internal fixation (IF), hemiarthroplasty (HA), and total hip arthroplasty (THA) impacted days out of work (dOOW), indemnity and medical costs at 2 years within a workersu2019 compensation (WC) population with dFNFs.MethodsUsing the Ohio Bureau of WCu2019s database, we retrospectively reviewed patients with subcapital dFNFs aged 45-65, with 2 years follow-up and no additional injuries. 105 patients that underwent IF (37), THA (23), or HA (45) from 1993-2015 were included.dOOW was compared between each group using t-tests. Linear regression was used to determine if a specific treatment choice was predictive of dOOW. dOOW was evaluated at 6 months, 1, and 2 years postoperatively. Gamma regression was used to evaluate net medical and indemnity costs paid by the Bureau adjusted to 2017 Consumer Price Index at 2 years.ResultsSubjects who underwent THA had the lowest mean dOOW at 6 months, 1, and 2 years postoperatively. At each time point, THA means were significantly lower than IF. THA had a lower mean dOOW than HA at 2 years. See attached figure. Using linear regression, relative to THA, IF was a significant predictor of higher dOOW at 6 months (p