Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the Norwegian hip fracture register 2011–2017
Background The trochanteric stabilizing plate (TSP) is used as an adjunct to the sliding hip screw (SHS) in unstable trochanteric and subtrochanteric fractures. We wanted to describe the choice of implant for trochanteric fractures with a focus on the TSP in Norway. Methods A total of 20,902 fractur...
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ftoslouniv:oai:www.duo.uio.no:10852/82134 2023-05-15T17:43:36+02:00 Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the Norwegian hip fracture register 2011–2017 Alm, Carl E Frihagen, Frede Dybvik, Eva Matre, Kjell Madsen, Jan E Gjertsen, Jan-Erik 2021 http://hdl.handle.net/10852/82134 http://urn.nb.no/URN:NBN:no-85059 https://doi.org/10.1186/s13018-020-02163-x eng eng http://urn.nb.no/URN:NBN:no-85059 Journal of Orthopaedic Surgery and Research. 2021 Jan 07;16(1):26 http://hdl.handle.net/10852/82134 1904766 https://doi.org/10.1186/s13018-020-02163-x URN:NBN:no-85059 Fulltext https://www.duo.uio.no/bitstream/handle/10852/82134/1/13018_2020_Article_2163.pdf The Author(s); licensee BioMed Central Ltd. Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/ CC-BY Journal article Tidsskriftartikkel Peer reviewed PublishedVersion 2021 ftoslouniv https://doi.org/10.1186/s13018-020-02163-x 2021-05-05T22:30:58Z Background The trochanteric stabilizing plate (TSP) is used as an adjunct to the sliding hip screw (SHS) in unstable trochanteric and subtrochanteric fractures. We wanted to describe the choice of implant for trochanteric fractures with a focus on the TSP in Norway. Methods A total of 20,902 fractures from the Norwegian Hip Fracture Register treated surgically in 43 hospitals from 2011 to 2017 were included. Logistic regression analyses were performed to detect factors potentially influencing implant choice. Results The mean age was 83 years, and 15,137 (72%) were women. An SHS was used in 13,273 (63%) fractures, of them 4407 (33%) with a TSP. Fracture classification was the most important determinant of TSP. In cases where an SHS was used, the odds ratio (OR) for using a TSP was 14 for AO/OTA 31A2 fractures and 71 for AO/OTA 31A3 and subtrochanteric fractures, compared to AO/OTA 31A1 fractures. The probability of receiving a TSP was higher in urban, academic, and high-volume hospitals (OR 1.2 to 1.3) and lower in Central and Northern Norway (OR 0.3 to 0.7). The use of an intramedullary nail (IMN) (n = 7629 (36%)) was also to a degree decided by fracture classification (OR 1.8 to 5.3). However, hospital factors, with OR 0.1 to 0.4 for IMN in academic, urban, and high-volume hospitals and OR 1.5 to 2.6 outside South-Eastern Norway (all p < 0.001), were also important. Conclusions Fracture classification was the main determinant for TSP use. Any additional benefit from a TSP on postoperative fracture stability or clinical outcome needs to be clarified. Article in Journal/Newspaper Northern Norway Universitet i Oslo: Digitale utgivelser ved UiO (DUO) Norway Journal of Orthopaedic Surgery and Research 16 1 |
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Open Polar |
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Universitet i Oslo: Digitale utgivelser ved UiO (DUO) |
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ftoslouniv |
language |
English |
description |
Background The trochanteric stabilizing plate (TSP) is used as an adjunct to the sliding hip screw (SHS) in unstable trochanteric and subtrochanteric fractures. We wanted to describe the choice of implant for trochanteric fractures with a focus on the TSP in Norway. Methods A total of 20,902 fractures from the Norwegian Hip Fracture Register treated surgically in 43 hospitals from 2011 to 2017 were included. Logistic regression analyses were performed to detect factors potentially influencing implant choice. Results The mean age was 83 years, and 15,137 (72%) were women. An SHS was used in 13,273 (63%) fractures, of them 4407 (33%) with a TSP. Fracture classification was the most important determinant of TSP. In cases where an SHS was used, the odds ratio (OR) for using a TSP was 14 for AO/OTA 31A2 fractures and 71 for AO/OTA 31A3 and subtrochanteric fractures, compared to AO/OTA 31A1 fractures. The probability of receiving a TSP was higher in urban, academic, and high-volume hospitals (OR 1.2 to 1.3) and lower in Central and Northern Norway (OR 0.3 to 0.7). The use of an intramedullary nail (IMN) (n = 7629 (36%)) was also to a degree decided by fracture classification (OR 1.8 to 5.3). However, hospital factors, with OR 0.1 to 0.4 for IMN in academic, urban, and high-volume hospitals and OR 1.5 to 2.6 outside South-Eastern Norway (all p < 0.001), were also important. Conclusions Fracture classification was the main determinant for TSP use. Any additional benefit from a TSP on postoperative fracture stability or clinical outcome needs to be clarified. |
format |
Article in Journal/Newspaper |
author |
Alm, Carl E Frihagen, Frede Dybvik, Eva Matre, Kjell Madsen, Jan E Gjertsen, Jan-Erik |
spellingShingle |
Alm, Carl E Frihagen, Frede Dybvik, Eva Matre, Kjell Madsen, Jan E Gjertsen, Jan-Erik Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the Norwegian hip fracture register 2011–2017 |
author_facet |
Alm, Carl E Frihagen, Frede Dybvik, Eva Matre, Kjell Madsen, Jan E Gjertsen, Jan-Erik |
author_sort |
Alm, Carl E |
title |
Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the Norwegian hip fracture register 2011–2017 |
title_short |
Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the Norwegian hip fracture register 2011–2017 |
title_full |
Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the Norwegian hip fracture register 2011–2017 |
title_fullStr |
Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the Norwegian hip fracture register 2011–2017 |
title_full_unstemmed |
Implants for trochanteric fractures in Norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the Norwegian hip fracture register 2011–2017 |
title_sort |
implants for trochanteric fractures in norway: the role of the trochanteric stabilizing plate—a study on 20,902 fractures from the norwegian hip fracture register 2011–2017 |
publishDate |
2021 |
url |
http://hdl.handle.net/10852/82134 http://urn.nb.no/URN:NBN:no-85059 https://doi.org/10.1186/s13018-020-02163-x |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
http://urn.nb.no/URN:NBN:no-85059 Journal of Orthopaedic Surgery and Research. 2021 Jan 07;16(1):26 http://hdl.handle.net/10852/82134 1904766 https://doi.org/10.1186/s13018-020-02163-x URN:NBN:no-85059 Fulltext https://www.duo.uio.no/bitstream/handle/10852/82134/1/13018_2020_Article_2163.pdf |
op_rights |
The Author(s); licensee BioMed Central Ltd. Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/ |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1186/s13018-020-02163-x |
container_title |
Journal of Orthopaedic Surgery and Research |
container_volume |
16 |
container_issue |
1 |
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1766145727636963328 |