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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ftunivbergen:oai:bora.uib.no:11250/2766918 2023-05-15T17:43:37+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 Erik Frihagen, Frede Dybvik, Eva Hansen Matre, Kjell Madsen, Jan Erik Gjertsen, Jan-Erik 2021-01-07 application/pdf https://hdl.handle.net/11250/2766918 https://doi.org/10.1186/s13018-020-02163-x eng eng Springer Nature urn:issn:1749-799X https://hdl.handle.net/11250/2766918 https://doi.org/10.1186/s13018-020-02163-x cristin:1904766 Journal of Orthopaedic Surgery and Research. 2021, 16,26, 1-8. Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no Copyright The Author(s) 2021 26 Journal of Orthopaedic Surgery and Research 1-8 16 Journal article Peer reviewed 2021 ftunivbergen https://doi.org/10.1186/s13018-020-02163-x 2023-03-14T17:44:54Z 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. publishedVersion Article in Journal/Newspaper Northern Norway University of Bergen: Bergen Open Research Archive (BORA-UiB) Norway Journal of Orthopaedic Surgery and Research 16 1 |
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Open Polar |
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University of Bergen: Bergen Open Research Archive (BORA-UiB) |
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ftunivbergen |
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. publishedVersion |
format |
Article in Journal/Newspaper |
author |
Alm, Carl Erik Frihagen, Frede Dybvik, Eva Hansen Matre, Kjell Madsen, Jan Erik Gjertsen, Jan-Erik |
spellingShingle |
Alm, Carl Erik Frihagen, Frede Dybvik, Eva Hansen Matre, Kjell Madsen, Jan Erik 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 Erik Frihagen, Frede Dybvik, Eva Hansen Matre, Kjell Madsen, Jan Erik Gjertsen, Jan-Erik |
author_sort |
Alm, Carl Erik |
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 |
publisher |
Springer Nature |
publishDate |
2021 |
url |
https://hdl.handle.net/11250/2766918 https://doi.org/10.1186/s13018-020-02163-x |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_source |
26 Journal of Orthopaedic Surgery and Research 1-8 16 |
op_relation |
urn:issn:1749-799X https://hdl.handle.net/11250/2766918 https://doi.org/10.1186/s13018-020-02163-x cristin:1904766 Journal of Orthopaedic Surgery and Research. 2021, 16,26, 1-8. |
op_rights |
Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no Copyright The Author(s) 2021 |
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 |
_version_ |
1766145731949756416 |