Hip fracture incidence is decreasing in the high incidence area of Oslo, Norway

Støen, Randi; Nordsletten, Lars; Meyer, Haakon E; Frihagen, Frede; Falch, Jan A.; Lofthus, C. M.

doi:10.1007/s00198-011-1888-3

Cited by 68 publications

(48 citation statements)

References 31 publications

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“…Hip fracture incidence varies geographically, and the highest rates are found in Scandinavia (Holroyd et al 2008). Although the hip fracture incidence in Oslo has decreased from a peak during the 1990's to a level below reported rates in the late 1970's, it still remains the highest in the world (Stoen et al 2012).…”

Section: Hip Fracturesmentioning

confidence: 92%

Internal fixation of fragility fracturesof the femoral neck

Basso¹

2015

Acta Orthopaedica

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Section: Hip Fracturesmentioning

confidence: 92%

Internal fixation of fragility fracturesof the femoral neck

Basso¹

2015

Acta Orthopaedica

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“…Established treatments for patients with femoral neck fractures-which account for almost 50% of all hip fractures [22]-differ greatly throughout the world. For young and active patients with good bone quality, treatment using reduction with internal fixation is common.…”

Section: Introductionmentioning

confidence: 99%

Does Arthroplasty Provide Better Outcomes Than Internal Fixation At Mid- and Long-term Followup? A Meta-analysis

Jiang

Yang

Lin

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Arthroplasty has been shown to be superior regarding low risk of reoperation and better function score to internal fixation for treatment of displaced femoral neck fractures at short-term followup. However, there are unanswered questions regarding the efficacy of arthroplasty in the longer term compared with internal fixation. Questions/purposes We performed a meta-analysis comparing arthroplasty (hemiarthroplasty or THA) with internal fixation in patients with displaced femoral neck fractures with respect to (1) mortality, (2) reoperation, (3) functional recovery, and (4) complications, including only randomized trials with a minimum of 4 years followup.Methods Computerized databases, including PubMed (MEDLINE), EMBASE, Cochrane Register of Controlled Trials databases, and Web of Science TM were searched for studies published from the inception date for each database to March 2014. Eleven randomized controlled trials that compared arthroplasty (either hemiarthroplasty or THA) with internal fixation for treatment of patients with a femoral neck fracture were included in our analysis. The quality of the trials was assessed according to the Cochrane Handbook and meta-analyses were conducted using RevMan 5.2 software from the Cochrane Collaboration. The heterogeneity among studies was evaluated by the I-squared index (I 2 ) and publication bias was assessed using forest plots. Results There were no differences between the internal fixation and arthroplasty groups for patient mortality at midterm (48.4% vs 46.8%) or long-term followup (83.2% vs 81.5%). Arthroplasty was associated with a lower risk of reoperation at mid-term (7.2% vs 39.8%; relative risk [RR] = 0.10; 95% CI, 0.06-0.07) and at long-term followup (14.3% vs 43.8%; RR = 0.10; 95% CI, 0.06-0.07). Arthroplasty was associated with better functional recovery at mid-term followup (standard mean difference [SMD] = 0.55; 95% CI, 0.02-1.09), whereas function at long-term followup (SMD = 0.14; 95% CI, À0.35 to 0.62) was not different between the arthroplasty and internal fixation groups. There were no significant differences in subsequent ipsilateral fractures (1.5% vs 1.2%; RR = 2.18; 95% CI, 0.32-14.67; p = 0.42) and deep infections (2.7% vs 2.9%; RR = 0.89; 95% CI, 0.40-2.01; p = 0.78) between patients treated with arthroplasty and internal fixation. Conclusions Based on our results, we found that compared with internal fixation, arthroplasty may result in a lower rate of subsequent reoperation at mid-and long-term followup, and better mid-term functional recovery. Future

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“…Hip fractures are classified as either intracapsular femoral neck fractures or extracapsular fractures, which are either trochanteric or subtrochanteric fractures. Femoral neck fractures constitute approximately half of all hip fractures [36].…”

Section: Introductionmentioning

confidence: 99%

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

Støen

Lofthus

Nordsletten

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Hemiarthroplasty has been shown superior to internal fixation for displaced femoral neck fractures (FNF) in the first 2 years. However, there are unanswered questions about the performance of hemiarthroplasty over the longer term compared with internal fixation. Questions/purposes We sought to compare hemiarthroplasty with internal fixation in terms of (1) outcomes scores for pain, hip function, and quality of life at a minimum of 5 years after surgery in a randomized trial. A secondary purpose was to compare (2) patient survival and (3) frequency of reoperation in the two groups. Methods A total of 222 consecutive patients older than 60 years, including those cognitively impaired, with FNF were randomized to either internal fixation with two parallel screws or bipolar hemiarthroplasty. At a minimum followup of 4.9 years (mean, 5.9 years; range, 4.9-7.2 years), 68 of the 70 surviving patients were examined by a study nurse and study physiotherapist blinded to initial treatment. Questionnaires on hip function (Harris hip score), quality of life (Eq5D), and activity of daily living function (Barthel ADL) were administered. The Barthel ADL index score was split into good function (score 95 or 100) and reduced function (score below 95).

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Hip fracture incidence is decreasing in the high incidence area of Oslo, Norway

Abstract: The incidence of hip fractures in women in Oslo has decreased significantly during the last decade and is now at a lower level than in 1978/1979. This reduction was not evident in men. The incidence of hip fractures in Oslo is, however, still the highest in the world.

Cited by 68 publications

References 31 publications

Internal fixation of fragility fracturesof the femoral neck

Internal fixation of fragility fracturesof the femoral neck

Does Arthroplasty Provide Better Outcomes Than Internal Fixation At Mid- and Long-term Followup? A Meta-analysis

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

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