“…However, a separate meta-analysis compared the results of studies regarding one popular nail design before and after 2000 and found that although studies based on early designs led to higher risks of complications, they were resolved when considering only more recent studies [5]. Previous studies showed that government-owned hospitals tend to be less apt to perform costly surgical procedures for the hospital and tend to offer services to patients with lesser regard to revenue [17], whereas for-profit hospitals are more likely to use newer technologies as a form of competition [9]. One might hypothesize that for-profit-hospitals, for the reasons mentioned above, might use nailing technologies at a different rate from other hospitals.…”