The Rate of Contralateral Proximal Femoral Fracture Following Closed Reduction and Percutaneous Pinning Compared with Arthroplasty for the Treatment of Femoral Neck Fractures

Abstract

Patients undergoing closed reduction and percutaneous pinning as the initial treatment for a hip fracture had an increased risk of a subsequent contralateral hip fracture in comparison with those undergoing arthroplasty, after controlling for patient characteristics.

Treatment and Displacement Affect the Reoperation Rate for Femoral Neck Fracture

“…With this elderly population increase, the rate of hip fractures is expected to increase from less than 2 million in 1990 to more than 6 million by 2050 [28]. The increasing yearly prevalence and morbidity and mortality associated with FNFs have led to extensive research and multiple publications on which to base treatment decisions [1,4,5,9,19,25,26,31,33,36,38,42,45,[47][48][49]51].…”

“…Mortality at 1 year ranges from 14% to 36% but without differences in mortality between fixation and hemiarthroplasty at 1, 5, and 10 years [8,18,19,31,36,37]. Fixation is associated with higher risk of contralateral hip fracture than arthroplasty [48]. Despite the growing amount of research on this subject, no clinical consensus exists regarding how to best treat FNFs with the primary intention of avoiding reoperation in an effort to avoid additional risks to these patients.…”

Rate of Contralateral Hip Fracture After Dynamic Hip Screw Vs Intramedullary Nail for Treatment of Pertrochanteric Hip Fractures

“…Th e purpose of this study was to report the rate of contralateral hip fracture after an initial IT/PT fracture treated with HSSP compared with CMN. One might expect this study to produce outcomes similar to those of Souder et al (12), especially with the large number of patients and a similar database of patients. However, our results indicated no diff erence in the rate of contralateral hip fractures when treating IT/PT proximal femur fractures with HSSP compared with CMN.…”

“…Souder et al (12) recently reported a signifi cantly increased risk of subsequent contralateral hip fracture after treatment of a femoral neck fracture with closed reduction percutaneous pinning in comparison with hip arthroplasty. Th e purpose of this study was to report the rate of contralateral hip fracture after an initial IT/PT fracture treated with HSSP compared with CMN.…”

“…Additionally, 2% to 12% of patients with a hip fracture sustain a contralateral fracture (5-12). Souder et al (12) indicated an increased risk of contralateral hip fracture after initial treatment for a femoral neck fracture with closed reduction and percutaneous pinning, as compared with arthroplasty. Zlowodzki et al (13) demonstrated that cannulated hip screw constructs for femoral neck fractures are more prone to shortening, which may decrease tension on abductors and increase the risk for falls and subsequent hip fractures.…”