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©The Author(s) 2024.
World J Orthop. Jan 18, 2024; 15(1): 30-38
Published online Jan 18, 2024. doi: 10.5312/wjo.v15.i1.30
Published online Jan 18, 2024. doi: 10.5312/wjo.v15.i1.30
Table 1 Fracture configuration, n (%)
| Cannulated cancellous screw fixation | 2-hole sliding hip screw fixation | |
| Fixation group | 47 (56.6) | 36 (43.4) |
| Laterality | ||
| Left | 25 (53.2) | 18 (50) |
| Right | 22 (46.8) | 18 (50) |
| Garden classification | ||
| I | 24 (51.1) | 13 (36.1) |
| II | 8 (17) | 11 (30.6) |
| III | 10 (21.3) | 7 (19.4) |
| IV | 5 (10.6) | 5 (13.9) |
| Pauwels classification | ||
| I | 7 (14.9) | 1 (2.8) |
| II | 32 (68.1) | 24 (66.7) |
| III | 8 (17) | 11 (30.6) |
Table 2 Patient demographics, n (%)
| Cannulated cancellous screw fixation | 2-hole sliding hip screw fixation | |
| Mean age, yr (range) | 66 (18-91) | 71 (28-100) |
| Group by age | ||
| < 50 | 7 | 6 |
| > 50 | 40 | 30 |
| Gender | ||
| Male | 16 (34) | 15 (41.7) |
| Female | 31 (66) | 21 (58.3) |
| Number of organ co-morbidities | ||
| 0 | 13 (27.7) | 11 (30.6) |
| 1 | 13 (27.7) | 9 (25) |
| 2 | 11 (23.4) | 8 (22.2) |
| 3 | 6 (12.8) | 6 (16.7) |
| 4 | 4 (8.5) | 2 (5.6) |
| Mean | 1.5 | 1.4 |
Table 3 Peri-operative parameters, n (%)
| Cannulated cancellous screw fixation | 2-hole sliding hip screw fixation | |
| Time to surgery, h (range) | 39 (6-168) | 43 (7-408) |
| Tip-apex, mm (range) | 20 (10-45) | 23 (15-35) |
| Hb drop pre-op to post op, g/dL (range) | 1.8 (0.1-5.0) | 1.4 (0.3-4.2) |
| Radiation time, sec (range) | 53 (7-127) | 47 (35-75) |
| Length of stay, d (range) | 15 (3-69) | 17 (4-62) |
| Weight bearing status | ||
| NWB | 5 (10) | 2 (6) |
| PWB | 21 (45) | 7 (19) |
| FWB | 3 (6) | 16 (44) |
| Unclear | 18 (39) | 11 (31) |
| Union time, mo (range) | 5.1 (1-16) | 5.8 (1-12) |
| Health resource group, £ (range) | 5979 (517-11117) | 6862 (639-14323) |
Table 4 Complications, n (%)
| Undesirable outcomes | Cannulated cancellous screw fixation | 2-hole SHS fixation |
| Avascular necrosis | 1 (2.1) | 3 (8.3) |
| Significant collapse | 5 (10.6) | 1 (2.7) |
| Non-union | 3 (6.4) | 0 (0) |
| Cut-out | 1 (2.1) | 1 (2.7) |
| Reoperation | 9 (19.1) | 4 (11.1) |
Table 5 EQ 5D and visual analogue score parameters, n (%)
| Cannulated cancellous screw fixation | 2-hole sliding hip screw fixation | |
| Successfully contacted patients, n (%) | 25 (53.2) | 22 (61.1) |
| Deceased | 12 (25.5) | 4 (11.1) |
| Moved abroad | 2 (4.3) | 1 (2.8) |
| Dementia | 1 (2.1) | 4 (11.1) |
| Unable to contact | 7 (14.8) | 5 (13.9) |
| Time from surgery to PROM, months (range) | 42 (12-78) | 46 (12-98) |
| Valid (n) to answer questionnaire | 25/34 (74%) | 22/28 (79%) |
| EQ 5D 3 level (range) | 0.70 (0.07-1) | 0.73 (0.22-1) |
| EQ 5D visual analogue score (range) | 79 (40-100) | 73 (10-100) |
- Citation: Wiik A, Ashdown T, Holloway I. Health economics for intra-capsular hip fractures undertaking fixation. World J Orthop 2024; 15(1): 30-38
- URL: https://www.wjgnet.com/2218-5836/full/v15/i1/30.htm
- DOI: https://dx.doi.org/10.5312/wjo.v15.i1.30