Routine follow-up is unnecessary after intramedullary fixation of trochanteric femoral fractures – analysis of 995 cases

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http://hdl.handle.net/10138/327711

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Halonen , L M , Vasara , H , Stenroos , A & Kosola , J 2020 , ' Routine follow-up is unnecessary after intramedullary fixation of trochanteric femoral fractures – analysis of 995 cases ' , Injury , vol. 51 , no. 6 , pp. 1343-1345 . https://doi.org/10.1016/j.injury.2020.03.033

Title: Routine follow-up is unnecessary after intramedullary fixation of trochanteric femoral fractures – analysis of 995 cases
Author: Halonen, Lauri M; Vasara, Henri; Stenroos, Antti; Kosola, Jussi
Contributor organization: Department of Surgery
I kirurgian klinikka (Töölö)
University of Helsinki
Helsinki University Hospital Area
Faculty of Medicine
HUS Musculoskeletal and Plastic Surgery
Date: 2020-06
Language: eng
Number of pages: 3
Belongs to series: Injury
ISSN: 0020-1383
DOI: https://doi.org/10.1016/j.injury.2020.03.033
URI: http://hdl.handle.net/10138/327711
Abstract: Background and purpose Approximately 2000 trochanteric fractures are operated in Finland annually. These fractures make a major burden to health care system and affected individuals. The role of routine follow-up has been questioned in multiple fracture types. Patients and methods We analyzed routine follow-up visits after intramedullary fixation of trochanteric fractures (n=995). Patients were followed up from patient registries until 2 years or death. Planned and unplanned follow-up visits were analyzed. Results : Altogether 9 patients (0.9 %) had a change in treatment at planned outpatient visit. 6 of these were due to mechanical complication, 1 due to refracture and 2 due to delayed unions. 64 (6.4 %) patients had a change in treatment plan because of an unplanned visit: 28 infections, 6 pressure sores, 15 mechanic complications and 14 refractures and 1 AVN, respectively. Interpretation Routine follow-up visits are a burden both to the patients and health care system, with less than 1 % leading to changes in treatment. Our suggestion is to give good instructions to patients and rehabilitation facilities instead of routine follow-up.
Subject: 3126 Surgery, anesthesiology, intensive care, radiology
Hip fracture
Trochanteric fracture
Follow-up
NAIL
VISIT
Peer reviewed: Yes
Rights: cc_by_nc_nd
Usage restriction: openAccess
Self-archived version: acceptedVersion


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