title: Surgical treatment of trochanteric and cervical hip fractures in the United States: 2000-2009.
abstract: The objective of this study was to evaluate the most common treatments performed for hip fractures over the last decade in the United States. The leading treatment for trochanteric fractures was internal fixation, accounting for 96%-98% of surgical treatments each year. For cervical fractures, hemiarthroplasty (HA), total hip arthroplasty (THA), and internal fixation were performed nearly 61%, 5%, and 33% of the time, respectively, each year without any sign of change during the period assessed. The surgical choice for cervical fractures varied greatly by patient age. In 2009, two-thirds of patients younger than 60 years underwent internal fixation while two-thirds of patients 60 years or older underwent HA. Regardless of patient age, HA was performed more often than THA for cervical hip fractures.
authors.affiliation: Department of Public Health Sciences, University of California, Davis, Sacramento, California 95817, USA.
authors.forename: Sunny H
authors.initials: SH
authors.lastname: Kim
authors.forename: John P
authors.initials: JP
authors.lastname: Meehan
authors.forename: Mark A
authors.initials: MA
authors.lastname: Lee
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends*; D005264:Femoral Fractures / Q000453:epidemiology / Q000601:surgery*; D005265:Femoral Neck Fractures / Q000453:epidemiology / Q000601:surgery; D005269:Femur / Q000293:injuries / Q000601:surgery; D005272:Femur Neck / Q000293:injuries / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends*; D062785:Hemiarthroplasty / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends*; D006620:Hip Fractures / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
keywords: arthroplasty; epidemiology; hip fractures; internal fixation; surgery