ArticleDer Unfallchirurg2013
[The influence of timing of surgery on mortality and early complications in femoral neck fractures, by surgical procedure: an analysis of 22,566 cases from the German External Quality Assurance Program].
Article in Der Unfallchirurg, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- [How does the preoperative waiting time affect hospital mortality and complication rates in geriatric patients with medial femoral neck fractures?]Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Canal Fill Ratio in Hemiarthroplasty Compared to Total Hip Arthroplasty: A Case Control Study.The Iowa orthopaedic journal · 2024Article
- Delay of total joint replacement is associated with a higher 90-day revision rate and increased postoperative complications.Archives of orthopaedic and trauma surgery · 2023Article
- The Surgical Timing and Prognoses of Elderly Patients with Hip Fractures: A Retrospective Analysis.Clinical interventions in aging · 2023Article
- Early Surgical Care of Anticoagulated Hip Fracture Patients Is Feasible-A Retrospective Chart Review of Hip Fracture Patients Treated with Hip Arthroplasty within 24 Hours.Journal of clinical medicine · 2022Article
- [Management of pre-existing anticoagulation for timely treatment of proximal femoral fractures].Der Unfallchirurg · 2019Review
- Total Hip Arthroplasty for Hip Fractures: Time to Surgery With Respect to Surgical Revision, Failure, and Mortality.Geriatric orthopaedic surgery & rehabilitation · 2019Article
- [Analysis of 2000 surgically treated proximal femoral fractures : Multiple variables influence mortality].Der Unfallchirurg · 2018Article
- Infection Versus Hematoma Following Surgical Treatment of Proximal Femoral Fractures in Geriatric Patients.Geriatric orthopaedic surgery & rehabilitation · 2018Article
- [Elderly trauma patients with proximal femur fractures : Statistical evaluation of regular process data from a trauma center for the elderly].Der Unfallchirurg · 2017Article
- [Results of the pilot phase of the Age Trauma Registry DGU®].Der Unfallchirurg · 2017Article
- Geriatric Fracture Centre (German Trauma Society): guidelines and certification to improve geriatric trauma care.Innovative surgical sciences · 2016Article
- [Fracture arthroplasty of femoral neck fractures].Der Unfallchirurg · 2016Review
- [One-year outcomes for proximal femoral fractures: Posthospital analysis of mortality and care levels based on health insurance data].Der Unfallchirurg · 2015Article
- [Hip fracture prosthetics in German trauma surgery. State of the art].Der Unfallchirurg · 2015Article
- Mortality after proximal femur fracture with a delay of surgery of more than 48 h.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014Article
- [Procedural organisation: surgical and anaesthesiological management in hip fractures].Wiener medizinische Wochenschrift (1946) · 2013Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe current S2 guideline recommends treatment of a femoral neck fracture within the first 24 h; this becomes evident by the significant rise in general and early surgical complications, when the surgical treatment was delayed for more than 48 h. The influence of different surgical procedures was investigated. PATIENTS UND
methodsA total of 22,566 records from the external Quality Assurance Program in North Rhine-Westphalia for treatment of femoral neck fractures in 2004/2005 (BQS specification 7.0 and 8.0) were risk-adjusted and evaluated.
resultsSurgery was performed within 48 h in 83.9% of the patients. A significant rise in general and early surgical complications was registered when the surgical treatment was delayed for more than 48 h. Mortality and general complications were significantly lower for percutaneous screw fixation. All kinds of joint replacement show significantly higher general and surgical complications.
conclusionThe analyzed data support the rating of femoral neck fracture as requiring the intervention of urgent early surgery, as stated in the guideline. Percutaneous screw fixation can be considered for immobile and multimorbid patients with undislocated fractures. Advantages of total hip replacement compared to hemiarthroplasty cannot be supported by the QS-NRW data.
Indexed as
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.