ArticleJournal of clinical medicine2021
Associations between Early Surgery and Postoperative Outcomes in Elderly Patients with Distal Femur Fracture: A Retrospective Cohort Study.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Association between timing of surgery and postoperative outcomes in older adults with distal femur fractures: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2026Pooled it
- Impact of Rehabilitation on Time to Home Discharge after Hip Fracture Surgery: A Retrospective Observational Study Using the Japanese Nationwide Database of Diagnosis Procedure Combination.Physical therapy research · 2026Article
- Surgical Timing and Postoperative Outcomes in Distal Femur Fractures: Does Early Intervention Matter?Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Intraoperative Fracture during the Insertion of Advanced Locking Screws (T2 Alpha Femur Retrograde Intramedullary Nailing System): Report of Two Cases and Identifying Causes and Prevention.Journal of clinical medicine · 2024Article
- Risk factors and clinical significance of subcutaneous emphysema after robot-assisted laparoscopic rectal surgery: a single-center experience.Journal of robotic surgery · 2024Article
- Predictors of in-hospital surgical site infections in surgically managed acetabular fractures: A nationwide analysis.Journal of orthopaedics · 2023Article
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
Abstract
Previous literature has provided conflicting results regarding the associations between early surgery and postoperative outcomes in elderly patients with distal femur fractures. Using data from the Japanese Diagnosis Procedure Combination inpatient database from April 2014 to March 2019, we identified elderly patients who underwent surgery for distal femur fracture within two days of hospital admission (early surgery group) or at three or more days after hospital admission (delayed surgery group). Of 9678 eligible patients, 1384 (14.3%) were assigned to the early surgery group. One-to-one propensity score matched analyses showed no significant difference in 30-day mortality between the early and delayed groups (0.5% versus 0.5%; risk difference, 0.0%; 95% confidence interval, -0.7% to 0.7%). Patients in the early surgery group had significantly lower proportions of the composite outcome (death or postoperative complications), shorter hospital stays, and lower total hospitalization costs than patients in the delayed surgery group. Our results showed that early surgery within two days of hospital admission for geriatric distal femur fracture was not associated with a reduction in 30-day mortality but was associated with reductions in postoperative complications and total hospitalization costs.
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Registered trials
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