![]() ![]() ![]() Compared with the National Patient Register, the completeness of femoral fractures in SFR in 2020 was 81%. The coverage has increased gradually, from 40% in 2014 to all orthopedic departments (n = 54) in Sweden being engaged in 2021, i.e., 100% coverage. ![]() The registration in the SFR of femoral fractures has been found to have high accuracy and validity ( 15). Fractures in the SFR are mainly classified according to the AO/OTA classification system. Only patients with a permanent unique personal identification number (PIN), given to all Swedish residents and fractures sustained in Sweden, are registered. Detailed data on patient and fracture characteristics, injury mechanism, and fracture treatment are recorded by the treating surgeon in each affiliated department through a pre-specified digital form. The SFR, established in 2011, is a national quality register for managing fractures and treatment. This observational register study was based on data from the Swedish Fracture Register (SFR). Therefore, we describe the demographics, classification, treatment, reoperation rates and mortality of sFNFs in the Swedish Fracture Register (SFR). There are few studies on the outcome of sFNFs in the adult population. A late diagnosis, likely caused by both patient and doctor delays ( 1), can be detrimental as there is a greater risk of displacement requiring more extensive surgery ( 14). Plain radiographs can be inconclusive and further imaging with MRI is often needed to make a diagnosis ( 13). The role of bone remodeling disorders (e.g., chronic kidney failure, rheumatoid arthritis, sustained systemic cortisone treatment, and osteoporosis) in developing sFNFs is not well studied, although lower bone mineral density has been proposed to be a risk factor ( 11, 12). Several classifications are in use: Garden, AO/OTA ( 7), or the system first introduced by Fullerton and Snowdy and later modified using MRI ( 8- 10). They have previously been reported among young active individuals, recreational runners, military recruits, and the elderly with moderate activity ( 5, 6). sFNFs account for approximately 1–2% of all femoral neck fractures and about 3–5% of all stress fractures ( 2- 4). 2010 192:37–41.Stress fractures of the femoral neck (sFNFs) are rare injuries, and correct diagnosis is often delayed because early symptoms are easily missed ( 1). Evidence-based guidelines for the management of hip fractures in older persons: an update. Meta-analysis: excess mortality after hip fracture among older women and men. Haentjens P, Magaziner J, Colon-Emeric CS, Vanderschueren D, Milisen K, Velkeniers B, Boonen S. Excess mortality following hip fracture: a systematic epidemiological review. The annual number of hip fractures in Sweden will double from year 2002 to 2050: projections based on local and nationwide data. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Thus randomized intervention studies should focus on prevention of complications that might be avoidable such as infections, heart diseases, falls and fractures.Ĭause of death Complications Hip fracture. Old people with femoral neck fracture have multiple co-morbidities and suffer numerous complications. In total, 136 participants suffered at least one urinary tract infection 114 suffered 542 falls and 37 sustained 56 new fractures, including 13 hip fractures, during follow-up. Cardiovascular events (24 %), dementia (23 %), hip-fracture (19 %) and cancer (13 %) were the most common primary causes of death. Seventy-nine out of 199 participants (40 %) died within 3 years. Multivariate analysis revealed that cancer, dependence in P-ADL (Personal Activities of Daily Living), cardiovascular disease, dementia at baseline or pulmonary emboli or cardiac failure during hospitalization were all independent predictors of 3-year mortality. Medical records and death certificates were analysed. The participants were assessed during hospitalization and in their homes 4, 12 and 36 months after surgery. The aim of the study was to describe the prevalence of co-morbidities, complications and causes of death and to investigate factors that are able to predict mortality in old people with femoral neck fracture.ĭata was obtained from a randomized, controlled trial with a 3-year follow-up at Umeå University Hospital, Sweden, which included 199 consecutive patients with femoral neck fracture, aged ≥70 years. The poor outcome after a hip fracture is not fully understood. ![]()
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