Mayo Clinic, Department of Orthopedic Surgery, Rochester, Minnesota.
J Arthroplasty. 2013 Oct;28(9):1659-62. doi: 10.1016/j.arth.2013.01.027. Epub 2013 Mar 20.
Patients treated with total hip arthroplasty (THA) for osteoarthritis (OA) and femoral neck fracture (FNF) between 1990-2007 were compared using the National Hospital Discharge Survey (NHDS). In-hospital, post-operative complications and disposition were compared at six-year intervals to establish trends over time. A total of 2,160,061 THAs were performed for OA, while 174,641 were performed for FNF. Peri-operative mortality and pulmonary embolism rates following elective THA were lower at each interval when compared to THA performed for FNF (P<0.001). Hematomas, infections, and dislocations were also higher in the traumatic group. The FNF group showed improvements with respect to mortality and rates of pulmonary embolism, infection, and dislocation over time. During the most recent interval, there was no difference in dislocation rates between the two groups. The length of stay and the percentage of patients discharging to a rehab facility were significantly higher in the FNF group at each time interval.
1990-2007 年间因骨关节炎（OA）和股骨颈骨折（FNF）接受全髋关节置换术（THA）的患者，使用国家医院出院调查（NHDS）进行了比较。每隔六年比较住院期间和术后并发症及处理方式，以确定随时间的变化趋势。共进行了 216 万 0610 例 OA 患者的 THA，174641 例 FNF 患者进行了 THA。与 FNF 患者的 THA 相比，择期 THA 的围手术期死亡率和肺栓塞率在每个时间段均较低（P<0.001）。创伤组的血肿、感染和脱位也更高。FNF 组的死亡率和肺栓塞、感染和脱位的发生率随时间的推移而改善。在最近的时间段，两组的脱位率没有差异。在每个时间段，FNF 组的住院时间和出院到康复机构的患者比例均明显更高。
