PURPOSE: The purpose of this study was to compare outcomes of hip fractures treated by orthopaedic surgeons, performed by specialist vs. non-specialist surgeons. The rate of surgical site infection (SSI) obtained is taken as the main variable. METHODS: This was a prospective controlled cohort study of 814 patients presenting with hip fractures, operated on by a group of orthopaedic surgeons within the same hospital department. Patients were classified according to whether the surgeons belonged to a specialist hip unit (group A = 212 cases) or not (group B = 602 cases). RESULTS: Multivariate logistic regression showed that there was no relation between gender, SSI, Charlson's index, preoperative period, surgical technique or study groups (A or B). Only age was a determinant factor (rank-sum test p = 0.03; OR 95% CI = 1.07, p = 0.005). CONCLUSIONS: Since there were no differences in the SSI outcome between surgeons working in a specialist hip unit and the general orthopaedic surgeons, delaying operative treatment for hip fractures to enable treatment in such a unit or creating a new unit of this type is not necessary. In this respect, the only significant variable is the patient's age.
PURPOSE: The purpose of this study was to compare outcomes of hip fractures treated by orthopaedic surgeons, performed by specialist vs. non-specialist surgeons. The rate of surgical site infection (SSI) obtained is taken as the main variable. METHODS: This was a prospective controlled cohort study of 814 patients presenting with hip fractures, operated on by a group of orthopaedic surgeons within the same hospital department. Patients were classified according to whether the surgeons belonged to a specialist hip unit (group A = 212 cases) or not (group B = 602 cases). RESULTS: Multivariate logistic regression showed that there was no relation between gender, SSI, Charlson's index, preoperative period, surgical technique or study groups (A or B). Only age was a determinant factor (rank-sum test p = 0.03; OR 95% CI = 1.07, p = 0.005). CONCLUSIONS: Since there were no differences in the SSI outcome between surgeons working in a specialist hip unit and the general orthopaedic surgeons, delaying operative treatment for hip fractures to enable treatment in such a unit or creating a new unit of this type is not necessary. In this respect, the only significant variable is the patient's age.
Authors: Encarnacion Cruz; Juan Ramon Cano; Nicolás Benitez-Parejo; Francisco Rivas-Ruiz; Emilio Perea-Milla; Enrique Guerado Journal: Hip Int Date: 2010-05-27 Impact factor: 2.135
Authors: Enrique Guerado; Juan Cano; Encarnacion Cruz; Maria Bertrand; Miguel Hirschfeld; Nicolas Benitez-Parejo Journal: Int Orthop Date: 2014-12-31 Impact factor: 3.075
Authors: Georgios K Triantafyllopoulos; Lazaros A Poultsides; Vasileios I Sakellariou; Wei Zhang; Peter K Sculco; Yan Ma; Thomas P Sculco Journal: Int Orthop Date: 2015-03-31 Impact factor: 3.075
Authors: C Bliemel; R Sielski; B Doering; R Dodel; M Balzer-Geldsetzer; S Ruchholtz; B Buecking Journal: Osteoporos Int Date: 2016-01-05 Impact factor: 4.507