Cemented Femoral Fixation Rates for Hip Fractures in Canada and its Effect on Mortality in the Period 2004-2018

Description

The presentation led by Michael Dunbar outlines a comprehensive analysis of cemented femoral fixation rates for hip fractures in Canada from 2004 to 2018, emphasizing the significant implications these rates have on patient mortality. Supported by co-authors Lynn Lethbridge, Mandip Singh, and Glenn Richardson, Dunbar illustrates the increasing prevalence of hip fractures—resulting in one in four patients facing mortality within the first year—especially as the population ages. He discusses the current debate in orthopedic practices regarding cemented versus cementless fixation methods, citing contrasting preferences between North American and European surgeons.



Data indicates a concerning variation in cemented fixation rates across different hospitals and provinces in Canada, leading to potential inconsistencies in patient outcomes. Specifically, his findings reveal that using cemented fixation significantly reduces mortality rates within 30, 90, and 365 days post-surgery, highlighting the necessity for standardized guidelines. The study is based on extensive data from the Discharge Abstract Database and includes crucial mortality calculations, emphasizing the need for national consensus on surgical practices.



Dunbar concludes by reiterating that uncemented fixation tends to yield higher mortality rates, aligning with international evidence. He advocates for the implementation of national guidelines to minimize the observed variability in surgical approaches, ultimately aiming to enhance patient mortality outcomes.

DOI: 10.1302/3114-220881

Specialties

Conferences