Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2024; 15(1): 30-38
Published online Jan 18, 2024. doi: 10.5312/wjo.v15.i1.30
Health economics for intra-capsular hip fractures undertaking fixation
Anatole Wiik, Thomas Ashdown, Ian Holloway
Anatole Wiik, Department of Surgery, Trauma and Orthopaedics, London North West University Healthcare, London HA1 3UJ, United Kingdom
Thomas Ashdown, Ian Holloway, Department of Surgery, Trauma and Orthopaedics, London North West University Hospital, London HA1 3UJ, United Kingdom
Author contributions: Wiik AV designed the study; Wiik AV and Ashdown T collected the clinical data; Wiik AV and Ashdown T analysed the data; Wiik AV, Ashdown T and Holloway I interpreted and wrote the report.
Institutional review board statement: The study was a registered audit so no ethical approval was sought nor required. No individual patient or related identity information have been presented.
Informed consent statement: As a registered audit without any patient or related identity no consent was required.
Conflict-of-interest statement: All authors had no conflicts.
Data sharing statement: Raw data is not available freely for use as per National Health Service audit regulations.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Anatole Wiik, BSc, FRCS, MBBS, MD, Surgeon, Department of Surgery, Trauma and Orthopaedics, London North West University Healthcare, Northwick Park Hospital, London HA1 3UJ, United Kingdom. wiikav@hotmail.com
Received: September 26, 2023
Peer-review started: September 26, 2023
First decision: November 14, 2023
Revised: November 26, 2023
Accepted: December 19, 2023
Article in press: December 19, 2023
Published online: January 18, 2024
Processing time: 111 Days and 7.1 Hours
ARTICLE HIGHLIGHTS
Research background

Hip fractures are common injuries requiring surgery.

Research motivation

Determining if there is an advantage between two common procedures for hip fracture fixation.

Research objectives

Identifying the best fixation method and identifying any patient factors which put them of a less desirable outcome.

Research methods

An audit was conducted to identify patients who had hip fracture fixation during a 6 year period followed by a quality of life questionnaire along with cost analysis of patient having undergone hip fracture fixation.

Research results

Older patients (> 50 years) and displaced fractures were risk factors for undesirable outcomes in hip fracture fixation.

Research conclusions

Alternatives from hip fracture fixation should be considered in displaced hip fractures and older patients requiring surgery.

Research perspectives

Further research should look into fixation constructs along with patient metabolomics.