Table 3.
Operation method | < 3 years’ experience | > 3 years’ experience | RR a | 95% CI | p-value b | ||
Total | Reop. (%) | Total | Reop. (%) | ||||
All fracture types: | |||||||
All operation methods | 5,821 | 403 (6.9) | 25,124 | 1,411 (5.6) | 1.2 | 1.1–1.4 | 0.001 |
Hemiarthroplasty | 1045 | 53 (5.1) | 11,619 | 470 (4.0) | 1.3 | 0.95–1.7 | 0.1 |
Screw osteosynthesis | 1,379 | 194 (14) | 3,209 | 415 (13) | 1.1 | 0.94–1.3 | 0.2 |
Hip compression screw | 2,619 | 115 (4.4) | 6,257 | 325 (5.2) | 0.87 | 0.70–1.1 | 0.2 |
Short intramedullary nail | 508 | 21 (4.1) | 2,329 | 100 (4.3) | 0.94 | 0.59–1.5 | 0.8 |
Long intramedullary nail | 168 | 9 (5.4) | 1,343 | 67 (5.0) | 1.04 | 0.52–2.1 | 0.9 |
Undisplaced FNFs: | |||||||
All operation methods | 1,267 | 141 (11) | 2,953 | 296 (10) | 1.1 | 0.92–1.4 | 0.2 |
Screw osteosynthesis | 1,178 | 139 (12) | 2,519 | 273(11) | 1.1 | 0.91–1.4 | 0.3 |
Hemiprosthesis | 47 | 0 (0) | 334 | 16 (4.8) | c | c | c |
Displaced FNFs: | |||||||
All operation methods | 1,206 | 109 (9.0) | 11,892 | 608 (5.1) | 1.7 | 1.4–2.1 | < 0.001 |
Screw osteosynthesis | 198 | 54 (27) | 675 | 137 (20) | 1.4 | 1.0–1.9 | 0.04 |
Hemiprosthesis | 982 | 52(5.3) | 11,046 | 442 (4.0) | 1.3 | 0.99–1.8 | 0.06 |
Trochanteric 2-fragmented fractures: | |||||||
All operation methods | 1,581 | 41 (2.6) | 3,496 | 93 (2.7) | 0.97 | 0.67–1.4 | 0.9 |
Hip compression screw | 1,278 | 30 (2.3) | 2,482 | 62 (2.5) | 0.95 | 0.61–1.5 | 0.8 |
Intramedullary nail | 271 | 8 (3.0) | 948 | 28 (3.0) | 0.95 | 0.43–2.1 | 0.9 |
Trochanteric multifragmented fractures: | |||||||
All operation methods | 1,229 | 65 (5.3) | 3,771 | 198 (5.3) | 1.0 | 0.77–1.4 | 0.9 |
Hip compression screw | 949 | 53 (5.6) | 2,394 | 127 (5.3) | 1.1 | 0.80–1.5 | 0.6 |
Intramedullary nail | 264 | 11 (4.2) | 1,290 | 65 (5.0) | 0.81 | 0.43–1.5 | 0.5 |
Intertrochanteric and subtrochanteric fractures: | |||||||
All operation methods | 287 | 24 (8.4) | 2,016 | 127 (6.3) | 1.3 | 0.87–2.1 | 0.2 |
Hip compression screw | 173 | 17 (9.8) | 767 | 68 (8.9) | 1.1 | 0.62–1.8 | 0.8 |
Intramedullary nail | 109 | 7 (6.4) | 1,219 | 57 (4.8) | 1.5 | 0.67–3.3 | 0.3 |
FNF: femoral neck fracture.
aRR relative risk for reoperation. Surgeon’s experience >3 years set to 1.
bCox regression analyses with adjustments for age group, gender, and ASA class.
cRR could not be calculated due to no reoperations.