Treatment and outcome of @entity2249 . An analysis of 2418 XXXX admitted from their own homes.

@entity1 @entity2249 @entity174
All @entity1 admitted from their own homes with a @entity2249 to 12 hospitals in Stockholm County Council during a three-year period were reviewed six years after the @entity174 . The outcome of the @entity174 was related to different types of treatment centers (orthopedic and surgical) and primary treatments (conservative, internal fixation, and hemiarthroplasty [HAP]). The treatment results of the four most common types of internal fixation (von Bahr, Hessel/Nystr  m, Thornton, and Rydell nails), the experience of the surgeons, and the operative delay were also compared. Of 2418 @entity1 , the majority (93%) were treated with internal fixation. Thirty-three percent of @entity1 sustained complications after conservative treatment, 37% after primary internal fixation, and 15% after primary HAP. Early redisplacement of the @entity174 was most common when the Thornton nail was used and when less experienced surgeons treated the @entity174 . Early complications such as redisplacement and nonunion occurred most often in surgical departments, but the total frequency of complications including segmental collapse was equal for different treatment centers. In surgical departments these @entity174 were operatively treated most often by less experienced surgeons and the Thornton nail was used more frequently than in orthopedic departments. An operative delay of up to one week did not result in more complications. Seventy percent of the complications after primary treatment were reoperated. Only 11% were not reoperated, either because of the presence of only minor symptoms, or because of the @entity1 's poor general condition, which made reoperation too risky. The results of the present study stress the importance of stable fixation of this @entity174 and of the experience of the surgeon for optimal treatment results.
