XXXX in elderly--ten years analysis.

@entity1 @entity2249 @entity174 @entity173 @entity3330
@entity173 ( @entity173 ) are the major problem in the geriatric traumatology and it is estimated that treatment of GHF will spend a large amount of health care resources. The aim of this retrospective study was to compare differences in incidence of operatively treated @entity1 with GHF, type of treatment depending of the type of @entity174 , early postoperative mortality, length of stay and costs of used implants within a 10 years period. Surgically treated 2478 @entity1 , older than 65 years with @entity173 were included in the study. @entity1 were grouped according to the type of @entity174 ( @entity2249 or @entity3330 ) and used implant. Results showed increasing trend in GHF in our County in the last 10 years. There was a shifting trend in used implants, and new surgical techniques were used more commonly in the last few years. In observed period there were no significant changes in revision surgery and length of hospital stay. The mortality decreased, especially in males, but generally it was not in correlation with used implant. At the 10-years period increase in @entity1 with GHF of 179% was followed with 4 time higher increase in implant prices. Present reimbursement in health care system does not calculate the difference of implant costs in hospital expenses, therefore proper usage of modern implants and careful planning in the treatment of GHF is necessary.
