Poster Presentations

M. Tamulaitiene, M. Jaramaviciene, J. Jaramavicius, V. Alekna. Faculty of Medicine of Vilnius University, Vilnius, Lithuania Objectives: To analyze the methods of treatment and outcome of hip fractures in Lithuania. Methods: This population-based retrospective study was performed collecting the data from all orthopaedic inpatient departments in Lithuania. The records of subjects, who were hospitalized because of primary hip fracture (ICD-10 codes S72.0, S72.1 and S72.2) at the age over 40 years in 2010, were examined. Methods of treatment were conservative and surgical, while the latter was divided into fixation by screws, plate or intramedullary nail (IN), and total hip arthroplasty (TA). The outcomes included death, transfer to another department, discharge home or long-term hospital, and rehabilitation. Results: In 2010, 2626 hip fractures occurred in Lithuania. The most common method used was osteosynthesis: fixation by plate accounted for 41.4%, screw – 21.1%), and by IN – in 3.4% of cases. TAwas used in 25.9% and conservative treatment – in 8.1% of patients. After fixation by screws, plates and IN, the majority of patients were discharged home (42.5%, 35.8% and 37.8%, respectively) or to long-term care hospital (24.5%, 22% and 32.2%, respectively). Otherwise, after TA, 70.1% of patients underwent rehabilitation. Among patients treated conservatively, 39.7% were transferred to another department, ant their mortality rate was highest (4.2%). Number of deaths was lowest after treatment with screws (0.7%). Conclusion: In 2010, in Lithuania, the majority of patients with hip fracture were treated with osteosynthesis using the external fixation. Rehabilitation was more often outcome of treatment using total hip arthroplasty, as compared to osteosynthesis.