30-Day Outcomes of Operative Versus Nonoperative Management for Humeral Diaphyseal Fractures in Patients with Concomitant Hip Fractures


Every year over 330,000 people are hospitalized for hip fractures in the US. Of those patients, approximately 4–5% of patients with hip fractures present with a concomitant upper extremity fracture. Upper extremity (UE) fractures account for an estimated 2 million fractures a year. The number of hip fractures is projected to double by 2050. There is evidence that the presence of a concomitant upper extremity fracture results in an increased hospital length of stay (LOS), lower functional capacity upon discharge and higher mortality rates than seen with hip fractures in isolation. Additionally, hip fractures pose a signifi cant economic burden and are expected to increase to over $62 billion in 2040. As such, hip fractures are a public health crisis. This study seeks to evaluate the diff erences in perioperative outcomes between nonoperative and operative management of humeral diaphyseal fractures in patients with concomitant hip fractures. (Journal of Surgical Orthopaedic Advances 29(2):99–102, 2020) Keywords: hip fractures, concomitant, upper extremity, mortality, hospital length of stay (LOS), surgical management

Daniel Sutton, MD, MPH; Basilia Nwankwo, MD; Moses Adebayo, MD; Rolanda Willacy; Cina R. Karodeh; and Robert Wilson, MD