Relative utilization of the two devices was analyzed according to year and region, and the devices were compared in terms of complications and outcomes.Ī dramatic change in practice was demonstrated, with the intramedullary nail fixation rate increasing from 3% in 1999 to 67% in 2006. The cases were categorized by intramedullary nail or plate fixation on the basis of surgeon-reported Current Procedural Terminology codes.
Cpt code intramedullary nail intertrochanteric fracture code#
The database was searched for all intertrochanteric fractures (International Classification of Diseases, Ninth Revision, code 820.20 or 820.21) over a seven-year period (1999 through 2006). A study of the Part II database was undertaken to detect changing patterns of care for intertrochanteric fractures.ĭuring the process of Board certification, candidates for the Part II (oral) examination submit a six-month surgical case list and patient data into a secure database. Anecdotal observation of practice patterns during the Part II (oral) American Board of Orthopaedic Surgery examination suggested that the use of this method had increased substantially in recent years in comparison with the more traditional sliding compression screw technique. A new method of fixation for intertrochanteric hip fractures that involves the use of an intramedullary nail that interlocks proximally into the femoral head was introduced in the early 1990s.
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