The clinical evidence behind the current implants used for proximal femoral fractures is weak considering the number of implants used worldwide .
Sporadic evaluation is not sufficient to identify long term problems .
INTRODUCTION Evaluation of the long-term performance of  implants used in trauma surgery relies on post-marked clinical studies since no registry based implant assessment exists .
The purpose of this study was to evaluate the evidence of performance of implants  currently used for treating proximal femoral fractures ( PFF ) in Denmark .
Early results and future challenges of the Danish Fracture Database.
INTRODUCTION The Danish Fracture Data base ( DFDB ) was established in 2011 to establish nationwide prospect i ve quality assessment of all fracture-related surgery . In this paper , we describe the DFDB 's setup , present preliminary data from the first annual report and discuss its future potential . MATERIAL AND METHODS The DFDB collaboration includes 13 hospitals and covers a population of 3.7 million .  Data registration is performed online by the surgeon following surgery , and it includes patient- , trauma- and surgery-related data . Primary procedures , reoperations and planned secondary procedures are registered . Indication for reoperation is also recorded . The reoperation rate and the one-year mortality are the primary indicators of quality . RESULTS Approximately 10,000 fracture-related surgical procedures were registered in the data base at the time of presentation of the first annual DFDB report ( currently 15,000 ) . 85 % of all procedures were performed on adult fractures and 15 % on paediatric fractures . Proximal femur ( 33 % ) , distal radius ( 15 % ) and malleolar fractures ( 12 % ) were the three most common primary adult fractures . Pain and discomfort from orthopaedic hardware , infection and failure of osteo synthesis were the three most common indications for reoperation and accounted for 34 % , 14 % and 13 % , respectively . CONCLUSION The DFDB is an online data base for registration of fracture-related surgery that allows for basic quality assessment of surgical fracture treatment and large-scale observational research by registering primary surgery , reoperations and planned secondary procedures . FUNDING not relevant . TRIAL REGISTRATION not relevant
The clinical evidence behind the current implants used for proximal femoral fractures is weak considering the number of implants used worldwide .
Sporadic evaluation is not sufficient to identify long term problems .
INTRODUCTION Evaluation of the long-term performance of  implants used in trauma surgery relies on post-marked clinical studies since no registry based implant assessment exists .
The purpose of this study was to evaluate the evidence of performance of implants  currently used for treating proximal femoral fractures ( PFF ) in Denmark .