{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T03:03:51Z","timestamp":1789441431684,"version":"build-2803163510"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and purpose<\/jats:title>\n                    <jats:p>Greenland is undergoing rapid societal change, while its healthcare system faces substantial geographic and structural challenges. In January 2024, a routine program was established for elective total hip arthroplasty (THA) and hip replacements following femoral neck fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>All patients receiving hip replacement from January 2024 to January 2026 were analyzed retrospectively. Demographic parameters, complications, revision rates, one\u00a0month mortality were evaluated and compared primarily with register data from Denmark, Greenland\u2019s parent country.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 123 patients (129 procedures) were assessed. Elective THA patients were younger (60 vs 68\u00a0years), had a higher body mass index (BMI) (29.9 vs 27.6), similar American Society of Anesthesiologists (ASA) scores, longer operative times (110 vs 92\u00a0min), lower blood loss (\u0394Hb -2.1 vs -2.3\u00a0g\/dL), longer length of stay (discharge post-OP day 4.2 vs 1) and substantially higher complication rates than Danish controls. Hip fracture patients were younger (74 vs 79\u00a0years), had a lower BMI (23.9 vs 26), had a similar ASA distribution, lower blood loss (\u0394Hb -1.3 vs -3.4\u00a0g\/dL), a similar post-OP discharge day (7.9 vs 7), and also numerically higher complication rates than Danish controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hip arthroplasty outcomes in Greenland were less favorable than in Denmark, likely due to various systemic and patient-related factors. Continuous efforts are required to optimize patient safety and clinical outcomes in this setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00264-026-07034-4","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:44:06Z","timestamp":1789440246000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementing a hip arthroplasty program in Greenland, the autonomous territory of Denmark: challenges and outcomes"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9094-6021","authenticated-orcid":false,"given":"Mikolaj","family":"Bartosik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2845-0927","authenticated-orcid":false,"given":"Najannguaq","family":"J\u00f8rgensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5366-9670","authenticated-orcid":false,"given":"Reinhard","family":"Stoewe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"issue":"5","key":"7034_CR1","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1111\/joim.12814","volume":"284","author":"MK Andersen","year":"2018","unstructured":"Andersen MK, Hansen T (2018) Genetics of metabolic traits in Greenlanders: lessons from an isolated population. 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