The effect of time to surgery on clinical outcomes and hospitalization costs in older adults with femoral shaft fractures: A nationwide retrospective cohort study in Japan

Early surgery for femoral shaft fractures in older adults was not associated with a significant reduction in in-hospital mortality compared to delayed surgery. However, it was associated with fewer complications, shorter postoperative hospital stays, and reduced hospitalization costs. These findings suggest that early surgery may be beneficial for improving postoperative recovery.