Keywords (Hip OR Femoral neck OR Pertro...

(Hip OR Femoral neck OR Pertrochanteric OR Intertrochanteric OR subtrochanteric OR femur OR femoral) AND fracture
Andrew M Schneider, Steven Denyer, Nicholas M Brown
INTRODUCTION: Within the geriatric hip fracture population, there exists a subset of patients whose length of inpatient hospital stay is excessive relative to the average. A better understanding of the risk factors associated with this group would be of value so that targeted prevention efforts can be properly directed. The goal of this study was to identify and characterize the risk factors associated with an extended length of hospital stay (eLOS) in the geriatric hip fracture population...
May 4, 2021: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
Ruyi Zou, Min Wu, Jianzhong Guan, Yuzhou Xiao, Xiaotian Chen
OBJECTIVE: To compare the clinical efficacy of pararectus and ilioinguinal approach in the treatment of acetabular fractures. METHODS: A retrospective analysis of the clinical data of 60 patients with acetabular fractures treated by the pararectus approach or the ilioinguinal approach from January 2016 to January 2019 was performed to record all data by comparing the length of the surgical incision, the time to expose the fracture and the amount of blood loss during the operation...
May 4, 2021: Orthopaedic Surgery
Carlo Cardile, Carlo Cazzaniga, Beatrice Manzini, Roberto Marasco, Paolo Ragni
We report the case of an intertrochanteric hip fracture in a 73 years-old woman with a long-standing arthrodesis. The proper surgical treatment is controversial but we decided to treat the fracture with a single LCP condylar plate turned upside-down. After one year the patient achieved her preinjury levels of activities. This kind of fracture could be satisfactorily treated with locking plate.
April 30, 2021: Acta Bio-medica: Atenei Parmensis
Daniel P Lewis, Seth M Tarrant, Lachlan Cornford, Zsolt J Balogh
OBJECTIVE: To identify and analyse the current evidence for the use of open reduction and internal fixation constructs (ORIF) compared to conventional revision total hip arthroplasty (rTHA) for the management of Vancouver B2 periprosthetic femoral fractures (PFF). DATA SOURCES: A systematic literature search of the MEDLINE, CINAHL and EMBASE databases was conducted. Prospective and retrospective studies were eligible. No limitation was placed on publication date, with only manuscripts printed in English eligible...
April 30, 2021: Journal of Orthopaedic Trauma
Jin-Hui Zhao, Hui-Peng Shi, Da-Jun Jiang, Ling-Tian Wang, Sheng-Bao Chen, Wei-Tao Jia
OBJECTIVE: To compare the accuracy of combined independent risk factors in assessing the risk of hip fractures in elderly women. METHODS: Ninety elderly females who sustained hip fractures (including femoral neck fractures and intertrochanteric fractures) and 110 female outpatients without a hip fracture were included in our cross-sectional study from 24 November 2017 to 20 May 2019. The age of subjects in the present study was ≥65 years, with the mean age of 78...
May 4, 2021: Orthopaedic Surgery
Wiriya Chuealee, Chingching Foocharoen, Ajanee Mahakkanukrauh, Siraphop Suwannaroj, Chatlert Pongchaiyakul, Ratanavadee Nanagara
Systemic sclerosis (SSc) is recognized as a chronic inflammatory disease and several SSc-associated factors may increase the risk of osteoporosis and its related fractures. To determine the prevalence and predictive factors of osteoporosis in Thai SSc, a cross-sectional study was designed in adult SSc patients at Scleroderma clinic, Khon Kaen University Hospital. The prevalence of osteoporosis with the 95% confidence interval (CI) were determined and the odds ratio (OR) with 95%CI were assessed the clinical association with osteoporosis...
May 3, 2021: Scientific Reports
Wayne Hoskins, Sophia Rainbird, Yi Peng, Stephen E Graves, Roger Bingham
BACKGROUND: Hip hemiarthroplasty is the most common arthroplasty option for fractured neck of femur (FNOF). Revision to total hip arthroplasty (THA) is occasionally required. This study aimed to assess the outcome of hemiarthroplasty revised to THA and to assess the impact of femoral head size, dual mobility (DM), and constrained liners. METHODS: All aseptic 1st revisions reported to the Australian Joint Replacement Registry after hemiarthroplasty performed for FNOF when a THA was used as the revision procedure were included from September 1999 to December 2019...
April 20, 2021: Journal of Arthroplasty
Jeppe D Vesterager, Morten T Kristensen, Alma B Pedersen
BACKGROUND: The loss of pre-fracture basic mobility status is associated with increased mortality and any readmission after hip fracture. However, it is less known if the loss of pre-fracture mobility has impact on acquiring a post-discharge infection. PURPOSE: To examine if the loss of pre-fracture basic mobility status at hospital discharge was associated with hospital-treated or community-treated infections within 30-days of hospital discharge after hip fracture...
April 21, 2021: Injury
Eoghan Meagher, Stanly Varghese, James A Harty, Padhraig F O'Loughlin
AIMS: Accurate epidemiological hip fracture data is essential for healthcare planning and targeted prevention strategies. Limited reports of hip fracture incidence rates in the Republic of Ireland (ROI) exist. The aim is to calculate the current age- and gender-specific incidence of hip fractures in a level 1 Trauma Centre in the ROI, and the difference in these rates over a 10 year period. MATERIALS AND METHODS: This was a retrospective, population-based, observational study...
April 16, 2021: Injury
Yoichi Sato, Yasuhiko Takegami, Takamune Asamoto, Yutaro Ono, Tsugeno Hidetoshi, Ryosuke Goto, Akira Kitamura, Seiwa Honda
BACKGROUND: Less experienced clinicians sometimes make misdiagnosis of hip fractures. We developed computer-aided diagnosis (CAD) system for hip fractures on plain X-rays using a deep learning model trained on a large dataset. In this study, we examined whether the accuracy of the diagnosis of hip fracture of the residents could be improved by using this system. METHODS: A deep convolutional neural network approach was used for machine learning. Pytorch 1.3 and Fast...
May 3, 2021: BMC Musculoskeletal Disorders
Zhaoli Dai, Vasant Hirani, Shivani Sahni, David T Felson, Vasi Naganathan, Fiona Blyth, David Le Couteur, David Handelsman, Markus J Seibel, Louise Waite, Douglas P Kiel, Robert Cumming
BACKGROUND: Data in the Offspring Framingham Osteoporosis Study (FOS) suggested that higher intake of dietary fiber was modestly protective against loss of bone mineral density at the femoral neck in men but not in women. AIM: To examine the relationship of fiber intake with risk of hip fractures in men. METHODS: We included 367 men from the FOS Original cohort, 1730 men from the FOS Offspring cohort, and 782 men from the Concord Health and Ageing in Men Project (CHAMP) in the analysis...
May 4, 2021: Nutrition and Health
Khulod Al Monaei, Asirvatham Alwin Robert, Hussein Farghaly, Dawood Al Rashidi, Munirah Abdulathi, Rasha Al Najimi, Maha Al Musalm, Mashair Mamoun, Nayra Ali, Saad Al Qahtani, Mohamed Al Dawish
BACKGROUND AND AIMS: This study aimed to estimate the prevalence of bone fractures and analyze their associated risk factors in people with and without type 2 diabetes (T2D) in Saudi Arabia. METHODS: This study was conducted among 1188 people (581 type 2 diabetes) in Prince Sultan Military Medical City, Riyadh, Saudi Arabia. In addition to the demographic variables, glycated hemoglobin (HbA1c), creatinine, estimated glomerular filtration rate (eGFR), use of teriparatide, presence of rheumatoid arthritis, presence of chronic obstructive pulmonary disease (COPD), Bone mineral density (BMD), Trabecular Bone Score (TBS) and Fracture Risk using the Fracture Risk Assessment Tool (FRAX) were also collected...
April 20, 2021: Diabetes & Metabolic Syndrome
Ju-Ho Song, Seong-Il Bin, Jong-Min Kim, Bum-Sik Lee
PURPOSE: To verify whether lateral hinge fracture (LHF) affects correction accuracy in open wedge high tibial osteotomy (OWHTO), and to identify the fracture characteristics responsible for inaccurate correction, including LHF type and hinge location. METHODS: Patients undergoing OWHTO with locking plate fixationbetween 2010 and 2016 were retrospectively reviewed. Patients who did not have a minimum 2-year of follow-up or postoperative long-standing hip-to-ankle radiographs were excluded...
April 30, 2021: Arthroscopy: the Journal of Arthroscopic & related Surgery
Paula K Soukkio, Sara A Suikkanen, Eeva M Aartolahti, Hannu Kautiainen, Sanna M Kääriä, Markku T Hupli, Kaisu H Pitkälä, Sarianna Sipilä, Katriina T Kukkonen-Harjula
OBJECTIVE: To evaluate the effects of a physical exercise program on days lived at home, the use and costs of healthcare and social services mortality and functional independence among patients with hip fractures. DESIGN: Randomized controlled trial with parallel two-group design, consisting of a 12-month intervention and 12-month registry follow-up. SETTING: Home-based intervention. PARTICIPANTS: Patients with operated hip fracture, living at home, aged ≥60 years, randomized into physical-exercise (n=61) or usual-care (n=60) groups...
April 30, 2021: Archives of Physical Medicine and Rehabilitation
Won Mo Jang, Juyeon Lee, Sang Jun Eun, Jun Yim, Yoon Kim, Mi Young Kwak
Increase in travel time, beyond a critical point, to emergency care may lead to a residential disparity in the outcome of patients with acute conditions. However, few studies have evaluated the evidence of travel time benchmarks in view of the association between travel time and outcome. Thus, this study aimed to establish the optimal hospital access time (OHAT) for emergency care in South Korea. We used nationwide healthcare claims data collected by the National Health Insurance System database of South Korea...
2021: PloS One
Mary Lundgren, Wissam Elfallal, Daniel Park
Cranial holders are used routinely in cranial and spinal surgery with rare reported complications, but frontalis palsy has not been reported as a complication of a Mayfield pin placement. Injury to the temporal nerve, a branch of the facial nerve that supplies the frontalis muscle, is possible because of its subcutaneous nature. A 78-year-old man presented after a fracture dislocation at C7-T1 following a ground level fall. He had progressive axial neck pain and clinical signs of C8 radiculopathy. The patient underwent elective C5-T2 fusion with an open reduction and internal fixation with the use of Mayfield skull immobilization...
September 2020: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
Daniel J Cunningham, Ariana R Paniaugua, Micaela A LaRose, Isabel F DeLaura, Michael K Blatter, Mark J Gage
INTRODUCTION: Regional anesthesia (RA) is sometimes used to decrease pain and opioid consumption in distal femur fractures. However, the real-world impact of RA on inpatient opioid consumption and outpatient opioid demand is not well known. The hypothesis of this study is that RA would be associated with decreased inpatient opioid consumption and outpatient opioid demand. METHODS: This study evaluated inpatient post-operative opioid consumption (0-24 h, 24-48 h, 48-72 h) and outpatient opioid demand (discharge to 2 weeks, 6 weeks, and 90 days) in all patients ages 18 and older undergoing operative treatment of distal femur fractures at a single institution from 7/2013 to 7/2018 (n = 230)...
May 3, 2021: Archives of Orthopaedic and Trauma Surgery
Paul Simon, Wolfgang Pompe, Manfred Bobeth, Hartmut Worch, Rüdiger Kniep, Petr Formanek, Anne Hild, Sabine Wenisch, Elena Sturm
The degradation mechanism of human trabecular bone harvested from the central part of the femoral head of a patient with a fragility fracture of the femoral neck under conditions of senile osteoporosis was investigated by high-resolution electron microscopy. As evidenced by light microscopy, there is a disturbance of bone metabolism leading to severe and irreparable damages to the bone structure. These defects are evoked by osteoclasts and thus podosome activity. Podosomes create typical pit marks and holes of about 300-400 nm in diameter on the bone surface...
May 3, 2021: ACS Biomaterials Science & Engineering
Tannor Court, Charles A Gusho, Alexander Graf, Gregory Schmeling
Introduction: Civilian ballistic injuries are commonly associated with fracture, vascular injury, and soft tissue trauma. Posttraumatic pseudoaneurysms represent an extremely rare subset of vascular injuries following ballistic fractures. Case: We present the rare case of a posttraumatic pseudoaneurysm that occurred after retrograde femoral nailing of a ballistic distal femur fracture. The patient presented in clinic postoperatively with a pulsatile popliteal mass...
March 2021: OTA international: the open access journal of orthopaedic trauma
Junhao Deng, Guoqi Wang, Jia Li, Song Wang, Miao Li, Xiaohong Yin, Licheng Zhang, Peifu Tang
Background: Currently, there are 2 mainstream treatments for displaced femoral neck fracture, including internal fixation and arthroplasty. However, there are still some controversial problems as to which treatment should be primarily chosen. Methods: The relevant studies comparing arthroplasty with internal fixation were searched in the databases of PubMed, Embase, and Cochrane Library. Finally, 31 relevant randomized controlled trials were included in this meta-analysis...
March 2021: OTA international: the open access journal of orthopaedic trauma
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