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Hip AND Fracture

Bridie Angela Evans, Alan Brown, Jenna Bulger, Greg Fegan, Simon Ford, Katy Guy, SIan Jones, Leigh Keen, Ashrafunnesa Khanom, Mirella Longo, Ian Pallister, Nigel Rees, Ian T Russell, Anne C Seagrove, Alan Watkins, Helen Snooks
OBJECTIVES: To explore paramedics' experience of delivering fascia iliaca compartment block ( FICB) to patients with suspected hip fracture at the scene of injury. DESIGN: Focus groups within a randomised controlled trial. SETTING: Paramedics based at ambulance stations in the catchment area of one Emergency Department in South Wales, recruited and trained in a feasibility study about an alternative to routine prehospital pain management for patients with suspected hip fracture...
February 15, 2019: BMJ Open
Ichiro Yoshii, Kenichi Kitaoka, Kyuichi Hashimoto
BACKGROUND: Second osteoporotic fracture of the hip is a serious comorbidity that can directly cause mortality. Preventing its occurrence is particularly important in Japan, given its rapidly aging society. Here, the clinical characteristics of such recurrence were evaluated using the data of the Clinical Pathway with Regional Alliance (CPRA). METHODS: CPRA for hip fracture started in 2007 and has allowed intranet-based data sharing since July 2011. Data from this alliance, such as number of second cases, duration from initial fracture, Functional Impairment Measure (FIM), revised Hasegawa Dementia Scale (HDS-R) score, muscle force and range of motion of hip joint, and gait status (GS) were collected and statistically evaluated...
February 13, 2019: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
M L Ridderikhof, E De Kruif, M F Stevens, H M Baumann, P B Lirk, J C Goslings, M W Hollmann
INTRODUCTION: In the Emergency Department, regional anesthesia is increasingly used in elderly patients with hip fractures. An example is a Fascia Iliaca Compartment Block (FICB). Traditionally, this block is administered below the inguinal ligament. There is no Emergency Department data regarding effectivity of an alternative, more cranial approach above the inguinal ligament. The objective was to determine analgesic effects of an ultrasound-guided supra-inguinal FICB in hip fracture patients in the Emergency Department...
February 11, 2019: American Journal of Emergency Medicine
Won Chul Shin, Jae Hoon Jang, Jae Yoon Jeong, Kuen Tak Suh, Nam Hoon Moon
INTRODUCTION: Although various clinical applications of geneX® ds have been reported, no study has reported the clinical application of geneX® ds in osteoporotic hip fracture. The present study aimed to identify the clinical effect of the application of geneX® ds in elderly patients with intertrochanteric fracture treated using proximal femoral nail antirotation (PFNA). MATERIALS AND METHODS: From March 2014 to October 2017, 233 patients with intertrochanteric fracture (65 men and 168 women) were enrolled in this study...
February 12, 2019: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Maria-Triantafyllia Revelou, Anna Eleftheriou, Georgia Fezoulidi, Panayiotis Hatzikyriakou, Vasileios Raoulis, Gregory Tsoucalas
During the fifth century BC in ancient Greece during the eve of orthopaedics, the Hippocratic School of Medicine diagnosed a series of congenital limb deformities. Congenital dislocation of the arm, elbow, wrist, hip, knee, tarsotibial joint, apex leg, as well as talipes valgus (clubfoot), congenital clavicle fractures, and thumb malfunction were all discussed by Hippocrates and his followers. Ancient Greek medico-philosophers, fond of a "perfect" human body, proposed an immediate non-interventional approach, while archaic orthotics and specialized footwear were suggested...
February 15, 2019: International Orthopaedics
Sk Hammadur Rahaman, Viveka P Jyotsna, Devasenathipathy Kandasamy, V Shreenivas, Nandita Gupta, Nikhil Tandon
Introduction: Osteoporosis is a well-recognized complication of Cushing's syndrome (CS). Data on bone health in patients with CS from south Asian countries, which are vitamin D deficient, are scarce. Aims: We assessed bone mineral density (BMD) in patients with CS in comparison to controls. We also looked into how BMD differs in different types of endogenous CS. Materials and Methods: Thirty-seven cases of CS and 48 matched controls were studied for clinical, biochemical, hormonal, and bone densitometry parameters...
November 2018: Indian Journal of Endocrinology and Metabolism
Adlyne Reena Asirvatham, Karthik Balachandran, Subramanian Kannan, Satish K Balasubramaniam, Shriraam Mahadevan
Background: Fracture Risk Assessment Tool (FRAX) is a fracture prediction tool that uses clinical risk factors with or without bone mineral density (BMD). BMD is difficult to obtain in resource-limited setting. Hence, we aimed to compare fracture risk prediction by FRAX without BMD (FRAX) and FRAX with BMD (FRAX/BMD). Objective: We intended to determine if FRAX and FRAX/BMD would produce identical predictions for 10-year probability of hip fracture and major osteoporotic fracture (MOF)...
November 2018: Indian Journal of Endocrinology and Metabolism
Ashton H Goldman, Rafael J Sierra, Robert T Trousdale, David G Lewallen, Daniel J Berry, Matthew P Abdel
BACKGROUND: As revision implants and techniques have evolved and improved, understanding why contemporary revision total hip arthroplasties (THAs) fail is important to direct further improvement and innovation. As such, the goals of this study are to determine the implant survivorship of contemporary revision THAs, as well as the most common indications for re-revision. METHODS: We retrospectively reviewed 2589 aseptic revision THAs completed at our academic institution between 2005 and 2015 through our total joint registry...
January 23, 2019: Journal of Arthroplasty
Vito Pavone, Claudia de Cristo, Antonio Di Stefano, Luciano Costarella, Gianluca Testa, Giuseppe Sessa
BACKGROUND: Periprosthetic femoral fractures (PFFs) following total hip arthroplasty are becoming more prevalent and management of these fractures is often demanding. The surgeon has to assess in detail implant loosening, bone loss and type of fracture. The aim of the study is to identify the suitability of a treatment algorithm, based on the Vancouver classification that takes into account the activity and comorbidity of each patient. PATIENTS AND METHODS: This study retrospectively assessed 38 patients who were surgically treated for a PFF around total hip arthroplasty between 2010 and 2014...
February 2, 2019: Injury
Antonio Klasan, Thomas Neri, Ludwig Oberkircher, Dominik Malcherczyk, Thomas Jan Heyse, Christopher Bliemel
BACKGROUND: The direct anterior approach (DAA) has gained popularity in total hip arthroplasty (THA) over the past decade. A large number of studies have compared the DAA to other approaches with inclusion of a learning curve phase. The aim of this study was to compare the complication rate and bleeding between the DAA and the anterolateral approach after the learning curve phase. METHODS: For this retrospective, single-institutional study, propensity score matching was performed, from an initial cohort of 1408 patients receiving an elective THA...
February 14, 2019: BMC Musculoskeletal Disorders
Nick C Leegwater, Sander M van der Meer, Inger N Sierevelt, Hugo Spruijt, Peter A Nolte
BACKGROUND: The aim of this study was to define deep tissue temperature during cryotherapy in postoperative hip fracture patients, by using measured skin temperature as input parameter for a simple numerical model. Second, an association was investigated between pain and tissue temperature distribution, to assess cryotherapy-induced analgesia of soft tissue-derived pain. METHODS: Data from 35 participants in an ongoing trial was used. In three subjects who consented on optional measurements, skin temperature was measured in 3 days during and after cryotherapy...
February 14, 2019: Journal of Orthopaedic Surgery and Research
Hanru Ren, Qikai Huang, Jiawen He, Yongan Wang, Lianghao Wu, Baoqing Yu, Dianying Zhang
BACKGROUND: A fracture in the isolated greater trochanter is an infrequent type of femoral intertrochanteric fracture. The gluteus medius and gluteus minimus are abducent muscle groups with attachments located on the greater trochanter. Thus, a fracture of the greater trochanter could cause avulsion injury of these attachment points and eventually affect the abducent function of the hip joint and cause chronic pain. Despite these prospects, the impact of a greater trochanter fracture on abducent strength and hip joint function have yet to be investigated...
February 14, 2019: BMC Musculoskeletal Disorders
Donato Angelino, Justyna Godos, Francesca Ghelfi, Maria Tieri, Lucilla Titta, Alessandra Lafranconi, Stefano Marventano, Elena Alonzo, Angelo Gambera, Salvatore Sciacca, Silvio Buscemi, Sumantra Ray, Fabio Galvano, Daniele Del Rio, Giuseppe Grosso
The aim of this study was to provide a comprehensive evaluation of current evidence on fruit and vegetable consumption and health outcomes. A systematic search for quantitative syntheses was performed. Several criteria, including study design, dose-response relationship, heterogeneity and agreement of results over time, and identification of potential confounding factors, were used to assess the level of evidence. The strongest (probable) evidence was found for cardiovascular disease protection; possible evidence for decreased risk of colon cancer, depression and pancreatic diseases was found for fruit intake; and colon and rectal cancer, hip fracture, stroke, depression and pancreatic diseases was found for vegetable intake...
February 15, 2019: International Journal of Food Sciences and Nutrition
Dena Zeraatkar, Bradley Petrisor
No abstract text is available yet for this article.
March 2019: Clinical Orthopaedics and related Research
Libor Necas, Maros Hrubina, Marian Melisik, Zoltan Cibula, Michal Chmurny, Matej Daniel, Boris Steno
INTRODUCTION: The aim of this study has been to present outcomes after cementless arthroplasty for developmental dysplasia Crowe type IV of the hip, with transverse subtrochanteric shortening osteotomy and using the S-ROM stem. METHODS: We evaluated radiographs, functional scores and complications in a consecutive series of 23 patients (28 hips) with high dislocation of the hip. The average age of patients at surgery was 49.9 (range 22-68) years. The operations were performed between 2007 and 2013...
February 13, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Anderson Freitas, Jhefferson B Breta, Joubert Júnior, Antônio C Shimano, Walter R Daher, Munir Bessa, Weverton P De Alcantara, Lucas Sacramento Ramos, Ergon L Dantas, Ruben J Aquino
The objective of this study was to evaluate, by means of a static flexural test, the biomechanical parameters necessary for the occurrence of a proximal femoral fracture in a synthetic bone model after the removal of a dynamic hip screw (DHS) and comparing the results obtained with a reinforcement technique using polymethylmethacrylate (PMMA). Twenty synthetic bones made of the same material and from the same manufacturer were used: ten units as the control group (CG), five units as the test group without reinforcement (TG), and five units as the test group with reinforcement (TGR)...
December 4, 2018: Curēus
Tsuyoshi Ohishi, Tomotada Fujita, Tatsuya Nishida, Mitsuru Asukai, Daisuke Suzuki, Kaori Sugiura, Yukihiro Matsuyama
PURPOSE: The correlation between serum levels of homocysteine and bone mineral density remains controversial. The aim of this study was to identify the potential factors associated with the levels of serum total homocysteine (S-Hcy) and urinary N-terminal telopeptide of type I collagen (U-NTX) in female osteoporotic patients. MATERIALS AND METHODS: This cross-sectional study included 163 female osteoporotic patients, aged between 48 and 91 years, who had never been treated with anti-osteoporosis therapy...
February 14, 2019: Endocrine Research
Peter Sarich, Karen Canfell, Emily Banks, Ellie Paige, Sam Egger, Grace Joshy, Rosemary Korda, Marianne Weber
BACKGROUND: Evidence suggests that people who develop serious health conditions are likely to cease drinking alcohol (sometimes known as 'sick-quitters'). We quantified the likelihood of quitting drinking in relation to the onset of a variety of health conditions. METHODS: Odds ratios (OR) and 95% confidence intervals (CI) of ceasing alcohol consumption after diagnosis of 28 health conditions and four general indicators of health were derived from logistic regression among 97,852 drinkers aged ≥45 years between baseline (2006-2009) and median 5...
February 13, 2019: Alcoholism, Clinical and Experimental Research
Andréa Senay, Sylvie Perreault, Josée Delisle, Suzanne N Morin, Jean-Pierre Raynauld, Andreea Banica, Yves Troyanov, Pierre Beaumont, Alain Jodoin, G Yves Laflamme, Stéphane Leduc, Jean-Marc Mac-Thiong, Hai Nguyen, Pierre Ranger, Dominique M Rouleau, Julio C Fernandes
The study design of a multidisciplinary Fracture Liaison Service (2-year follow-up) aiming to optimize fragility fracture management in an outpatient setting is presented. Patient characteristics, investigation, and treatment initiation data at baseline were recorded. Results corroborate the care gap in osteoporosis management, reinforcing the need for secondary fracture prevention programs. PURPOSE: This paper describes the study design, implementation, and baseline characteristics of a multidisciplinary Fracture Liaison Service (FLS) in Quebec (Canada)...
February 12, 2019: Archives of Osteoporosis
Martí Bernaus, Francesc Anglès, Berta Escudero, Margarita Veloso, Alfredo Matamala, Lluís Font-Vizcarra
Objectives: Obesity is a documented comorbidity that is prevalent in the elderly population and a known predictor for surgical site infection (SSI). Body mass index is a convenient method to classify obesity, but it fails to account for fat distribution. The objective of our study was to evaluate the association between surgical site infection and a subcutaneous radiographic measurement (SRM) in elderly hip fracture patients. Materials and Methods: A retrospective case-control study was conducted to compare SRMs at the hip in patients diagnosed with surgical site infection after hip fracture surgery with patients that were not diagnosed with surgical site infection...
2019: Journal of Bone and Joint Infection
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