44,290 results match your criteria Fracture Hip

Early Postoperative Complications and Ambulation in Patients Treated for Hip Fractures, the Unexpected Positive Influence of the COVID-19 Pandemic: A Comparison Study.

Isr Med Assoc J 2022 May;24(5):293-298

Department of Orthopedic Surgery, Sheba Medical Center, Tel Hashomer, Israel.

Background: The influence of the coronavirus disease 2019 (COVID-19) pandemic caused countries worldwide to implement lockdowns. Elective surgeries were temporarily suspended, with surgeries being performed only for emergent/urgent medical conditions such as hip fractures where early surgical intervention has shown decreased rates of morbidity/mortality.

Objectives: To assess the indirect influence of the COVID-19 pandemic and associated lockdown on hip fracture patients, considering factors such as time to surgery, early postoperative complications, and ambulation status. Read More

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Association of bone-related biomarkers with femoral neck bone strength.

BMC Musculoskelet Disord 2022 May 21;23(1):482. Epub 2022 May 21.

Department of Orthopedics, The General Hospital of Western Theater Command, Rongdu Avenue No. 270, Chengdu, 610083, China.

Background: Femoral neck fractures are the worst consequence of osteoporosis (OP), and its early prevention and treatment have become a public health problem. This study aims to investigate the relationship of bone-related biomarkers, femoral neck bone mineral density (BMD) and maximum load (L), selecting the indicator which can reflect femoral neck bone loss and reduced bone strength.

Methods: A total of 108 patients were recruited from January 2017 to December 2019. Read More

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Preoperative and perioperative risk factors, and risk score development for prosthetic joint infection due to Staphylococcus aureus: A multinational matched case-control study.

Clin Microbiol Infect 2022 May 18. Epub 2022 May 18.

Unidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain; Departamento de Medicina, Universidad de Sevilla / Instituto de Biomedicina de Sevilla, Sevilla, Spain; Centro de Investigación Biomédica en Red en Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain. Electronic address:

Objectives: We aim to identify the preoperative and perioperative risk factors associated with post-surgical Staphylococcus aureus prosthetic joint infections (PJI), and to develop and validate risk-scoring systems, to allow a better identification of high-risk patients for more efficient targeted interventions.

Methods: We performed a multicenter matched case-control study of patients who underwent a primary hip and knee arthroplasty from 2014 to 2016. Two multivariable models by logistic regression were performed, one for the preoperative and one for perioperative variables; also, predictive scores were developed and validated in an external cohort. Read More

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Potential of Continuous Local Antibiotic Perfusion Therapy for Fracture-Related Infections.

Infect Dis Ther 2022 May 21. Epub 2022 May 21.

Department of Orthopaedic Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.

Introduction: Fracture-related infections (FRIs) are challenging for orthopedic surgeons, as conventional surgical treatment and systemic antimicrobial therapy cannot completely control local infections. Continuous local antibiotic perfusion (CLAP) is a novel and innovative therapy for bone and soft-tissue infections, and is expected to eradicate biofilms by maintaining a sustained high concentration of antimicrobial agents at the infected site. If CLAP therapy can eradicate infection even in cases with implants while preserving the implants, it would be an ideal and effective treatment for local refractory infections. Read More

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The majority of community-dwelling hip fracture patients return to independent living with minor increase in care needs: a prospective cohort study.

Arch Orthop Trauma Surg 2022 May 20. Epub 2022 May 20.

Department of Orthopaedics, University Clinic for Hand, Hip and Knee Surgery, Gødstrup Hospital, Gødstrupvej 43, 7400, Herning, Denmark.

Introduction: Hip fracture patients are fragile, and the majority fail to fully recover to their pre-fracture functional level, resulting in an increase in institutionalization. We aimed to investigate risk factors for being dependent at discharge and for failure to return to independent living 12 months after a hip fracture.

Materials And Methods: From 2011 to 2017, all surgically treated hip fracture patients admitted from their own homes were included in this prospective cohort study. Read More

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Mortality associated with cemented and uncemented fixation of hemiarthroplasty and total hip replacement in the surgical management of intracapsular hip fractures: A systematic review and meta-analysis.

Injury 2022 May 13. Epub 2022 May 13.

Musculoskeletal Research Unit, Translation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.

Background: The use of bone cement for implant fixation in the surgical management of intracapsular hip fractures (IHFs) remains controversial. Although UK national guidance supports cementation, many surgeons remain cautious of its use. In this systematic review and meta-analysis, we aimed to evaluate evidence surrounding post-operative mortality associated with cemented and uncemented total hip replacement and hemiarthroplasty implants. Read More

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Hormone Replacement Therapy After Breast Cancer: It Is Time.

Cancer J 2022 May-Jun 01;28(3):183-190

From the Department of Medicine, University of Southern California, Los Angeles, CA.

Abstract: This article reviews the decades of evidence supporting the reproducible benefits of HRT for menopausal symptom control, improved cardiac health, prevention of hip fracture, reduction in the risk and pace of cognitive decline, and enhanced longevity. It quantifies the increased risk of thromboembolism associated with oral, though not transdermal, HRT. It evaluates the repeated claims that HRT is associated with an increased risk of breast cancer development, and, when administered to breast cancer survivors, an increased risk of breast cancer recurrence. Read More

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Orthopedic surgeons and physical therapists differ regarding rehabilitative needs after lower extremity fracture repair.

Physiother Theory Pract 2022 May 20:1-8. Epub 2022 May 20.

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Background: Little evidence is available to guide physical therapy (PT) following lower extremity fracture repair distal to the hip. As such, variability has been reported in the way PT is utilized post-operatively. Examination of current practice by orthopedic surgeons (OS) and physical therapists is needed to inform clinical practice guidelines in this area. Read More

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Mid-term outcomes of the Wagner Cone Prosthesis™ stem for developmental dysplasia of the hip: minimum two year follow-up.

Int Orthop 2022 May 20. Epub 2022 May 20.

Department of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, ON, M5G 1X5, Canada.

Purpose: Treatment of symptomatic developmental dysplasia of the hip (DDH) requires a technically demanding total hip arthroplasty (THA) reconstruction. In patients with DDH, prostheses can be difficult to implant and often face the risk of fracture, mismatch, and loosening. The Wagner Cone Prosthesis™ is a tapered, conical stem which can improve treatment success in this population. Read More

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Mapping Knowledge Structure and Themes Trends of Post-operative Rehabilitation of Hip Fractures in the Elderly: A Bibliometrics and Visualization Study.

Front Surg 2022 3;9:881555. Epub 2022 May 3.

The Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China.

Background: Hip fractures are a common type of fracture in the elderly and are characterized by many complications and high mortality. Many topics concerning postoperative rehabilitation of hip fracture in elderly people still remain controversial, and the global research trend in this field has not yet been well studied. The aim of the present study was to illustrate the overall knowledge structure, development trends, and research hot spots of postoperative rehabilitation of hip fracture in elderly people. Read More

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Results of the short neck-retaining stem prostheses CFP with a minimum follow-up of 10 years.

Rev Esp Cir Ortop Traumatol 2022 May-Jun;66(3):176-181. Epub 2021 Nov 24.

Hospital Universitari Sant Rafael, Barcelona, España. Electronic address:

Background And Objective: Bone-preserving implants in primary total hip arthroplasty have become an increasingly popular treatment choice, especially short stems. Currently there are many models with morphological and biodynamic differences, among which stand out the neck-retaining systems, but there are not many studies with a long-term follow-up of these systems. The objective of this study is to retrospectively analyze the results of the Collum Femoris Preserving (CFP) short neck-retaining stem system with a minimum follow-up of 10 years. Read More

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November 2021

Mortality before and after reconfiguration of the Danish hospital-based emergency healthcare system: a nationwide interrupted time series analysis.

BMJ Qual Saf 2022 May 19. Epub 2022 May 19.

Department of Emergency Medicine, South West Jutland Hospital Medical Library, Esbjerg, Denmark.

Objectives: The study aimed to investigate how the 'natural experiment' of reconfiguring the emergency healthcare system in Denmark affected in-hospital and 30-day mortality on a national level. The reconfiguration included the centralisation of hospitals and the establishment of emergency departments with specialists present around the clock.

Design: Hospital-based cohort study. Read More

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Mortality and functional consequences after revision osteosynthesis for peritrochanteric fractures treated by intramedullary nail: A retrospective study of 312 patients.

Orthop Traumatol Surg Res 2022 May 16:103325. Epub 2022 May 16.

CH Dunkerque, Service Orthopédie et Traumatologie, 59240 Dunkerque, France.

Introduction: Osteosynthesis of peritrochanteric fractures by intramedullary nail is associated with a 3 to 15% rate of complications requiring revision surgery. The objective of our study was to compare mortality and autonomy between patients who required revision surgery after osteosynthesis, and patients without revision surgery.

Hypotheses: Patients who underwent revision surgery after osteosynthesis of a peritrochanteric fracture by intramedullary nail did not exhibit excess mortality or loss of autonomy compared to those who did not undergo revision surgery. Read More

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Association between Malnutrition Severity and Swallowing Function in Convalescent Rehabilitation Wards: A Multi-Center Cohort Study in Malnourished Patients with Sarcopenic Dysphagia.

J Nutr Health Aging 2022 ;26(5):469-476

Hidetaka Wakabayashi, MD, PhD, Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, Tokyo, Japan, 8-1, Kawada-cho, Shinjuku-ku, Tokyo, Japan. Code; 162-0054, Tel: +81-3-3353-8111, Fax: +81-3-5269-7639, E-mail:

Objectives: To evaluate the characteristics of sarcopenic dysphagia (SD) and the prognosis of swallowing function in convalescent rehabilitation hospital patients; and to investigate the association between malnutrition severity and SD.

Design: A prospective, multi-center, cohort study.

Setting: We extracted registry data from the Japanese Sarcopenic Dysphagia Database, focusing on patients admitted to convalescent rehabilitation hospitals. Read More

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January 2022

Micro-Computed Tomography Analysis of Femoral Head Necrosis After Long-Term Internal Fixation for Femoral Neck Fracture.

Orthop Surg 2022 May 19. Epub 2022 May 19.

Department of Orthopaedics, Second Hospital of Shanxi Medical University, Taiyuan, China.

Objective: To analyze necrotic femoral head after long-term internal fixation for femoral neck fractures using micro-computed tomography (CT) for bone histomorphometry.

Methods: The experimental group included six patients (two men and four women; mean age 62.00 ± 9. Read More

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Repeat Bone Mineral Density Screening Measurement and Fracture Prediction in Older Men: A Prospective Cohort Study.

J Clin Endocrinol Metab 2022 May 19. Epub 2022 May 19.

California Pacific Medical Center Research Institute, San Francisco, CA.

Context: Whether repeated bone mineral density (BMD) screening improves fracture prediction in men is uncertain.

Objective: Evaluate whether a second BMD 7 years after the initial BMD improves fracture prediction in older men.

Methods: 3,651 community-dwelling men (mean age 79. Read More

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Computer-Assisted Navigation for Complex Revision of Unstable Total Hip Replacement in a Patient With Post-traumatic Arthritis.

Arthroplast Today 2022 Jun 10;15:153-158. Epub 2022 May 10.

Yale Department of Orthopaedics and Rehabilitation, New Haven, CT, USA.

Imageless computer-assisted navigation (CAN) excels in the post-traumatic arthritis and complex revision case setting when altered anatomy and landmarks are inaccurate references for cup positioning. We describe the case of an adult male patient who suffered an acetabular fracture which was treated nonoperatively. He subsequently developed post-traumatic arthritis and underwent an anterior approach total hip arthroplasty 25 years later. Read More

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Novel Insight into the Relationship Between Muscle-Fat and Bone in Type 2 Diabetes Ranging from Normal Weight to Obesity.

Diabetes Metab Syndr Obes 2022 10;15:1473-1484. Epub 2022 May 10.

Department of Endocrinology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China.

Objective: Decreased bone mineral density (BMD) is a common complication in individuals with type 2 diabetes mellitus (T2DM). Body weight, mainly consisting of muscle and fat, is the main determinant of BMD and fracture risks but does not accurately describe nutritional status. Most studies suggest that skeletal muscle mass (SMM) promotes BMD, while body fat mass (BFM) decreases BMD. Read More

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Increased risk of high-grade heterotopic ossification using direct lateral approach versus a muscle-sparing anterolateral approach to the hip: radiological results from a randomised trial in patients with a femoral neck fracture treated with hemiarthroplasty.

Hip Int 2022 May 18:11207000221097639. Epub 2022 May 18.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Background And Purpose: Hemiarthroplasty is a common treatment in patients with displaced femoral neck fracture. Due to positive claims of less pain, earlier mobilisation and favourable functional outcome, the anterior approaches to the joint are gaining in popularity. This randomised controlled trial investigated if component placement and heterotopic ossification differed between a muscle sparing anterior approach and a direct lateral approach. Read More

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Multiple cannulated screw fixation of femoral neck fractures with comminution in young- and middle-aged patients.

J Orthop Surg Res 2022 May 18;17(1):280. Epub 2022 May 18.

Department of Hip Trauma, Tianjin Hospital, No. 406 Jiefang South Road, Hexi District, Tianjin, 300211, China.

Objective: To investigate the distribution and influence of comminution in femoral neck fracture (FNF) patients after cannulated screw fixation (CSF).

Methods: From January 2019 to June 2020, a total of 473 patients aged 23-65 years with FNF treated by CSF were included in the present study. Based on location of the cortical comminution, FNF patients were assigned to two groups: the comminution group (anterior comminution, posterior comminution, superior comminution, inferior comminution, multiple comminutions) or the without comminution group. Read More

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Vertebral fractures, trabecular bone score and their determinants in chronic hypoparathyroidism.

J Endocrinol Invest 2022 May 19. Epub 2022 May 19.

Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, 110029, India.

Purpose: Patients with hypoparathyroidism are at risk of vertebral fractures (VFs) despite high bone mineral density (BMD). We investigated this paradox by assessing trabecular bone score (TBS) and hip structural analysis (HSA) in non-surgical chronic hypoparathyroidism (cHypoPT) with and without VFs.

Methods: 152 cHypoPT patients (age 40. Read More

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Surgical Management for Chronic Destructive Septic Hip Arthritis: Debridement, Antibiotics, and Single-Stage Replacement is as Effective as Two-Stage Arthroplasty.

Orthop Surg 2022 May 18. Epub 2022 May 18.

Department of Orthopaedic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Objective: To compare the surgical outcomes of debridement, antibiotics, and single-stage total hip replacement (DASR) vs two-stage arthroplasty (two-stage arthroplasty) for chronic destructive septic hip arthritis (SHA).

Methods: Cases of chronic destructive SHA treated by DASR or two-stage arthroplasty in our department from January 2008 to October 2021 were retrospectively reviewed. Patient demographic information, perioperative inflammation markers, intraoperative blood loss, microbial culture, and metagenomic new generation sequencing results were recorded. Read More

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Effects of a 12-month home-based exercise program on functioning after hip fracture - Secondary analyses of an RCT.

J Am Geriatr Soc 2022 May 18. Epub 2022 May 18.

Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.

Background: Long-term functional limitations are common after hip fractures. Exercise may alleviate these negative consequences but there is no consensus on an optimal training program. The objective was to study the effects of a 12-month home-based supervised, progressive exercise program on functioning, physical performance, and physical activity. Read More

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The Screening of Fixation-Related Infection in Patients Undergoing Conversion Total Hip Arthroplasty after Failed Internal Fixation of Hip Fractures: A Single-Central Retrospective Study.

Orthop Surg 2022 May 18. Epub 2022 May 18.

Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu, China.

Objective: To evaluate the diagnostic values of preoperative plasma fibrinogen and platelet count for screening fixation-related infection (FRI) in patients undergoing conversion total hip arthroplasty (cTHA) after failed internal fixation of hip fractures.

Method: This was a single-center retrospective study. Data were retrospectively analyzed for 435 patients who underwent cTHA in our hospital from January 2008 to September 2020. Read More

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The effect of tranexamic acid on the reduction of intraoperative and postoperative blood loss and thromboembolic risk in patients with hip fracture.

Open Med (Wars) 2022 29;17(1):857-862. Epub 2022 Apr 29.

Department of Physical Medicine and Rehabilitation, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, 34000, Serbia.

The aim of this study is to determine whether the use of tranexamic acid (TXA) in patients with hip fracture reduces intraoperative and postoperative blood loss, and on the other hand, whether it increases thromboembolic risk. The study was performed on patients with hip fracture for a period of one year. Patients were divided into two groups (1:1): the first group receiving TXA and the second group receiving placebo. Read More

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Direct anterior approach hip arthroplasty: How to reduce complications - A 10-years single center experience and literature review.

World J Orthop 2022 Apr 18;13(4):388-399. Epub 2022 Apr 18.

Department of Orthopedic Trauma, SS Annunziata Hospital, Savigliano 12038, Italy.

Background: The direct anterior approach for total hip arthroplasty (DAA-THA) is increasing in popularity due to some advantages such as less surgical trauma, minimal dissection of soft tissues, shorter rehabilitation times, faster return to daily activities, lower incidence of dislocation. On the other hand, the literature reports a high rate of intraoperative complications, with many different rates and complication types in the published papers.

Aim: To analyze our complications comparing results with the literature; to report measures that we have taken to reduce complications rate. Read More

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Cutoff Value for a Nutritional Indicator Related to Gait Independence in Elderly Fracture Patients: A Preliminary Study.

Phys Ther Res 2022 6;25(1):26-30. Epub 2021 Dec 6.

Department of Rehabilitation, Kita-Fukushima Medical Center, Japan.

Objective: Previous studies have reported the relationship between nutritional status and gait independence in elderly fracture patients. However, the degree to which nutritional indicators are related to gait independence is unclear. The purpose of this study is to calculate a cutoff value for a nutritional indicator related to gait independence in patients with hip and vertebral compression fractures. Read More

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December 2021

Conversion hip arthroplasty via the direct anterior approach: pearls, pitfalls and personal experience.

Oper Orthop Traumatol 2022 May 17. Epub 2022 May 17.

Department of Orthopaedic and Trauma Surgery, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Objective: Conversion total hip arthroplasty (CTHA) through a direct anterior approach (DAA) in supine position.

Indications: Failed osteosynthesis of proximal femoral fractures or failed conservative hip surgery, with hardware in situ.

Contraindications: Decayed general conditions, infection (peri-implant or systemic infection), need for greater trochanter reconstruction, severe proximal femur deformity. Read More

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Thigh muscle composition and its relationship to functional recovery post-hip fracture over time and between sexes.

J Gerontol A Biol Sci Med Sci 2022 May 17. Epub 2022 May 17.

Division of Gerontology and Palliative Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD.

Background: CT-scan measures of muscle composition may be associated with recovery post hip fracture.

Methods: In an ancillary study to Baltimore Hip Studies 7th cohort, older adults were evaluated at 2 and 6 months post-hip fracture. CT-scan measures of muscle were acquired at 2 months. Read More

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