35,836 results match your criteria Fracture Hip


Long-Term Drug Therapy and Drug Discontinuations and Holidays for Osteoporosis Fracture Prevention: A Systematic Review.

Ann Intern Med 2019 Apr 23. Epub 2019 Apr 23.

University of Minnesota and Minneapolis VA Health Care System, Minneapolis, Minnesota (H.A.F., R.M., K.E.E., K.U., B.C.T., T.J.W.).

Background: Optimal long-term osteoporosis drug treatment (ODT) is uncertain.

Purpose: To summarize the effects of long-term ODT and ODT discontinuation and holidays.

Data Sources: Electronic bibliographic databases (January 1995 to October 2018) and systematic review bibliographies. Read More

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http://dx.doi.org/10.7326/M19-0533DOI Listing

Changes in Use of Postacute Care Associated With Accountable Care Organizations in Hip Fracture, Stroke, and Pneumonia Hospitalized Cohorts.

Med Care 2019 Apr 18. Epub 2019 Apr 18.

The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Lebanon, NH.

Objective: To examine changes in more and less discretionary condition-specific postacute care use (skilled nursing, inpatient rehabilitation, home health) associated with Medicare accountable care organization (ACO) implementation.

Data Sources: 2009-2014 Medicare fee-for-service claims.

Study Design: Difference-in-difference methodology comparing postacute outcomes after hospitalization for hip fracture and stroke (where rehabilitation is fundamental to the episode of care) to pneumonia, (where it is more discretionary) for beneficiaries attributed to ACO and non-ACO providers. Read More

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http://dx.doi.org/10.1097/MLR.0000000000001121DOI Listing

Chemoprophylaxis for the Hip Fracture Patient: A Comparison of Warfarin and Low-Molecular-Weight Heparin.

J Orthop Trauma 2019 May;33(5):216-219

Department of Orthopaedic Surgery, University Hospitals, Cleveland Medical Center, Case Western Reserve University, Cleveland, OH.

Objective: To compare the rates of deep venous thrombosis (DVT), rates of pulmonary embolus (PE), and complication profiles of warfarin and low-molecular-weight heparin (LMWH) in patients undergoing operative fixation of hip fractures.

Design: Retrospective cohort study.

Setting: Insurance-based database of more than 22 million patient records. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001435DOI Listing

Epidemiology of fragility hip fractures in Nan, Thailand.

Osteoporos Sarcopenia 2019 Mar 17;5(1):19-22. Epub 2019 Mar 17.

Department of Orthopaedic Surgery, Nan Hospital, Nan, Thailand.

Objectives: Hip fracture is the most serious consequence of falling in elderly with osteoporosis. Patients with hip fractures suffer functional deterioration and increased morbidity especially during the first year after fracture. Rapid increase in the proportion of the elderly increases the prevalence of hip fractures in Thailand, leading to major problem for public health. Read More

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http://dx.doi.org/10.1016/j.afos.2019.03.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452923PMC

Predictors of fragility fracture and low bone mineral density in patients with a history of parental fracture.

Osteoporos Sarcopenia 2019 Mar 15;5(1):6-10. Epub 2019 Mar 15.

University Hospitals of Morecambe Bay NHS Foundation Trust, Royal Lancaster Infirmary, Rheumatology, Ashton Road, Lancaster, Lancashire, UK.

Objectives: Bone mineral density (BMD) and fragility fracture (FF) have high heritability, but few data exist on impact of other factors on families with fracture history. We aimed to evaluate predictors of FF and low BMD, in patients with family history of FF.

Methods: This was a retrospective study on patients undergoing dual energy X-ray absorptiometry at a district general hospital (DGH), 2004-2016. Read More

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http://dx.doi.org/10.1016/j.afos.2019.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452922PMC

Polyarticular Neurogenic Heterotopic Ossification in a Spinal Cord Injury: A Case Report from Saudi Arabia.

Cureus 2019 Feb 5;11(2):e4019. Epub 2019 Feb 5.

Physical Medicine and Rehabilitation, King Fahad Medical City, Riyadh, SAU.

A 33-year-old male victim of a motor vehicle accident, who presented with a T12 (thoracic 12 vertebra) burst fracture (ISNCSCI T11 AIS-A: International Standards for Neurological Classification of Spinal Cord Injury T11 ASIA Impairment Scale), was admitted to a rehabilitation hospital. A stage-II left ischial pressure ulcer was also reported. An X-ray of the pelvis revealed bilateral neurogenic heterotopic ossification (NHO) in both hips and knees, which was further confirmed by TC-99m methylene diphosphonate (MDP) bone scintigraphy. Read More

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http://dx.doi.org/10.7759/cureus.4019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453613PMC
February 2019

Insulin use and fracture risk in patients with type 2 diabetes: A meta-analysis of 138,690 patients.

Exp Ther Med 2019 May 1;17(5):3957-3964. Epub 2019 Apr 1.

Department of Radiology, The First Affiliated Hospital, Jinan University, Guangzhou, Guangdong 510627, P.R. China.

Patients with type 2 diabetes mellitus (T2DM) have been reported to have an enhanced risk of bone fracture, however the association between insulin treatment and risk of fracture in patients with T2DM remains to be fully elucidated. The aim of the present meta-analysis was to examine the possible association between insulin treatment and risk of fracture in patients with T2DM. Relevant studies published prior to and including April 2018 were identified by literature searches in PubMed, Embase and Cochrane Library databases. Read More

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http://dx.doi.org/10.3892/etm.2019.7461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468519PMC

Effectiveness of acute in-hospital occupational therapy for older patients with hip fracture.

Geriatr Gerontol Int 2019 Apr 21. Epub 2019 Apr 21.

Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan.

Aim: To test the hypothesis that hip fracture patients who receive occupational therapy (OT) have better functional ability than those who do not.

Methods: This retrospective observational study utilized data from the Japan Rehabilitation Database spanning 2005-2015. In-hospital hip fracture patients admitted to acute hospitals were identified. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ggi.13675
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http://dx.doi.org/10.1111/ggi.13675DOI Listing
April 2019
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Breakage of metal hip arthroplasty components: Retrieval and structural analysis.

Biomed Mater Eng 2019 Apr 12. Epub 2019 Apr 12.

Department of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, Poznan University of Medical Sciences, Poznan, Poland.

Background: Breakage of joint arthroplasty components are rare, yet during an implant retrieval program we found several cases.

Objective: In this study we examined the components to determine the causes and mechanisms of breakage of these implants.

Methods: From our collection of 849 retrievals we selected 682 cases with metal parts (503 hip, 79 knee arthroplasties) and identified fractured components: seven hip resurfacing implants, five total hip replacement stems, one monopolar femoral head, and one modular revision femoral stem from. Read More

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http://dx.doi.org/10.3233/BME-191053DOI Listing

Evaluation of Endoscopic Iliopsoas Tenotomy for Treatment of Iliopsoas Impingement After Total Hip Arthroplasty.

J Arthroplasty 2019 Mar 27. Epub 2019 Mar 27.

Orthopedic & Fracture Specialists, Portland, OR.

Background: Iliopsoas impingement after total hip arthroplasty (THA) occurs in up to 4.3% of patients resulting in functional groin pain. Operative treatment historically has included open iliopsoas tenotomy or acetabulum revision. Read More

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http://dx.doi.org/10.1016/j.arth.2019.03.030DOI Listing

Prior Hip Arthroscopy Increases Risk for Perioperative Total Hip Arthroplasty Complications: A Matched-Controlled Study.

J Arthroplasty 2019 Apr 1. Epub 2019 Apr 1.

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.

Background: Arthroscopic hip surgery is becoming increasingly popular for the treatment of femoroacetabular impingement and labral tears. Reports of outcomes of hip arthroscopy converted to total hip arthroplasty (THA) have been limited by small sample sizes. The purpose of this study was to investigate the impact of prior hip arthroscopy on THA complications. Read More

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http://dx.doi.org/10.1016/j.arth.2019.03.066DOI Listing

The spatial differences in bone mineral density and hip structure between low-energy femoral neck and trochanteric fractures in elderly Chinese using quantitative computed tomography.

Bone 2019 Apr 17. Epub 2019 Apr 17.

Department of Radiology, Beijing Jishuitan Hospital, Beijing, China. Electronic address:

The purpose of this study was to investigate the differences in bone mineral density (BMD) and hip structure between femoral neck and trochanteric fractures in elderly Chinese individuals using quantitative computed tomography (QCT). A total of 625 Chinese patients (mean age 75.8 years) who sustained low-energy hip fractures (female: 293 femoral neck, 175 trochanteric; male: 82 femoral neck, 75 trochanteric) were recruited. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S87563282193013
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http://dx.doi.org/10.1016/j.bone.2019.04.007DOI Listing
April 2019
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Intramedullary Nail Fixation Assisted by Orthopaedic Robot Navigation for Intertrochanteric Fractures in Elderly Patients.

Orthop Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Orthopaedics, Pidu District People's Hospital, Chengdu.

Objective: To compare the clinical efficacy of intramedullary nail fixation for intertrochanteric fractures assisted by orthopaedic robot navigation and the traditional intramedullary nail fixation in elderly patients, and to investigate the application advantages of intramedullary nail fixation for femoral intertrochanteric fractures assisted by orthopaedic robot navigation in the elderly.

Methods: Among the 51 patients with intertrochanteric fractures who were selected from April 2015 to September 2017 in the Affiliated Hospital of Chengdu University, 25 patients underwent the intramedullary nail fixation assisted by orthopaedic robot navigation (orthopaedic robot navigation surgery group) and 26 patients underwent the traditional intramedullary nail fixation (traditional surgery group). The operation time, the number of intraoperative fluoroscopy images taken, the frequency of guide pins inserted into the femoral marrow cavity, the amount of intraoperative bleeding, and the one-time success rate of the guide pin inserted into the femoral marrow cavity were recorded. Read More

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http://dx.doi.org/10.1111/os.12447DOI Listing

Bone mineral density in patients with longstanding type 1 diabetes: Results from the Canadian Study of Longevity in Type 1 Diabetes.

J Diabetes Complications 2018 Dec 22. Epub 2018 Dec 22.

Division of Endocrinology and Metabolism, Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada. Electronic address:

Aim: It is currently unclear if longstanding type 1 diabetes (T1D) affects bone mineral density (BMD).

Methods: BMD measured by dual-energy X-ray absorptiometry and history of fragility fracture was determined in 75 T1D participants with ≥50 years of diabetes duration and 75 age- and sex-matched non-diabetic controls. BMD T-scores were determined for the lumbar spine (LS), total hip (TH) and femoral neck (FN). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10568727183108
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http://dx.doi.org/10.1016/j.jdiacomp.2018.12.009DOI Listing
December 2018
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Factors Associated With Bone Density Monitoring While on Antiosteoporosis Treatment in Routine Clinical Practice: A Registry-Based Cohort Study.

J Clin Densitom 2019 Mar 21. Epub 2019 Mar 21.

Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.

The role for bone mineral density (BMD) monitoring while on antiosteoporosis therapy remains controversial. The current study used population-based registries to identify factors associated with BMD monitoring in women within 5 yr of receiving antiosteoporosis treatment vs treatment without monitoring in routine clinical practice. The analytical dataset consisted of women age 40 yr and older at baseline receiving antiosteoporosis therapy: 6877 with BMD monitoring (mean interval 3. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10946950193003
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http://dx.doi.org/10.1016/j.jocd.2019.03.006DOI Listing
March 2019
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Denosumab improves clinical manifestations of hypophosphatemic osteomalacia by adefovir-induced Fanconi syndrome: a case report.

J Med Case Rep 2019 Apr 20;13(1):99. Epub 2019 Apr 20.

Department of Endocrinology and Metabolism, Dokkyo Medical University, Mibu, Shimotsuga, Tochigi, 321-0293, Japan.

Background: Adefovir dipivoxil is a nucleotide analogue that is approved for treatment of chronic hepatitis B. Adefovir dipivoxil is associated with proximal tubular dysfunction, resulting in Fanconi syndrome, which can cause secondary hypophosphatemic osteomalacia. We describe a case of a patient with hypophosphatemic osteomalacia secondary to Fanconi syndrome induced by adefovir dipivoxil concomitantly with osteoporosis in whom clinical symptoms were improved by adding denosumab (a human monoclonal antibody targeting the receptor activator of nuclear factor-κB ligand) to preceding administration of vitamin D. Read More

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http://dx.doi.org/10.1186/s13256-019-2018-7DOI Listing

Productivity growth of skilled nursing facilities in the treatment of post-acute-care-intensive conditions.

PLoS One 2019 19;14(4):e0215876. Epub 2019 Apr 19.

School of Pharmacy, University of Southern California, Los Angeles, California, United States of America.

Background: Health care is believed to be suffered from a "cost disease," in which a heavy reliance on labor limits opportunities for efficiencies stemming from technological improvement. Although recent evidence shows that U.S. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215876PLOS
April 2019
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Comparison of Risk of Osteoporotic Fracture in Denosumab vs Alendronate Treatment Within 3 Years of Initiation.

JAMA Netw Open 2019 Apr 5;2(4):e192416. Epub 2019 Apr 5.

Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.

Importance: Head-to-head randomized clinical trials showed greater efficacy of denosumab vs alendronate in improving bone mineral density. Although there is an association of changes in bone mineral density with reductions in fracture risk, the magnitude of the association is not well established.

Objective: To compare the risk of hip and any fracture in patients treated with denosumab and alendronate in routine practice settings. Read More

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http://jamanetworkopen.jamanetwork.com/article.aspx?doi=10.1
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http://dx.doi.org/10.1001/jamanetworkopen.2019.2416DOI Listing
April 2019
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Correlation between miR-1207-5p expression with steroid-induced necrosis of femoral head and VEGF expression.

Eur Rev Med Pharmacol Sci 2019 Apr;23(7):2710-2718

Department of Orthopedic, Daqing Oilfield General Hospital, Daqing, China.

Objective: The aim of this study was to investigate the expression level of micro-ribonucleic acid-1207-5p (miR-1207-5p) in steroid-induced necrosis of femoral head (SNFH) and its correlation with SNFH. Meanwhile, we also aimed to analyze the relationship between miR-1207-5p expression and vascular endothelial growth factor (VEGF) in the femoral head.

Patients And Methods: From May 2016 to December 2017, 60 patients aged (55. Read More

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http://dx.doi.org/10.26355/eurrev_201904_17541DOI Listing

Early Mobilization Post-Hip Fracture Surgery.

Geriatr Orthop Surg Rehabil 2019 7;10:2151459319826431. Epub 2019 Apr 7.

Flinders University Faculty of Medicine, Nursing and Health Sciences, Adelaide, South Australia, Australia.

Introduction: Early mobilization after hip fracture surgery is a widely practiced component of postoperative care. However, there is little evidence to suggest that early mobilization post-hip fracture surgery is beneficial in reducing postoperative complications. This study aims to investigate the effect of early mobilization following hip fracture surgery on postoperative complications. Read More

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http://dx.doi.org/10.1177/2151459319826431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454638PMC
April 2019
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The Exeter Short Revision Stem for Cement-in-Cement Femoral Revision: A Five to Twelve Year Review.

J Arthroplasty 2019 Mar 19. Epub 2019 Mar 19.

Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, United Kingdom.

Background: Cement-in-cement femoral revision is a proven technique in revision total hip arthroplasty, with excellent results reported using standard-sized Exeter stems. The Exeter 44/00/125 short revision stem was introduced in 2004 to facilitate cement-in-cement revision. The stem is 25-mm shorter and has a slimmer body than standard stems to facilitate adjustment of depth of insertion and stem version. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403193025
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http://dx.doi.org/10.1016/j.arth.2019.03.035DOI Listing
March 2019
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What Is the Impact of a Previous Femoral Osteotomy on THA? A Systematic Review.

Clin Orthop Relat Res 2019 May;477(5):1176-1187

E. Gallazzi, L. Zagra, IRCCS Istituto Ortopedico Galeazzi, Hip Department, vi R. Galeazzi, Milan, Italy I. Morelli, G. Peretti, Department of Biomedical Sciences for Health, University of Milan, Milan, Italy IRCCS Istituto Ortopedico Galeazzi, via R. Galeazzi Milan, Italy.

Background: Femoral osteotomies have been widely used to treat a wide range of developmental and degenerative hip diseases. For this purpose, different types of proximal femur osteotomies were developed: at the neck as well as at the trochanteric, intertrochanteric, or subtrochanteric levels. Few studies have evaluated the impact of a previous femoral osteotomy on a THA; thus, whether and how a previous femoral osteotomy affects the outcome of THA remains controversial. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000659DOI Listing
May 2019
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Centenarian hip fracture patients: a nationwide population-based cohort study of 507 patients.

Acta Orthop 2019 Apr 18:1-10. Epub 2019 Apr 18.

d Department of Clinical Biochemistry , Hvidovre Hospital, University of Copenhagen , Hvidovre , Denmark.

Background and purpose - Several studies suggest a global increase of centenarians during the 21st century. We describe temporal trends of hip fracture incidence and mortality in this group and compare these patients with a group of younger hip fracture patients with regards to comorbidities and mortality. Patients and methods - The full study population included all hip fractures that occurred in Denmark (n = 154,047) between 1996 and 2012. Read More

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https://www.tandfonline.com/doi/full/10.1080/17453674.2019.1
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http://dx.doi.org/10.1080/17453674.2019.1602386DOI Listing
April 2019
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[Comparison of the effects of two cephalomedullary nails (zimmer natural nail and proximal femoral nail antirotation) in treatment of elderly intertrochan teric fractures].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Apr;51(2):283-287

Department of Traumatology and Orthopaedics, Peking University People's Hospital, Beijing 100044, China.

Objective: To explore the effect of cephalomedullary nails for elderly intertrochanteric fractures: proximal femoral nail antirotation (PFNA) versus zimmer natural nail (ZNN) to provide the data support for clinical perioperative management.

Methods: A retrospective study was used to analyze the clinical data of elderly intertrochanteric fractures cases which were treated with PFNA or ZNN fixation from May 2016 to May 2017. In the study, 59 cases were followed up completely, in which 28 cases accepted PFNA, and the other 31 cases accepted ZNN. Read More

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April 2019
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Cementless short-stem total hip arthroplasty in the elderly patient - is it a safe option?: a prospective multicentre observational study.

BMC Geriatr 2019 Apr 17;19(1):112. Epub 2019 Apr 17.

Department of Orthopaedic Surgery and Traumatology, St. Josefs Hospital Wiesbaden, Beethovenstr. 20, 65189, Wiesbaden, Germany.

Background: Due to its bone preserving philosophy, short-stem total hip arthroplasty (THA) has primarily been recommended for young and active patients. However, there may be benefits for elderly patients given a less invasive operative technique due to the short curved implant design. The purpose of this study was to compare the clinical and radiological outcomes as well as perioperative complications of a calcar-guided short stem between a young (< 60 years) and a geriatric (> 75 years) population. Read More

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http://dx.doi.org/10.1186/s12877-019-1123-1DOI Listing

Large cortical bone pores in the tibia are associated with proximal femur strength.

PLoS One 2019 17;14(4):e0215405. Epub 2019 Apr 17.

Berlin-Brandenburg Center for Regenerative Therapies, Charité -Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.

Alterations of structure and density of cortical bone are associated with fragility fractures and can be assessed in vivo in humans at the tibia. Bone remodeling deficits in aging women have been recently linked to an increase in size of cortical pores. In this ex vivo study, we characterized the cortical microarchitecture of 19 tibiae from human donors (aged 69 to 94 years) to address, whether this can reflect impairments of the mechanical competence of the proximal femur, i. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215405PLOS
April 2019
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[Orthogeriatric care : what specificities ?]

Rev Med Suisse 2019 Apr;15(647):810-814

Service des maladies osseuses, Département de médecine, HUG, 1211 Genève 14.

Hip fracture in the elderly is associated with an increase in disability and mortality. Early intervention programs accelerate the recovery period and reduce mortality. The intervention of geriatricians, with direct responsibility during the acute phase, has demonstrated an optimal benefit, as well as joint management by a geriatrician and an orthopedist. Read More

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April 2019
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Assessment of a Geriatric Hip Fracture Program: Analysis of Harmful Adverse Events Using the Global Trigger Tool.

J Bone Joint Surg Am 2019 Apr;101(8):704-709

Department of Orthopedics, Brown University, Providence, Rhode Island.

Background: The purpose of this study was to assess the impact of adding a geriatric comanagement program to the care of geriatric patients with a hip fracture at our hospital. The Institute for Healthcare Improvement (IHI) Global Trigger Tool (GTT) was used to follow the frequency and severity of adverse events occurring in hospitalized patients and to examine the effectiveness of a comanagement program (the Geriatric Hip Fracture Program [GHFP]).

Methods: Data were collected for patients treated for a hip fracture from 2010 to 2014, which was 1 year prior to (October 2010 to September 2011) and 2 years after the implementation of the GHFP, and were grouped into 3-month intervals for analysis. Read More

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http://dx.doi.org/10.2106/JBJS.18.00376DOI Listing
April 2019
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The association between hand grip strength and rehabilitation outcome in post-acute hip fractured patients.

Aging Clin Exp Res 2019 Apr 16. Epub 2019 Apr 16.

Beit Rivka Geriatric Rehabilitation Center, 4 Hachamisha St, 49245, Petach Tikva, Israel.

Purpose: Various factors have been shown to affect the rehabilitation outcome of hip fractured patients. Considering the decrease in muscle mass with aging and its impact on mobility, we hypothesized that a relationship exists between hand grip strength and rehabilitation outcome.

Methods: We retrospectively studied 373 post-hip fracture patients, admitted for rehabilitation. Read More

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http://dx.doi.org/10.1007/s40520-019-01200-yDOI Listing

Relationship between comorbidities and treatment decision-making in elderly hip fracture patients.

Aging Clin Exp Res 2019 Apr 16. Epub 2019 Apr 16.

Department of Geriatrics, West China Hospital, Sichuan University, NO. 37 GuoXue Road, Chengdu, 610041, Sichuan, China.

Background: Elderly patients are at a higher risk for hip fracture. Moreover, hospitalized elderly patients with hip fracture are vulnerable to adverse outcomes including higher mortality rate and long-term disability. Treatment decision-making with respect to surgical procedure and perioperative management of these patients is typically challenging owing to the presence of multiple comorbid conditions. Read More

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http://dx.doi.org/10.1007/s40520-019-01134-5DOI Listing

Incidence and excess mortality of hip fractures in a predominantly Caucasian population in the South of Brazil.

Arch Osteoporos 2019 Apr 16;14(1):47. Epub 2019 Apr 16.

Endocrine Center of UFPR, Universidade Federal do Paraná, Curitiba, Brazil.

Introduction: Osteoporosis is a very common disease, and data on its epidemiology is important for health care strategy implementation. Brazil is a developing country; its population is aging, leading to an expected increase in hip fractures and their undesirable consequences.

Objective: Assess the incidence of osteoporotic hip fractures and subsequent mortality in Southern Brazil as part of a large epidemiological study aiming to reinforce the data for FRAX Brazil. Read More

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http://dx.doi.org/10.1007/s11657-019-0597-yDOI Listing

Long-term thiazide use and risk of low-energy fractures among persons with Alzheimer's disease-nested case-control study.

Osteoporos Int 2019 Apr 16. Epub 2019 Apr 16.

School of Pharmacy, University of Eastern Finland, Kuopio, Finland.

We investigated the association between thiazide use and the risk of low-energy fractures among community dwellers with Alzheimer's disease. Longer use was associated with a decreased risk of low-energy fractures. This study extends the previous knowledge of reduced fracture risk of thiazides to persons with Alzheimer's disease. Read More

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http://dx.doi.org/10.1007/s00198-019-04957-0DOI Listing

Two Approaches to Classifying and Quantifying Physical Resilience in Longitudinal Data.

J Gerontol A Biol Sci Med Sci 2019 Apr 17. Epub 2019 Apr 17.

Duke University, Durham, North Carolina, United States.

Background: Approaches for quantifying physical resilience in older adults have not been described.

Methods: We apply 2 conceptual approaches to defining physical resilience to existing longitudinal datasets in which outcomes are measured after an acute physical stressor. A "recovery phenotype" approach uses statistical methods to describe how quickly and completely a patient recovers. Read More

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https://academic.oup.com/biomedgerontology/advance-article/d
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http://dx.doi.org/10.1093/gerona/glz097DOI Listing
April 2019
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Higher dose but not low dose proton pump inhibitors are associated with increased risk of subsequent hip fractures after first hip fracture: A nationwide observational cohort study.

Bone Rep 2019 Jun 1;10:100204. Epub 2019 Apr 1.

Ludwig Boltzmann Institute of Osteology, Hanusch Hospital of the WGKK and AUVA Trauma Center, 1 Medical Department at Hanusch Hospital, Heinrich Collin Str. 30, 1140 Vienna, Austria.

Aim: To examine the association of proton pump inhibitor (PPI) use with subsequent hip fracture incidence in hip fracture patients, accounting for gender, age, PPI doses, PPI initiation before or after first fracture, and year from first fracture in which the first subsequent fracture occurred.

Methods: Data from 31,668 Austrian patients ≥50 years with the first hip fracture between July 2008 and December 2010 were analyzed retrospectively. After exclusion of patients on anti-osteoporotic medication, incidence of subsequent hip fractures was compared between users and non-users of PPIs using regression models. Read More

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http://dx.doi.org/10.1016/j.bonr.2019.100204DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451165PMC
June 2019
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Osteoporosis Is Common and Undertreated Prior to Total Joint Arthroplasty.

J Arthroplasty 2019 Mar 28. Epub 2019 Mar 28.

Department of Orthopedics & Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Background: Osteoporosis is common in total joint arthroplasty (TJA) patients and likely contributes to the increasing incidence of periprosthetic fracture. Despite this, the prevalence of osteoporosis in patients undergoing elective TJA is inadequately studied. We hypothesize that preoperative osteoporosis is underrecognized and undertreated in the TJA population. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08835403193030
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http://dx.doi.org/10.1016/j.arth.2019.03.044DOI Listing
March 2019
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Management of fracture risk in Parkinson's: A revised algorithm and focused review of treatments.

Parkinsonism Relat Disord 2019 Apr 8. Epub 2019 Apr 8.

Older People's Unit, Royal United Hospitals Bath NHS Foundation Trust, Combe Park, Bath, BA1 3NG, UK; Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Learning and Research Building, Southmead Hospital, Bristol, BS10 5NB, UK.

Introduction: Falls and fractures are a cause of substantial morbidity in Parkinson's. Despite an excess risk of both falls and osteoporosis, people with Parkinson's perceive that they are less likely to fracture than their peers, despite actually being at higher fracture risk. Recognising this increased risk, in 2014 we published an algorithm to guide management of fracture risk in this high-risk population. Read More

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http://dx.doi.org/10.1016/j.parkreldis.2019.03.021DOI Listing
April 2019
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Short and mid-term outcomes and functional results in metal-on-metal hip resurfacing arthroplasty at 5 years follow-up: the Spanish experience.

BMC Musculoskelet Disord 2019 Apr 16;20(1):172. Epub 2019 Apr 16.

Traumatology and Orthopedic Surgery Department, Hospital Universitario Santa Cristina, Calle del Maestro Vives 2 y 3, Madrid, Spain.

Background: Hip resurfacing arthroplasty (HRA) and in particular, Birmingham hip resurfacing (BHR), is commonly employed as an alternative to total hip arthroplasty (THA) in young patients, as it allows for preservation of femoral bone stock and resumption of physical activity. The aim of our study was to investigate 5-year survival and functional outcomes of BHR arthroplasty in young Spanish osteoarthritis (OA) patients.

Methods: This is an observational, prospective, cohort study of patients who underwent BHR between June 2005 and December 2009 at a Spanish public hospital with a minimum follow-up of 5 years. Read More

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http://dx.doi.org/10.1186/s12891-019-2498-zDOI Listing
April 2019
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Supercapsular percutaneously assisted (SuperPath) approach in total hip arthroplasty : Surgical technique and preliminary results.

Authors:
H Quitmann

Oper Orthop Traumatol 2019 Apr 12. Epub 2019 Apr 12.

Fabricius Klinik, Gelenkzentrum Bergisch Land, Freiheitstsr. 203, 42853, Remscheid, Germany.

Objective: Portal assisted minimally invasive total hip arthroplasty without dislocation of the femoral head with preservation of the hip capsule and the external rotators in the lateral decubitus position for rapid recovery with the option of expandability to a mini posterior or classic posterolateral approach at any time.

Indications: Primary and secondary arthritis of the hip, femoral head necrosis, femoral neck fracture.

Contraindications: Severe anatomical disorders of the proximal femur, congenital high hip dysplasia, implanted hardware in the trochanteric region, local and systemic infections. Read More

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http://dx.doi.org/10.1007/s00064-019-0597-5DOI Listing
April 2019
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Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures.

Exp Ther Med 2019 May 5;17(5):3630-3636. Epub 2019 Mar 5.

Department of Orthopedics, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan 462300, P.R. China.

This study investigated the clinical feasibility and application value of computer virtual reduction combined with three-dimensional (3D) printing technique in patients with complex acetabular fracture. Ninety-six patients diagnosed with complex acetabular fracture in the Orthopedics Department in The Second Affiliated Hospital of Luohe Medical College from January 2016 to June 2017 were selected and randomly divided into the routine operation group (n=48) and the 3D model group (n=48) according to the admission number of the patients. In the 3D model group, computed tomography (CT) scan was performed preoperatively, and the model was made using the virtual technique and 3D printing technique. Read More

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http://www.spandidos-publications.com/10.3892/etm.2019.7344
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http://dx.doi.org/10.3892/etm.2019.7344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447803PMC
May 2019
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Conversion to total hip arthroplasty in posttraumatic arthritis: short-term clinical outcomes.

Orthop Res Rev 2019 4;11:41-46. Epub 2019 Feb 4.

Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran,

Background: Fractures of the acetabulum are challenging and very difficult to treat, and even after fixation, they can lead to posttraumatic arthritis. Total hip arthroplasty (THA) has been the most common surgery performed for the complications of posttraumatic arthritis in this group of patients.

Aim: In this article, it is aimed to assess the functional results and complications of the conversion to THA for posttraumatic arthritis after acetabular fracture. Read More

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https://www.dovepress.com/conversion-to-total-hip-arthroplas
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http://dx.doi.org/10.2147/ORR.S184590DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442317PMC
February 2019
2 Reads

Update in Hospital Medicine: Practical Lessons from Current Literature.

J Hosp Med 2019 Apr 8;14:E1-E5. Epub 2019 Apr 8.

Icahn School of Medicine at Mount Sinai, New York, New York.

Background: Hospital medicine continues to grow in workforce, clinical scope, and academic inquiry. This article provides a summary of recent high-impact publications for busy clinicians who provide care to hospitalized adults.

Methods: Authors reviewed articles that were published between March 2017 and March 2018 for the Update in Hospital Medicine presentations at the 2018 Society of Hospital Medicine and Society of General Internal Medicine annual meetings. Read More

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https://www.journalofhospitalmedicine.com/jhospmed/article/1
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http://dx.doi.org/10.12788/jhm.3206DOI Listing
April 2019
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A safe percutaneous technique for the reduction of irreducible femoral neck fractures using ultrasound localization of the femoral vascular and nervous structures at the hip.

Medicine (Baltimore) 2019 Apr;98(15):e15163

Department of Orthopaedics, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, PR China.

We present a safe percutaneous technique for the placement of Kirschner wires into the femoral head to assist in the reduction of irreducible femoral neck fractures using ultrasound to identify the vascular and nervous structures about the hip.From January 2011 to June 2014, a total of 36 patients (25 males and 11 females) were enrolled in this study. Patients were placed on a fracture reduction table for limb traction. Read More

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http://dx.doi.org/10.1097/MD.0000000000015163DOI Listing
April 2019
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Chemical Hip Denervation for Inoperable Hip Fracture.

Anesth Analg 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Tuen Mun, Hong Kong.

Background: Hip fracture is a challenging geriatric problem for the health care professionals, especially in patients with multiple comorbidities. In patients with inoperable hip fracture secondary to severe comorbid conditions, the pain can lead to significant challenges in nursing care. With the current understanding of the innervation of hip joint, we are now able to perform selective chemical denervation of the articular branches of femoral and obturator nerves to manage the pain associated with inoperable hip fracture. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004172DOI Listing
April 2019
6 Reads

Pediatric and Adolescent Figure Skating Injuries: A 15-Year Retrospective Review.

Clin J Sport Med 2019 Apr 8. Epub 2019 Apr 8.

The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts.

Objective: To analyze the characteristics of injuries sustained by young figure skaters who were evaluated at regional pediatric sports medicine clinics.

Design: Retrospective chart review (2003-2017).

Setting: Sports medicine clinics at a tertiary-level pediatric medical center. Read More

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http://Insights.ovid.com/crossref?an=00042752-900000000-9905
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http://dx.doi.org/10.1097/JSM.0000000000000743DOI Listing
April 2019
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Effects of SGLT2 inhibitors on fractures and bone mineral density in type 2 diabetes mellitus: an updated meta-analysis.

Diabetes Metab Res Rev 2019 Apr 15:e3170. Epub 2019 Apr 15.

NHC Key Laboratory of Hormones and Development (Tianjin Medical University), Tianjin Key Laboratory of Metabolic Diseases, Tianjin Medical University Metabolic Diseases Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin, China.

Aims: To update and determine the effects of sodium glucose co-transporter 2 (SGLT2) inhibitor therapy on fracture and bone mineral density (BMD) in type 2 diabetes mellitus (T2DM) patients.

Materials And Methods: We identified 27 eligible randomized controlled trials (RCTs) that compared the efficacy and safety of SGLT2 inhibitors to a placebo in 20895 T2DM participants, with an average duration of 64.22 weeks. Read More

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http://dx.doi.org/10.1002/dmrr.3170DOI Listing
April 2019
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High Failure at a Minimum 5-Year Follow-Up in Primary Total Hip Arthroplasty Using a Modular Femoral Trunnion.

J Arthroplasty 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL.

Background: Modular femoral trunnions enable the surgeon to independently adjust offset, leg length, and anteversion in total hip arthroplasty (THA). However, modularity may result in an increased risk of fretting and corrosion along with a higher risk of implant dissociation or fracture. The purpose of this study is to evaluate mid-term survivorship of THAs using a cementless modular system. Read More

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http://dx.doi.org/10.1016/j.arth.2019.03.033DOI Listing
March 2019
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State of the art in osteoporosis risk assessment and treatment.

J Endocrinol Invest 2019 Apr 12. Epub 2019 Apr 12.

MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD, UK.

Background: Osteoporosis constitutes a major public health problem, through its association with age-related fractures, particularly of the hip, vertebrae, distal forearm, and humerus. Over recent decades, it has evolved from being viewed as an inevitable consequence of ageing, to being recognised as a serious and eminently treatable disease.

Materials And Methods: In this article, we review the literature pertaining to the epidemiology of osteoporosis, associated health burden, approaches to risk assessment and treatment. Read More

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http://link.springer.com/10.1007/s40618-019-01041-6
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http://dx.doi.org/10.1007/s40618-019-01041-6DOI Listing
April 2019
4 Reads

Association between anticholinergic drug prescription changes and rehabilitation outcome in post-acute hip fractured patients.

Disabil Rehabil 2019 Apr 12:1-6. Epub 2019 Apr 12.

a Beit Rivka Geriatric Rehabilitation Center , Petach Tikva , Israel.

Purpose: To follow changes in anticholinergic drug prescriptions throughout hip fractured patients' rehabilitation; to assess whether a change in anticholinergic burden affects rehabilitation outcome.

Methods: Retrospective study of 869 hip fractured patients admitted between January 2011 to October 2015, performed in a post-acute geriatric rehabilitation center. The Anticholinergic Cognitive Burden Scale quantified the anticholinergic burden. Read More

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http://dx.doi.org/10.1080/09638288.2019.1576782DOI Listing
April 2019
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Comparison of Mid-term Survivorship and Clinical Outcomes between Bipolar Hemiarthroplasty and Total Hip Arthroplasty with Cementless Stem: A Multicenter Retrospective Study.

Orthop Surg 2019 Apr 12. Epub 2019 Apr 12.

Department of Orthopaedic Surgery, Taipei Tzu-Chi Hospital, New Taipei City, Taiwan.

Objectives: To compare the clinical outcome between bipolar hemiarthroplasty (BHA) and total hip arthroplasty (THA) using a U2 HA cementless hip stem, and the results of elderly femoral neck fracture patients who underwent BHA with a cementless hip stem.

Methods: A multicenter retrospective study enrolled 96 BHA and 115 THA cases using U2 HA cementless hip stems with mean age (BHA: 67.9 years; THA: 64. Read More

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http://dx.doi.org/10.1111/os.12440DOI Listing
April 2019
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Long-term functional outcome after a low-energy hip fracture in elderly patients.

J Orthop Traumatol 2019 Apr 11;20(1):20. Epub 2019 Apr 11.

Department of Trauma Surgery, Maastricht University Medical Center+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.

Background: The incidence of hip fractures is increasing. Elderly patients with a hip fracture frequently present with comorbidities, which are associated with higher mortality rates. Clinical studies regarding long-term functional outcome and mortality in hip fractures are rare. Read More

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http://dx.doi.org/10.1186/s10195-019-0529-zDOI Listing
April 2019
1 Read