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Rev Prat 2021 Mar;71(3):e106

Orthopédie, CHU Trousseau, université de Tours, 37044 Tours Cedex, France.

Unfallchirurg 2021 Jun 23. Epub 2021 Jun 23.

Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle, Merseburger Straße 165, 06112, Halle, Deutschland.

Surgical stabilization of high-energy sacral avulsion fractures with spinopelvic dissociation places high demands on the surgeon. The goal is to achieve maximum stability while minimizing invasiveness. The present case of a dislocated U‑type fracture in a 25-year-old motocross rider exemplifies how a reduction with the targeted application of closed reduction techniques through hyperextension of the hip joints and lordosis in the lumbosacral hinge and through a standardized procedure in intraoperative fluoroscopic imaging, a minimally invasive stabilization by means of transsacral screw fixation and spinopelvic fixation of lumbar vertebra 5 to the ilium in the sense of a bilateral triangular stabilization is possible without compromising the achieved stability of the osteosynthesis. Read More

Homo 2021 Jun 23. Epub 2021 Jun 23.

Department of Physical Therapy, Movement & Rehabilitation Sciences, Northeastern University, Boston, MA, USA.

Osteoarthritis (OA) is a leading cause of disability among aging adults. In the U.S. Read More

Drugs Aging 2021 Jun 23. Epub 2021 Jun 23.

Department of Global Innovative Drugs, Graduate School of Chung-Ang University, Seoul, Republic of Korea.

Objective: The aim of this study was to investigate the relationship between the concurrent use of benzodiazepines and opioids and the risk of fractures in older patients with chronic non-cancer pain.

Methods: Patients with osteoarthritis or low back pain (≥ 65 years of age) included in the Korean National Health Insurance Service-National Sample Cohort database of Korea and with an incident diagnosis of hip, humeral, or forearm fracture between 2011 and 2015 were identified as cases. For each case, four controls were matched for age (within 5 years), sex, and year of cohort entry. Read More

Calcif Tissue Int 2021 Jun 23. Epub 2021 Jun 23.

Laboratory of Translational Medicine, CHU Brugmann, Université Libre de Bruxelles, Brussels, Belgium.

The ratio between major osteoporotic fractures (MOFs) and hip fractures in the Belgian FRAX® tool to predict fractures is currently based on Swedish data. We determined these ratios in a prospective cohort of Belgian postmenopausal women. 3560 women, aged 60-85 years (70. Read More

Reg Anesth Pain Med 2021 Jun 22. Epub 2021 Jun 22.

Orthopaedics and Trauma Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia.

Reg Anesth Pain Med 2021 Jun 22. Epub 2021 Jun 22.

Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.

J Invest Surg 2021 Jun 22:1-7. Epub 2021 Jun 22.

Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.

Objective: To investigate the effect of high tibial osteotomy (HTO) combined with arthroscopy on pain and serum inflammatory factors in patients with medial knee osteoarthritis.

Methods: A total of 82 patients with medial knee osteoarthritis were admitted to our hospital. They were randomly divided into HTO-arthroscopy (HTO-A, treated with HTO combined with arthroscopy) group or HTO group (treated with HTO). Read More

Aten Primaria 2021 Jun 19;53(9):102129. Epub 2021 Jun 19.

Medicina de Familia y Comunitaria, Centro de Salud Segovia 1 y Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Segovia, Segovia, España.

Objective: In order to know the social and health consequences of hip fractures (HF).

Design: A retrospective cohort study of an entire health area was carried out in patients aged 75 or more, over a period of 5 years. SITE: Segovia Health Area. Read More

Int Emerg Nurs 2021 Jun 19;57:101012. Epub 2021 Jun 19.

PreHospen-Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden; SU Ambulance, Sahlgrenska University Hospital, Department of Prehospital Emergency Care, Gothenburg, Sweden. Electronic address:

Background: Older persons with a suspected hip fracture and suffering considerable pain are common patients in the emergency medical services (EMS). Pain treatment needs to be improved and fascia iliaca compartment block (FICB) can be one option. The purpose of this paper was to analyse prehospital pain in patients with a suspected hip fracture under EMS care and to compare standard treatment and FICB. Read More

Eur J Orthop Surg Traumatol 2021 Jun 21. Epub 2021 Jun 21.

Department of Orthopaedics, Panzhihua Municipal Central Hospital, Panzhihua, No. 34 on the Street of Yi kang, Panzhihua City, Province Sichuan, China.

Purpose: To review the outcome of high-risk geriatrics with unstable pertrochanteric fractures treated with external fixator.

Methods: Eighteen consecutive patients with pertrochanteric fractures were operated with external fixator by using closed reduction technique. AO type, accompanying diseases, operating time, transfused blood units, duration of hospitalization, complications, healing time and mortality were recorded. Read More

Int Orthop 2021 Jun 21. Epub 2021 Jun 21.

Department of Orthopedic Surgery, Lausanne University Hospital - CHUV, Avenue Pierre-Decker, 4, CH-1011, Lausanne, Switzerland.

Introduction: Comparison of mid- to long-term cause of failure and survivorship of metal-on-metal (MoM) resurfacing hip arthroplasty (RHA) and large head total hip arthroplasty (THA) remains sparse. This study aimed to identify and compare the cause of failure and survivorship of MoM RHA and THA at a minimum ten year follow-up.

Methods: Four hundred twenty-seven MoM hip arthroplasties (286 THA and 141 RHA) were retrospectively analyzed at a mean follow-up of 13 ± three years. Read More

Chin J Traumatol 2021 May 20. Epub 2021 May 20.

Department of Orthopaedics, Max Hospital, Mohali, 160055, India.

Purpose: Hip fractures among elderly patients are surgical emergencies. During COVID-19 pandemic time, many such patients could not be operated at early time because of the limitation of the medical resources, the risk of infection and redirection of medical attention to a severe infective health problem.

Methods: A search of electronic databases (PubMed, Medline, CINAHL, EMBASE and the Cochrane Central Register of Controlled Trials) with the keywords "COVID", "COVID-19″, "SARS-COV-2", "Corona", "pandemic", "hip fracture", "trochanteric fracture" and "neck femur fracture" revealed 64 studies evaluating treatment of hip fracture in elderly patients during COVID-19 pandemic time. Read More

Panminerva Med 2021 Jun;63(2):214-223

Department of Medicine (DIMED), Clinica Medica Uno, University of Padua, Padua, Italy.

Background: Transplantation (Tx) is an effective therapeutic option in patients with end-stage organ failure and osteoporosis and related fractures are a recognized complication in these patients. Aim of this study was to evaluate the efficacy of neridronate in patients with reduced bone mass after Tx of the heart, liver or lung.

Methods: In this multicenter randomized double-blind controlled trial (RCT), 22 patients were treated with neridronate (25 mg i. Read More

J Bone Miner Res 2021 Jun 21. Epub 2021 Jun 21.

Calcium Metabolism & Osteoporosis Program, American University of Beirut Medical Center, Beirut, Lebanon.

The Fracture Risk Assessment Tool (FRAX) is the most widely used tool for fracture prediction. It provides 10-year probabilities for hip and major osteoporotic fracture (MOF). It uses country-specific hip fracture incidence and life expectancy data, and for most countries, MOF/hip fracture incidence rate ratios (IRRs) from Malmo Sweden. Read More

Bull Emerg Trauma 2021 Apr;9(2):51-59

Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India.

Objective: To analyze the factors associated with mortality in fracture patients with concomitant COVID-19 infection based on the available published data.

Methods: Keywords such as "fracture" and "COVID or COVID-19" were searched through three major databases includes PubMed, EMBASE, and Google Scholar. Selection criteria were all published reports providing the mortality related information of COVID-19 positive fracture patients. Read More

EFORT Open Rev 2021 May 4;6(5):380-386. Epub 2021 May 4.

Department of Orthopaedic Surgery, RWTH Aachen University, Aachen, Germany.

The management of femoral neck fractures remains controversial. Treatment options include a wide variety of internal fixation methods, unipolar or bipolar hemiarthroplasty or total hip replacement.We carried out a systematic review of the available literature to detect differences between cemented and cementless fixation of bipolar prostheses in treating femoral neck fractures in patients aged 60 years or older. Read More

Am J Transl Res 2021 15;13(5):5512-5518. Epub 2021 May 15.

The First Department of Orthopedics, The Second Affiliated Hospital of Xi'an Jiaotong University Xi'an, Shaanxi Province, China.

Objective: To apply continuing care to elderly patients with hip fracture undergoing surgery, and to explore its impact on life quality and long-term functional recovery.

Methods: This prospective study was performed in 136 elderly hip fracture patients, who were admitted to the department of orthopedics of our hospital for surgical treatment. According to the random number table, these patients were assigned to the control group and the experimental group (68 patients in each group). Read More

Am J Transl Res 2021 15;13(5):4868-4875. Epub 2021 May 15.

Department of Pain Clinic, The First People's Hospital of Chuzhou Chuzhou 239000, Anhui, China.

Objective: To investigate the implementation of evidence-based nursing model (EBNM) in health education and its influences on the therapeutic effects, degrees of pain, adverse emotions, postoperative complications and degrees of cognition of health knowledge of elderly fracture patients.

Methods: A total of 75 elderly patients with hip fractures receiving surgery in the First People's Hospital of Chuzhou from January 2019 to June 2020 were selected as the study subjects, and were divided into control group (n = 37) and experimental group (n = 38) in accordance with random number table method. The control group received conventional health education, while the experimental group received health education intervention based on EBNM. Read More

J Obstet Gynaecol India 2021 Apr 22;71(2):197-200. Epub 2020 Oct 22.

Department of Obstetrics and Gynaecology, Seth G.S Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra 400012 India.

Vulvar necrosis is a rare complication after lower limb fractures and hip surgeries either due to direct damage to internal pudendal artery or post-surgery ischemic necrosis due to use of a perineal post. We present a series of 3 cases post-orthopedic surgeries with vulvar necrosis. All three patients presented to us after history of orthopedic surgeries which used a perineal post intraoperatively. Read More

Arch Osteoporos 2021 Jun 19;16(1):99. Epub 2021 Jun 19.

Department of Population Health Sciences, School of Population and Environmental Sciences, Kings College London, London, UK.

There is limited evidence from 11 randomised controlled trials on the effect of rehabilitation interventions which incorporate outdoor mobility on ambulatory ability and/or self-efficacy after hip fracture. Outdoor mobility should be central (not peripheral) to future intervention studies targeting improvements in ambulatory ability.

Purpose: Determine the extent to which outdoor mobility is incorporated into rehabilitation interventions after hip fracture. Read More

Rev Esp Cir Ortop Traumatol 2021 Jun 16. Epub 2021 Jun 16.

Servicio de Cirugía Ortopédica y Traumatología, Complexo Hospitalario Universitario de Vigo, Hospital Álvaro Cunqueiro, Vigo, España.

Background And Objectives: Compare the morbidity and mortality, the length of hospital stay and the economic cost of the fragility fracture of the hip, in two nonconsecutive years thanks to the integrated orthogeriatric care.

Material And Method: Retrospective observational cohort study with 633 patients with hip fragility fracture with a mean age of 85.5 years, treated in the same Trauma and Orthopaedic Surgery service in two different years (2012 and 2017). Read More

Knee Surg Relat Res 2021 Jun 19;33(1):18. Epub 2021 Jun 19.

Gold Coast Centre for Bone & Joint Surgery, Gold Coast, Australia.

Int J Nurs Stud 2021 Jun 2;120:103995. Epub 2021 Jun 2.

Department of Gerontology and Health Care Management, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Department of Orthopedic Surgery, Division of Orthopedic Traumatology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; School of Nursing, College of Medicine, Healthy Aging Research Center, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan 33302, Taiwan; Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. Electronic address:

Background: Dementia and hip fracture are both associated with substantial disability and mortality. However, few studies have explored the effects of intervention programs on post-operative recovery of older persons with hip fracture and cognitive impairment.

Objective: To examine the effects of a family-centered care model for older persons with hip fracture and cognitive impairment and their family caregivers. Read More

Jt Dis Relat Surg 2021 11;32(2):333-339. Epub 2021 Jun 11.

Hacettepe Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 06230 Sıhhiye, Ankara, Türkiye.

Objectives: The aim of this study is to investigate the effect of the novel coronavirus-2019 (COVID-19) pandemic on the operational trends in the orthopedic surgery department of a tertiary referral center.

Patients And Methods: A total of 305 orthopedic surgical procedures in 245 patients (136 males, 109 females; mean age: 34±26.6 years; range, 0 to 91 years) between March 16 and June 27, 2020 were retrospectively analyzed. Read More

Jt Dis Relat Surg 2021 11;32(2):323-332. Epub 2021 Jun 11.

Sarkışla Devlet Hastanesi Ortopedi ve Travmatoloji Kliniği, 58400 Sarkışla, Sivas, Türkiye.

Objectives: The aim of this study was to evaluate the impact of novel coronavirus-2019 (COVID-19) on the epidemiological characteristics of orthopedic fractures.

Patients And Methods: A total of 2,960 patients (1,755 males, 1,205 females; mean age: 39.6 years; range, 1 to 98 years) with orthopedic fractures were included in the study: 552 patients during the pandemic period (March 10th and July 1st, 2020) and 1,158 control patients in the same period 2019 and 1,250 control patients in 2018. Read More

Jt Dis Relat Surg 2021 11;32(2):279-289. Epub 2021 Jun 11.

SBÜ, Kanuni Sultan Süleyman Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, 34303 Küçükçekmece, İstanbul, Türkiye.

Objectives: In this study, we present the use of case specific three-dimensional (3D) printed plastic models and custom-made acetabular implants in orthopedic surgery.

Materials And Methods: Between March 2018 and September 2020, surgeries were simulated using plastic models manufactured by 3D printers on the two patients with pilon fractures. Also, custom-made acetabular implants were used on two patients with an acetabular bone defect for the revision of total hip arthroplasty (THA). Read More

BMJ Open 2021 06 18;11(6):e044539. Epub 2021 Jun 18.

ADULT Research Group, Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping, Sweden.

Objectives: To develop an individualised rehabilitation programme for personal and instrumental activities of daily living (ADL) tasks, enabling older adults with hip fractures to perform ADL safely and independently.

Design: Qualitative study inspired by the complex intervention development (Medical Research Council framework phase I) using literature search and research circles.

Settings: University Hospital of Copenhagen, Herlev and Gentofte, and Herlev and Gentofte municipalities. Read More

J Formos Med Assoc 2021 Jun 15. Epub 2021 Jun 15.

Department of Geriatrics and Gerontology, National Taiwan University Hospital, Taipei, Taiwan; Superintendent Office, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu County, Taiwan; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. Electronic address:

Background: This study was to perform an economic evaluation to understand clinical outcomes and health resource use between hip fracture patients receiving hospital-based postfracture fracture liaison service (FLS) care and those receiving usual care (UC) in Taiwan.

Methods: This cohort study included hospital-based data of 174 hip fracture patients who received FLS care (FLS group) from National Taiwan University Hospital, and 1697 propensity score-matched patients who received UC (UC group) of National Health Insurance claim-based data. Two groups had similar baseline characteristics but differed in hip fracture care after propensity score matching. Read More

Orthop Surg 2021 Jun 17. Epub 2021 Jun 17.

Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu, China.

Objective: To investigate the factors, surgical treatment methods and clinical effect of internal fixation failure of intertrochanteric and subtrochanteric fractures.

Methods: From June 2015 to May 2019, arthroplasty and internal fixation revision were used to treat 18 cases of internal fixation failure of intertrochanteric and subtrochanteric fractures. There were 10 males and eight females, with an average age of 67. Read More