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Am J Emerg Med 2019 Feb 11. Epub 2019 Feb 11.

Department of Anesthesiology, Academic Medical Center, Amsterdam, the Netherlands.

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. Read More

J Orthop Sci 2019 Feb 12. Epub 2019 Feb 12.

Department of Orthopaedic Surgery, Bio-medical Research Institute, Pusan National University Hospital, South Korea. Electronic address:

Introduction: Although various clinical applications of geneXds have been reported, no study has reported the clinical application of geneXds in osteoporotic hip fracture. The present study aimed to identify the clinical effect of the application of geneXds 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. Read More

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.

Introduction: Femoral neck fractures are uncommon injuries in children, but the high incidence of long-term complications makes it important clinical entity. Early surgical treatment to achieve optimal results and to avoid a high rate of complications is widely advised. The purpose of this study was to retrospectively analyze the outcome of 8 children who sustained a femoral neck fracture. Read More

Int Orthop 2019 Feb 15. Epub 2019 Feb 15.

History of Medicine, Anatomy Department, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

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. Read More

Indian J Endocrinol Metab 2018 Nov-Dec;22(6):766-769

Department of Endocrinology, AIIMS, New Delhi, India.

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. Read More

Indian J Endocrinol Metab 2018 Nov-Dec;22(6):757-759

Department of Endocrinology, Diabetes and Metabolism, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India.

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). Read More

J Arthroplasty 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

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. Read More

Injury 2019 Feb 2. Epub 2019 Feb 2.

Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.

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. Read More

BMC Musculoskelet Disord 2019 Feb 14;20(1):77. Epub 2019 Feb 14.

University Hospital Marburg, Center for Orthopedics and Traumatology, Baldingerstrasse, 35043, Marburg, Germany.

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. Read More

J Orthop Surg Res 2019 Feb 14;14(1):49. Epub 2019 Feb 14.

Department of Orthopedics, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands.

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. Read More

BMC Musculoskelet Disord 2019 Feb 14;20(1):79. Epub 2019 Feb 14.

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

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. Read More

Int J Food Sci Nutr 2019 Feb 15:1-16. Epub 2019 Feb 15.

b Department of Biomedical and Biotechnological Sciences , University of Catania , Catania , Italy.

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. Read More

Hepatology 2019 Feb 14. Epub 2019 Feb 14.

Department of Medicine, Division of Gastroenterology and Hepatology, 750 Welch Road, Suite 210, Palo Alto, California, United States.

In this article, Dr. Lai discusses the risk of hip fractures in persons with cirrhosis and when diabetes is present, the risk for hip fracture is 2.5 times greater (9. Read More

Clin Orthop Relat Res 2019 Mar;477(3):491-493

D. Zeraatkar, Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada B. Petrisor, Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada.

Hepatology 2019 Feb 14. Epub 2019 Feb 14.

College of Medicine, China Medical University, Taichung, Taiwan.

Insurance reimbursement claims data used in this study were available for public access. Patient identification numbers were scrambled to ensure confidentiality. Patient informed consent was not required. Read More

Eur J Orthop Surg Traumatol 2019 Feb 13. Epub 2019 Feb 13.

II. University Department of Orthopaedic and Trauma Surgery, University Hospital Bratislava, Antolska 11, 851 07, Bratislava, Slovak Republic.

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. Read More

Cureus 2018 Dec 4;10(12):e3680. Epub 2018 Dec 4.

Orthopedics and Traumatology, Hospital Regional Do Gama, Brasilia, BRA.

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). The biomechanical analysis was performed simulating a fall over the trochanter using a servo-hydraulic machine. Read More

Endocr Res 2019 Feb 14:1-9. Epub 2019 Feb 14.

d Department of Orthopedic Surgery , Hamamatsu University School of Medicine , Hamamatsu, Shizuoka , Japan.

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. Read More

Alcohol Clin Exp Res 2019 Feb 13. Epub 2019 Feb 13.

Cancer Research Division, Cancer Council New South Wales, PO Box 572, KINGS CROSS, NSW, 1340, AUSTRALIA.

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. Read More

Arch Osteoporos 2019 Feb 12;14(1):19. Epub 2019 Feb 12.

CIUSSS Nord de l'Ile de Montréal, Hôpital du Sacré-Coeur de Montréal, 5400 bl. Gouin ouest, Montreal, QC, H4J 1C5, Canada.

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. Read More

J Bone Jt Infect 2019 24;4(1):27-32. Epub 2019 Jan 24.

Department of Traumatology and Orthopedic Surgery, Hospital Universitari Mútua Terrassa, Barcelona, Spain.

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. Read More

CMAJ Open 2019 Jan-Mar;7(1):E55-E62. Epub 2019 Feb 11.

North American Observatory on Health Systems and Policies (Cram), Institute for Health Policy, Management and Evaluation, University of Toronto; Departments of Medicine (Cram) and Surgery (Gandhi), University of Toronto; Division of General Internal Medicine and Geriatrics (Cram), Sinai Health System and University Health Network, Toronto, Ont.; Departments of Community Health Sciences (Lix, Bohm, Yan, Roos), Surgery (Bohm) and Medicine (Leslie), University of Manitoba, Winnipeg, Man.; Biostatistics Research Unit (Matelski) and Arthritis Program (Gandhi), University Health Network, Toronto, Ont.; Department of Health Care Policy (Landon), Harvard Medical School; Division of General Medicine and Primary Care (Landon), Beth Israel Deaconess Medical Center, Boston, Mass.

Background: Nearly 30 years ago, a series of studies showed increased hip fracture mortality in Manitoba compared to the United States, but these data have not been updated. Our objective was to compare the organization of hip fracture care and short-term outcomes in Manitoba and New York State using contemporary data.

Methods: This was a retrospective cohort study of administrative data for all adults aged 50 years or more admitted to hospital with hip fracture between Jan. Read More

Hip Int 2018 Nov;28(2_suppl):28-34

1 Joint Replacement Division, Department of Orthopedic Surgery and Trauma, ASST Niguarda Hospital, Milan, Italy.

Introduction:: This prospective study aims to evaluate the mid-term clinical and radiological performance of a new short, neck-preserving femoral stem in total hip arthroplasty (THA).

Patients And Methods:: 178 consecutive patients (190 hips) underwent THA from November 2008 to July 2016. Mean follow-up is 62. Read More

Hip Int 2018 Nov;28(2_suppl):10-14

Department of Neuroscience and Organs of Sense, Orthopaedic Unit, Faculty of Medicine and Surgery, University of Bari, Italy.

Background:: Ceramic-on-ceramic (CoC) is currently a viable bearing combination in primary total hip arthroplasty (THA) and, due to its mechanical properties, it can be used in young patients requiring a long-lasting implant. The aim of this study is to report the results of a series of CoC THAs at a minimum 20 years follow-up.

Methods:: A retrospective study was conducted on the 1st 100 consecutive alumina-on-alumina arthroplasties performed by a single surgeon on 51 females and 40 males with an average age of 60. Read More

Hip Int 2018 Nov;28(2_suppl):78-83

1 I.R.C.C.S. - Istituto Ortopedico Rizzoli, Bologna, Italy.

Introduction:: Hip fractures represent an enormous challenge for our health care system. The aim of this randomised controlled trial was to assess both efficacy and safety of a novel device called Prevention Nail System (PNS) and developed for the surgical prevention of a contralateral femoral neck fracture (FNF) in elderly osteoporotic patients.

Methods:: Primary outcome was to evaluate, in patients suffering from osteoporotic FNF, the effectiveness of PNS in reducing the incidence of a contralateral hip fracture. Read More

Hip Int 2018 Nov;28(2_suppl):84-88

4 Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Baronissi, Italy.

Introduction:: The mechanism that leads to a given fracture pattern is not understood. Heredity could act in this field through the ABO system. We investigated the relationship between ABO blood system and hip fracture pattern in a population from Southern Italy. Read More

Hip Int 2018 Nov;28(2_suppl):61-65

1 Franco Scalabrino Orthopaedic Institute of Southern Italy, Messina, Italy.

Introduction:: Severe acetabular bone loss during revision hip arthroplasty can be restored with different surgical techniques. Best results have been observed using porous tantalum cementless cups. Trabecular Titanium (TT) cups were designed to reproduce the structure, mechanical and biological characteristics of trabecular bone. Read More

Hip Int 2018 Nov;28(2_suppl):48-53

2 IRCCS Istituto Ortopedico Galeazzi, Hip Department, Milan, Italy.

Introduction:: Metal-on-metal (MoM) large head total hip arthroplasties (THAs) were discontinued early after their introduction because of the high number of failures due to adverse reaction to metal debris (ARMD). Aim of this study is to report the clinical outcome at a mid-term follow-up (FU) of a series of large-head MoM THA.

Methods:: In this prospective study, 25 hips (24 patients, 3 males, 21 females, mean age 62. Read More

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York.

Introduction: A variety of highly porous materials have been used to obtain biological acetabular fixation after total hip arthroplasty (THA). Due to their improved surface-coated properties, new highly porous titanium metal implants have shown potential to promote prosthesis osseointegration. Therefore, the purpose of this multicenter study was to evaluate: 1) overall acetabular cup survivorship; 2) postoperative complications; and 3) radiographic signs of loosening and radiolucencies in patients who received a new highly porous titanium metal cup. Read More

Br Med Bull 2019 Feb 7. Epub 2019 Feb 7.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00100 Rome, Italy.

Background: Femoral neck fractures account for <1% of the fractures in children, and are produced by high energy trauma. The most commonly accepted treatment for such fractures is gentle manual anatomical reduction and internal fixation, yielding a healing rate between 80% and 90%.

Sources Of Data: Electronic search through major web databases (Medline, Cochrane and Google Scholar). Read More

J Gerontol A Biol Sci Med Sci 2019 Feb 9. Epub 2019 Feb 9.

Department of Medicine; University of Alberta, Edmonton, Alberta, Canada.

Background: This study compared function three-months after hip fracture surgery between nursing home residents participating in a 10-week outreach rehabilitation program and those receiving usual care. Function, health-related quality of life (HRQL) and mortality were also compared over 12-months and outreach program feasibility was assessed.

Methods: A feasibility trial was undertaken in Canadian nursing homes; of 77 participants, 46 were allocated to Outreach and 31 to Control prior to assessing function or cognition. Read More

Front Endocrinol (Lausanne) 2018 28;9:805. Epub 2019 Jan 28.

Northwest Pituitary Center, Oregon Health & Science University, Portland, OR, United States.

Hypercortisolism has been implicated in the development of venous thromboembolic events (VTE). We aimed to characterize VTE risk in endogenous Cushing's syndrome (CS) patients, compare that risk to other pathologies, and determine if there are any associated coagulation factor changes. Medline and Scopus search for "hypercortisolism" and "thromboembolic disease" from January 1980 to April 2017 to include studies that reported VTE rates and/or coagulation profile of CS patients. Read More

CMAJ 2019 Feb;191(6):E151-E158

Department of Anesthesiology and Pain Medicine (Cho, McIsaac), and Faculty of Health Sciences (Boland), University of Ottawa; Ottawa Hospital Research Institute (McIsaac); ICES (McIsaac), Ottawa, Ont.

Background: Sex and gender inequality is prevalent in health care, and affects receipt of health care services and outcomes. Our objective was to measure the association between sex and receipt of evidence-based perioperative care for hip fracture in Ontario.

Methods: This was a population-based retrospective cross-sectional analysis. Read More

Orthop Traumatol Surg Res 2019 Feb 7. Epub 2019 Feb 7.

Plymouth Hospitals NHS Trust, Derriford Road, Crownhill, Plymouth, Devon PL6 8DH, United Kingdom.

Introduction: Interprosthetic fractures occur between a total knee replacement and a femoral stem of either a hemiarthroplasty or total hip replacement. The number of interprosthetic fractures will increase as the number of joint replacements rises. There is currently a paucity of literature looking at the outcomes of interprosthetic fractures. Read More

Semin Thromb Hemost 2019 Feb 11. Epub 2019 Feb 11.

Dipartimento di Scienze Mediche Internistiche, University of Cagliari, Cagliari, Italy.

The number of hip fractures in anticoagulated patients is predicted to increase, due to people living longer. However, evidence regarding urgent perioperative management of elderly patients with hip fracture who take oral anticoagulants (vitamin K antagonists or direct oral anticoagulants) is scarce. In this article, the authors present a narrative review of the evidence to date supporting the urgent management of hip fracture in anticoagulated elderly patients. Read More

Bone 2019 Feb 8;122:14-21. Epub 2019 Feb 8.

Department of Clinical Medicine, University of Oslo, Oslo, Norway; Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway.

Purpose: Norway has among the highest incidence rates of fractures in the world. Vertebral fracture assessment (VFA) and trabecular bone score (TBS) provide information about fracture risk, but their importance have not been studied in Norwegian patients with fragility fractures. The objectives of this study were to examine the clinical characteristics of a cohort of women and men with fragility fractures, their prevalence of vertebral fractures using VFA and prevalence of low TBS, and explore the differences between the sexes and patients with and without vertebral fractures. Read More

J Bone Miner Res 2019 Feb 11:e3663. Epub 2019 Feb 11.

College of Medicine, Chang Gung University, Taoyuan, Taiwan.

There is an increased tendency for hip fractures in patients with chronic kidney disease (CKD). Although surgery is the mainstay of treatment for hip fractures, there is scant information on outcomes after hip fracture surgery in diabetic patients at different stages of CKD. In this population-based cohort study, we compared the surgical outcome, readmission, and mortality rates after osteosynthesis of hip fractures in diabetic patients with different stages of renal function. Read More

Ulus Travma Acil Cerrahi Derg 2019 Jan;25(1):71-74

Department of Orthopedics and Traumatology, Balıkesir Edremit State Hospital, Balıkesir-Turkey.

Background: Hip fractures in elderly patients are associated with a high mortality rate. Most deaths associated with hip fracture result from complications after surgery. Recent studies suggest that the neutrophil-to-lymphocyte ratio (NLR), which is a laboratory marker used to evaluate systemic inflammation, may be useful to estimate excess mortality. Read More

Hip Int 2019 Feb 11:1120700018825430. Epub 2019 Feb 11.

1 The Hip and Groin Clinic, UPMC Whitfield, Waterford, Ireland.

Aim:: To examine the pathogenesis and clinical presentation of sports-related femoroacetabular impingement (SRFAI) in a large consecutive series of symptomatic athletes.

Methods:: Between January 2009 and February 2017 prospectively collected data from competitive athletes within the Gaelic Athletic Association (GAA), and who subsequently underwent arthroscopic treatment for symptomatic FAI, were analysed. Data was collected using internationally validated health questionnaires (Harris Hip Score, UCLA, SF-36, WOMAC) and recognised clinical (ROM, symptom presentation, provocation tests) and radiological (AP pelvis, Dunn, False profile) indicators/measures of FAI. Read More

Hip Int 2019 Feb 11:1120700019828144. Epub 2019 Feb 11.

Mayo Clinic Department of Orthopedic Surgery, Rochester, MN, USA.

Introduction:: There is little data regarding timing of index dislocation in patients who undergo primary total hip arthroplasty (THA) and subsequent risk of redislocation and revision.

Methods:: Between 1992 and 2013, 21,490 primary THAs were performed at a single institution. 189 patients (190 hips) had a first episode of dislocation within one year of index surgery (0. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):86-88

Department of Orthopedics and Trauma, CHUV Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1011 Lausanne, Switzerland.

Introduction: Osteogenesis imperfecta (OI)-related femoral neck fractures are rare. This is rarely described in the literature. This article presents a way to surgically treat such a fracture. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):75-77

Department of Orthopaedics, Ramaiah Medical College & Hospitals, Bengaluru, Karnataka, India.

Introduction: Antiretroviral drugs are known to cause osteoporosis making the bones susceptible to fracture. Osteoporotic fractures are majorly seen in the vertebral bodies. Pathological fractures need to be fixed without much delay to start mobilization of the patients. Read More

Injury 2019 Feb 2. Epub 2019 Feb 2.

Orthopedic and Traumatology Unit, Ospedale San Bortolo, Vicenza, Italy. Electronic address:

Introduction: Periprosthetic femoral fracture represent a severe complication, at present the third cause of revision surgery, with an estimated incidence from 0,1 to 2,1%. The number of these fracture can be expect to increase in line with the aging of population and amount of THA implants also in younger high demanding patients.

Materials And Methods: The aim of this study is analyze the diagnostic and therapeutic decision making processes performed in 64 patients with periprosthetic fractures treated surgically from January 2012 and October 2016 in our center. Read More

Acta Orthop 2019 Feb 11:1-13. Epub 2019 Feb 11.

a The Swedish Hip Arthroplasty Register , Gothenburg.

Background and purpose - In total hip replacements, stem design may affect the occurrence of periprosthetic femoral fracture. We studied risk factors for fractures around and distal to the 2 most used cemented femoral stems in Sweden. Patients and methods - This is a register study including all standard primary Lubinus SPII and Exeter Polished stems operated in Sweden between 2001 and 2009. Read More

Acta Orthop 2019 Feb 11:1-17. Epub 2019 Feb 11.

a Trauma Unit, Department of Surgery, Amsterdam UMC , University of Amsterdam ;

Background and purpose - The incidence of surgical site infections (SSIs) in trauma/orthopedic surgery varies between different body parts. Antibiotic prophylaxis (e.g. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):160-165

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To evaluate the safety and efficacy of total hip arthroplasty (THA) following failed internal fixation of intertrochanteric fractures.

Methods: Between January 2007 and January 2016, THAs were performed in 32 patients (33 hips) for failed internal fixation of intertrochanteric fractures. There were 15 males and 17 females, with mean age of 74. Read More

Qual Life Res 2019 Feb 9. Epub 2019 Feb 9.

Department of Geriatrics and Aging Research, University Hospital Zurich and University of Zurich, RAE B1, Rämistrasse 100, 8091, Zurich, Switzerland.

Purpose: To test the effects of vitamin D intervention and a simple home exercise program (HE) on health-related quality of life (HRQL) in the first 12 months after hip fracture.

Methods: HRQL was reported in 173 acute hip fracture patients (mean age 84 years, 79% females, 77% community dwelling) who were enrolled in the 12-month 2 × 2 factorial Zurich Hip Fracture Trial. Pre-fracture HRQL was assessed at baseline (4. Read More

Eur J Orthop Surg Traumatol 2019 Feb 9. Epub 2019 Feb 9.

Diagnostic Radiology Department, American University of Beirut Medical Center, P.O.Box: 11-0236, Riad El-Solh, Beirut, 1107 2020, Lebanon.

Aim: The aim of our study is to investigate the results of constrained total hip arthroplasty as a primary treatment of intertrochanteric fractures (ITF) in elderly patients with high comorbidities.

Materials And Methods: Total hip replacement (THR) with a retentive cup was performed on 73 patients with ITF over the age of 54 years who had high comorbidities and a Charlson score above five. Short- and long-term complications were determined by follow-up. Read More

Exp Gerontol 2019 Feb 7. Epub 2019 Feb 7.

Healthy Aging Research Center, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan 33302, Taiwan; School of Nursing, College of Medicine, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan 33302, Taiwan; Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, 5 Fuxing Street, Guishan District, Taoyuan 33305, Taiwan; Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, 123 Dapi Road, Niaosng District, Kaohsiung 83301, Taiwan; Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, 261 Wenhwa 1st Road, Guishan District, Taoyuan 33303, Taiwan. Electronic address:

Background/objectives: To explore the impact of diabetic peripheral neuropathy (DPN) on the recovery of older persons with diabetes mellitus (DM) after hip-fracture surgery.

Design, Setting, Participants: Secondary data for this study came from a clinical trial on the effectiveness of a DM-specific care model for 176 older persons (age ≥ 60) with DM over 2 years following hip-fracture surgery at a medical center in Taiwan. In the original trial, the experimental group (n = 88) received DM-specific care comprising diabetes care plus subacute care, and the control group (n = 88) received only usual care. Read More

Diagn Microbiol Infect Dis 2019 Jan 15. Epub 2019 Jan 15.

Divisions of Clinical Microbiology, Mayo Clinic, Rochester, MN; Infectious Diseases, Mayo Clinic, Rochester, MN. Electronic address:

Prosthetic joint infection (PJI) is a rare but challenging complication of arthroplasty. Herein, we describe the epidemiology and microbiology of PJI, with a focus on analyzing differences between the microbiology of polymicrobial versus monomicrobial infection of hip, knee, and shoulder prostheses. In addition, we report the most frequent co-pathogens in polymicrobial infections, as detected by culture. Read More