keyword
https://read.qxmd.com/read/38491774/can-nondisplacement-osteoporotic-pubic-rami-fracture-be-life-threatening-injuries-a-case-report-overview-and-algorithm-protocol-for-management
#1
JOURNAL ARTICLE
Grigorios Kastanis, Anna Pantouvaki, Mikela-Rafaella Siligardou, Constantinos Chaniotakis, Emmanouil Kroustalakis, Ioannis Stavrakakis, Petros Kapsetakis
Pubic rami fractures in the geriatric population are usually osteoporotic fractures resulting from low energy trauma and are characterized as stable injuries. Established treatment of these injuries is conservative, including rest, analgesic medication, and progressive active mobilization. These injuries are life-threatened when pubic rami fractures are accompanied by acute bleeding, either from an injury to a vessel (corona mortis) or from medication (anticoagulant or antiplatelet) for comorbidities, then...
2024: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/38491543/a-retrospective-study-exploring-preoperative-hyponatremia-in-elderly-patients-with-hip-fractures
#2
JOURNAL ARTICLE
Li-Tao Shi, Zhen Feng, Cui-Min Zhu
BACKGROUND: This research aims to examine the frequency, age-related distribution, and intensity of preoperative hyponatremia among elderly individuals with hip fractures. This study aims to provide valuable insights into the diagnosis of preoperative hyponatremia in this patient population. METHODS: This research involved the analysis of clinical data obtained from 419 elderly individuals with hip fractures (referred to as the fracture group) and 166 elderly individuals undergoing routine health examinations (designated as the control group)...
March 16, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38487398/geriatric-trauma-there-is-more-to-it-than-just-the-implant
#3
REVIEW
Christopher Lee, Stephen L Kates, Matthew L Graves, Kyle J Jeray, Houman Javedan, Reza Firoozabadi, Emil Schemitsch
Geriatric trauma continues to rise, corresponding with the continuing growth of the older population. These fractures continue to expand, demonstrated by the incidence of hip fractures having grown to 1.5 million adults worldwide per year. This patient population and their associated fracture patterns present unique challenges to the surgeon, as well as having a profound economic impact on the health care system. Pharmacologic treatment has focused on prevention, with aging adults having impaired fracture healing in addition to diminished bone mineral density...
March 2024: OTA international: the open access journal of orthopaedic trauma
https://read.qxmd.com/read/38486468/association-of-phasae-angle-dynamics-with-sarcopenia-and-activities-of-daily-living-in-osteoporotic-fracture-patients
#4
JOURNAL ARTICLE
Yusuke Ito, Yoshihiro Yoshimura, Fumihiko Nagano, Ayaka Matsumoto, Hidetaka Wakabayashi
BACKGROUND: This study aimed to determine whether changes in phase angle during rehabilitation are associated with clinical outcomes such as activities of daily living (ADL), skeletal muscle index (SMI), and strength in patients with osteoporotic fractures. METHODS: This retrospective observational study included patients with osteoporotic fractures admitted to convalescent rehabilitation wards. Changes in phase angle were defined as the difference between the phase angle values at discharge and on admission...
March 15, 2024: Annals of geriatric medicine and research
https://read.qxmd.com/read/38485236/sarcopenia-as-the-mobility-phenotype-of-aging-clinical-implications
#5
JOURNAL ARTICLE
Sunghwan Ji, Hee-Won Jung, Ji Yeon Baek, Il-Young Jang, Eunju Lee
Sarcopenia, which is characterized by an age-related decline in muscle mass and function, poses significant challenges to geriatric care. Its definition has evolved from muscle-specific criteria to include muscle mass, muscle function, and physical performance, recognizing sarcopenia as a physical frailty. Sarcopenia is associated with adverse outcomes, including mortality, falls, fractures, cognitive decline, and admission to long-term care facilities. Neuromechanical factors, protein-energy balance, and muscle protein synthesis-breakdown mechanisms contribute to its pathophysiology...
February 2024: Journal of Bone Metabolism
https://read.qxmd.com/read/38481828/polypharmacy-of-older-surgical-patients-with-extremity-fractures
#6
JOURNAL ARTICLE
Takumi Taniguchi, Risa Inagaki, Takehiro Michikawa, Soya Kawabata, Masahiro Yoshida, Yusuke Kawano, Mitsuhiro Morita, Kazue Hayakawa, Mitsunaga Iwata, Shigeki Yamada, Nobuyuki Fujita
INTRODUCTION: Fractures are often caused by falls in older people. Among various causes of falls, polypharmacy is known to be a risk of falls. Furthermore, potentially inappropriate medicines (PIMs), which interact with polypharmacy, include the drugs involved in falls. Here, we primarily aimed to investigate the prescribed drugs in older surgical patients with extremity fractures to determine the frequency of polypharmacy and identify PIMs. The second aim was to clarify the characterization of prescribed drugs of older patients with hip fracture...
2024: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/38475987/association-between-pharmacotherapy-and-secondary-vertebral-fracture-managed-with-a-brace-in-a-real-world-setting-a-nationwide-database-study-in-japan
#7
JOURNAL ARTICLE
Shinichi Nakatoh, Kenji Fujimori, Shigeyuki Ishii, Junko Tamaki, Nobukazu Okimoto, Sumito Ogawa, Masayuki Iki
AIM: This retrospective cohort study assessed the association between the incidence of secondary vertebral fracture managed with a brace (SVF) and pharmacotherapy. METHODS: The association between the incidence of SVF and the presence, type, and medication possession ratio (MPR) of pharmacotherapy was investigated using medical insurance data acquired from the National Database of Health Insurance Claims and Specific Health Checkups of Japan. RESULTS: The data of female patients (n = 637 303) were analyzed...
March 12, 2024: Geriatrics & Gerontology International
https://read.qxmd.com/read/38474709/dietary-sodium-restriction-and-frailty-among-middle-aged-and-older-adults-an-8-year-longitudinal-study
#8
JOURNAL ARTICLE
Yu-Chun Lin, Huang-Ting Yan
Frailty is a common geriatric syndrome. However, there is little information about the relationship between dietary sodium restriction (DSR) and frailty in later life. This study aimed to elucidate the relationship between DSR and frailty in middle-aged and older adults. The 8-year follow-up data from the Taiwan Longitudinal Study on Aging, including 5131 individuals aged ≥50 years, were analyzed using random-effects panel logit models. DSR was evaluated by assessing whether the participants were told by a physician to reduce or avoid sodium intake from food...
February 20, 2024: Nutrients
https://read.qxmd.com/read/38469577/the-retrospective-analysis-of-trigen-intertan-nail-in-the-treatment-of-unstable-intertrochanteric-femoral-fractures-at-hospital-for-traumatology-and-orthopaedics
#9
JOURNAL ARTICLE
Tuan Anh Nguyen, Anh Quoc Hoang, Tam Ngoc Phan, Truong Xuan Nguyen, Nam Ngoc Nguyen, Phi Duong Nguyễn
BACKGROUND: Intertrochanteric fractures are highly prevalent among the elderly population, with approximately 90% occurring in individuals aged over 65. These geriatric fractures are associated with elevated mortality rates and significant functional impairment. Common treatment modalities for unstable intertrochanteric fractures include proximal femoral nail antirotation (PFNA) and the InterTan nail (IT). PFNA and IT are frequently employed due to their lower failure rates and favorable biomechanical properties, resulting in positive clinical outcomes for the management of unstable intertrochanteric fractures...
2024: Orthopedic Reviews
https://read.qxmd.com/read/38466408/-management-of-the-cut-out-of-various-forms-of-osteosynthesis-for-proximal-femoral-fractures
#10
REVIEW
K Henze, C Vogel, L Wienhöfer, M Dudda
Proximal femoral fractures are a common type of injury in older people. A cut-out of the femoral neck screw after initial osteosynthetic surgery of proximal femoral fractures is a frequent and feared complication. There could be different causes for cut-outs. Osteoporosis and necrosis of the femoral head could be biological reasons for cut-outs; however, mechanical factors, such as reduction, implant position and morphological characteristics of fractures also have a major influence on the cut-out rate...
March 11, 2024: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/38466141/fatal-adverse-events-in-femoral-neck-fracture-patients-undergoing-hemiarthroplasty-or-total-hip-arthroplasty-a-retrospective-record-review-study-in-a-nationwide-sample-of-deceased-patients
#11
JOURNAL ARTICLE
Bo Schouten, Mees Baartmans, Linda van Eikenhorst, Gooitzen P Gerritsen, Hanneke Merten, Steffie van Schoten, Prabath W B Nanayakkara, Cordula Wagner
OBJECTIVES: Patient safety is a core component of quality of hospital care and measurable through adverse event (AE) rates. A high-risk group are femoral neck fracture patients. The Dutch clinical guideline states that the treatment of choice is cemented total hip arthroplasty (THA) or hemiarthroplasty (HA). We aimed to identify the prevalence of AEs related to THA/HA in a sample of patients who died in the hospital. METHODS: We used data of a nationwide retrospective record review study...
March 8, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38465898/gingival-squamous-cell-carcinoma-in-2-lions-under-managed-care
#12
JOURNAL ARTICLE
Hisadora A S C Bom, Telma S Lima, Silvio M C Fonseca, Givaldo B Silva Filho, Nathalia S Wicpolt, Jeann L Araújo, Dênisson S Souza, Márcio A Silva, Brian G Murphy, Javier Asin, Francisco A Uzal, Fábio S Mendonça, Eileen E Henderson
Neoplasia is one of the main causes of euthanasia in geriatric captive nondomestic felids. However, few studies have examined oral tumors in these animals. We describe here the clinicopathologic features of gingival squamous cell carcinoma (SCC) in 2 lions ( Panthera leo ) from separate zoologic collections. In both cases, the lions had a history of sialorrhea, bloody oral discharge, and anorexia. Autopsy findings in both lions were similar and were characterized by poorly circumscribed, friable, and bloody gingival masses with grossly apparent invasion of the mandibular bone; a pathologic fracture was observed in 1 case...
March 11, 2024: Journal of Veterinary Diagnostic Investigation
https://read.qxmd.com/read/38462140/goals-of-care-discussions-in-orthopaedic-surgery-geriatric-hip-fractures
#13
REVIEW
Brienne Paradis, Brandon Klein, Lucas E Bartlett, Randy M Cohn, Adam D Bitterman
BACKGROUND: Due to the severity of hip fracture complications in the geriatric population, including major morbidity and mortality, it is crucial to establish treatment goals and manage expectations as a patient-centered multidisciplinary team. Goals of care (GOC) are personalized treatment programs designed to align with the individual patient's values and preferences. There is a paucity of literature on the topic of GOC discussions, especially regarding orthopaedic injuries. Therefore, this narrative review aims to provide an account of GOC discussions related to geriatric hip fractures...
March 8, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38462139/goals-of-care-a-patient-centered-assessment
#14
EDITORIAL
Giles R Scuderi, Michael A Mont
Providing timely, compassionate care for geriatric hip fracture patients is challenging. Continued efforts should be taken to encourage communication at key points of patient care to better discuss prognosis and recovery that focus on patients' goals and values. We should never take any fractures for granted as if "this is easy, I have treated this one before," since no two fractures are exactly the same. The scenarios as well as the patients' preferences vary, so a patient-centered assessment of their goals of care is essential...
March 8, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38455824/rehabilitation-engineering-a-narrative-review-on-recent-advances-in-mobility-aids-in-india
#15
REVIEW
Himanshu Raj, Roshan Prasad, Pramita Muntode Gharde, Swarupa Chakole, Prachi Sharma
Mobility has been characterized as the capacity to move across an environment safely, pleasantly, elegantly, and autonomously. India's current population is 1.4 billion, out of which 2.3%, i.e., 32 million people, are suffering from some kind of disability. With the rise in the geriatric population, the incidence of non-communicable and communicable diseases also rises and presents the risk of disorders that may progress to disability. People often neglect their disability and learn to live with it, even when most of them can use rehabilitation programs in conjunction with various mobility aids...
February 2024: Curēus
https://read.qxmd.com/read/38453201/prevalence-and-population-characteristics-associated-with-frailty-in-a-rural-low-socioeconomic-area-in-denmark-the-lolland-falster-health-study
#16
JOURNAL ARTICLE
Mathilde Glud Christensen, Katja Kemp Jacobsen, Charlotte Nilsson, Randi Jepsen, Lau Thygesen, Charlotte Suetta, Ellen Astrid Holm
BACKGROUND: Frailty is a major geriatric syndrome that predicts increased vulnerability to minor stressor events and adverse outcomes such as falls, fractures, disability and death. The prevalence of frailty among individuals above the age of 65 varies widely with an overall weighted prevalence of 10.7%. OBJECTIVES: The purpose of this study was to examine the prevalence of prefrailty and frailty in community-dwelling older adults from the regions of Lolland-Falster, which is one of the most socioeconomically disadvantaged areas of Denmark with lower income and lower life expectancy compared with the general Danish population...
March 7, 2024: BMJ Open
https://read.qxmd.com/read/38452743/implementation-evaluation-of-an-early-notification-care-bundle-for-patients-with-hip-fracture-ehip
#17
JOURNAL ARTICLE
Kate Curtis, John McKenzie, Geoffrey Melville, Peter Moules, Cayce Wylie, Alexandra Tyler, Bridie Mulholland
BACKGROUND: Hip fracture in older adults results in significant mortality and is one of the costliest fall-related injuries. The Australian Commission for Quality and Safety in Health Care hip fracture clinical care standards consolidate the best available evidence for managing this patient group however uptake is variable. The aim of this study was to evaluate the implementation and effectiveness of a multidisciplinary early activation mechanism and bundle of care (eHIP) on patient and health service outcomes...
March 7, 2024: Gerontology
https://read.qxmd.com/read/38452243/revision-surgery-risk-after-open-reduction-and-internal-fixation-versus-acute-total-hip-arthroplasty-in-geriatric-acetabular-fractures-a-nationwide-study
#18
JOURNAL ARTICLE
Paal Nilssen, Karma McKelvey, Carol Lin
BACKGROUND: The aging population has contributed to a rising incidence of acetabular fractures in older patients, yet current evidence guiding surgical treatment is limited by small sample sizes. This study used a nationwide database to investigate outcomes in older patients undergoing open reduction and internal fixation (ORIF) versus acute total hip arthroplasty (THA). METHODS: The PearlDiver database was queried for patients aged 60 years and older with an acute acetabular fracture who underwent ORIF or acute THA (2010 to 2021)...
March 6, 2024: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/38452133/effects-of-multicomponent-home-based-intervention-on-muscle-composition-fitness-and-bone-density-after-hip-fracture
#19
JOURNAL ARTICLE
Alice S Ryan, Brock A Beamer, Ann L Gruber-Baldini, Rebecca L Craik, Justine Golden, Jack Guralnik, Marc C Hochberg, Kathleen K Mangione, Denise Orwig, Alan M Rathbun, Jay Magaziner
BACKGROUND: Mechanistic factors on the pathway to improving independent ambulatory ability among hip fracture patients by a multicomponent home-based physical therapy intervention that emphasized aerobic, strength, balance, and functional training are unknown. The aim of this study was to determine the effects of two different home-based physical therapy programs on muscle area and attenuation (reflects muscle density) of the lower extremities, bone mineral density, and aerobic capacity...
March 7, 2024: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://read.qxmd.com/read/38451303/optimizing-periprosthetic-fracture-management-and-in-hospital-outcome-insights-from-the-pippas-multicentric-study-of-1387-cases-in-spain
#20
MULTICENTER STUDY
(no author information available yet)
BACKGROUND: The incidence of all periprosthetic fractures (PPF), which require complex surgical treatment associated with high morbidity and mortality, is predicted to increase. The evolving surgical management has created a knowledge gap regarding its impact on immediate outcomes. This study aimed to describe current management strategies for PPF and their repercussions for in-hospital outcomes as well as to evaluate their implications for the community. METHODS: PIPPAS (Peri-Implant PeriProsthetic Survival Analysis) was a prospective multicentre observational study of 1387 PPF performed during 2021...
March 7, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
keyword
keyword
102070
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.