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Intracapsular hip fracture

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https://www.readbyqxmd.com/read/28340943/femoral-neck-collapse-after-internal-fixation-of-an-intracapsular-hip-fracture-does-it-indicate-a-poor-outcome
#1
Jonathan M Crosby, Martyn J Parker
The degree of femoral neck collapse that occurred after 519 patients with an intracapsular hip fracture treated by internal fixation with a Targon FN implant was measured. Mean femoral neck collapse was 8.0mm and this was increased for displaced fractures in comparison to undisplaced fractures (9.5mm versus 5.9mm, p<0.0001) and for those patients that subsequently developed fracture healing complications (11.6mm versus 7.1mm, p<0.0001). At one year from injury femoral neck collapse in excess of 15mm was associated with an increase in the degree of residual pain (p=0...
December 2016: Injury
https://www.readbyqxmd.com/read/28259379/displaced-intracapsular-neck-of-femur-fractures-outcome-of-810-hydroxyapetite-coated-hac-uncemented-hemiarthroplasties
#2
S Z Nawaz, A J Keightley, A Desai, J Granville-Chapman, D Elliott, K Newman, A Khaleel
A Cochrane review influenced new NICE guidelines, which recommended surgeons: Offer cemented implants to patients undergoing surgery with arthroplasty. However our trust routinely uses HAC uncemented stem (Taperloc(®), Biomet) hemiarthroplasties. A review of a consecutive series of uncemented HAC stem hemiarthroplasties including measures such as intro-operative complications, mortality and revision surgery. Prospectively collected data between January 2008 and June 2014 was used, with medical record and radiographic reviews performed...
October 17, 2016: Injury
https://www.readbyqxmd.com/read/28236546/five-cases-of-early-dissociation-between-the-bipolar-hip-endoprosthesis-cup-components-either-spontaneously-or-during-reduction-maneuvers
#3
Vedat Uruç, Raif Özden, İbrahim Gökhan Duman, Aydıner Kalacı
Bipolar hemiarthroplasty is frequently used in the treatment of intracapsular hip fractures. Dissociation of the bipolar components can happen during the hip dislocation, the reduction maneuvers, or spontaneously without any dislocation. Here we report early dissociation between bipolar components in two cases during the attempt of closed reduction maneuvers and three cases with spontaneous dissociation without any trauma. To prevent or minimize this complication; the reduction of dislocated hips must be achieved very gently under general anesthesia with fluoroscopic control...
February 21, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28176672/no-dislocations-after-primary-hip-arthroplasty-with-the-dual-mobility-cup-in-displaced-femoral-neck-fracture-in-patients-with-dementia-a-one-year-follow-up-in-20-patients
#4
Anders Elneff Graversen, Stig Storgaard Jakobsen, Pia Kjær Kristensen, Theis Muncholm Thillemann
PURPOSE: The aim of this study was to describe the dislocation rates, reoperation rates and mortality 30 day and one year following THA with AVANTAGE(®) dual mobility cup among dementia patients with an acute displaced intracapsular femoral neck fracture. PATIENTS AND METHODS: From 2010 to 2014 we identified 20 hip fracture patients with dementia, who have had total hip arthroplasty with the AVANTAGE(®) dual mobility cup. The primary outcome was dislocation. Secondary outcomes were revision surgery, 30 days and one year mortality, time to surgery and length of hospital stay...
2017: SICOT-J
https://www.readbyqxmd.com/read/28148669/hemiarthroplasty-or-total-hip-arthroplasty-for-the-treatment-of-a-displaced-intracapsular-fracture-in-active-elderly-patients-12-year-follow-up-of-randomised-trial
#5
RANDOMIZED CONTROLLED TRIAL
M C J M Tol, M P J van den Bekerom, I N Sierevelt, E F Hilverdink, E L F B Raaymakers, J C Goslings
AIMS: Our aim was to analyse the long-term functional outcome of two forms of surgical treatment for active patients aged > 70 years with a displaced intracapsular fracture of the femoral neck. Patients were randomised to be treated with either a hemiarthroplasty or a total hip arthroplasty (THA). The outcome five years post-operatively for this cohort has previously been reported. We present the outcome at 12 years post-operatively. PATIENTS AND METHODS: Initially 252 patients with a mean age of 81...
February 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28088377/intracapsular-hip-fractures-in-the-elderly-do-we-know-what-is-important
#6
Diana Crego-Vita, Coral Sanchez-Perez, Jose Adolfo Orellana Gomez-Rico, Celia Clemente de Arriba
BACKGROUND: Hip fractures in the elderly are a common reason for admission to the department of orthopaedic surgery, this condition asks an important part of health resources and is associated with high levels of co-morbidity and mortality. Many improvements have been introduced in the treatment of these patients, preoperative regional analgesia, intensive physical therapy, interdisciplinary care program; but still remain unresolved gaps. The aim of this study is to document the natural history of early versus delayed surgical intervention in elderly patients with hip fractures and to establish the prognostic factors of mortality and walking ability after discharge...
January 9, 2017: Injury
https://www.readbyqxmd.com/read/27826187/a-prospective-study-about-the-preoperative-total-blood-loss-in-older-people-with-hip-fracture
#7
Jie-Zhou Wu, Peng-Cheng Liu, Wei Ge, Ming Cai
PURPOSE: Our study is to confirm that hemoglobin (Hb) level is significantly reduced before operation in elderly patients with hip fracture and to specify potential amounts of bleeding and Hb decline in different types of fractures. METHODS: A prospective analysis was made on the clinical data of 349 patients with both a diagnosis of hip fracture and an operative delay of greater than 72 hours between April 2014 and February 2016. Hb concentration was measured on a daily basis before the surgery...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27803231/the-use-of-high-dose-dual-impregnated-antibiotic-laden-cement-with-hemiarthroplasty-for-the-treatment-of-a-fracture-of-the-hip-the-fractured-hip-infection-trial
#8
RANDOMIZED CONTROLLED TRIAL
A P Sprowson, C Jensen, S Chambers, N R Parsons, N M Aradhyula, I Carluke, D Inman, M R Reed
AIMS: A fracture of the hip is the most common serious orthopaedic injury, and surgical site infection (SSI) is one of the most significant complications, resulting in increased mortality, prolonged hospital stay and often the need for further surgery. Our aim was to determine whether high dose dual antibiotic impregnated bone cement decreases the rate of infection. PATIENTS AND METHODS: A quasi-randomised study of 848 patients with an intracapsular fracture of the hip was conducted in one large teaching hospital on two sites...
November 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27803216/a-randomised-feasibility-study-comparing-total-hip-arthroplasty-with-and-without-dual-mobility-acetabular-component-in-the-treatment-of-displaced-intracapsular-fractures-of-the-proximal-femur-the-warwick-hip-trauma-evaluation-two-white-two
#9
RANDOMIZED CONTROLLED TRIAL
X L Griffin, N Parsons, J Achten, M L Costa
AIMS: The optimal treatment for independent patients with a displaced intracapsular fracture of the hip remains controversial. The recognised alternatives are hemiarthroplasty and total hip arthroplasty. At present there is no established standard of care, with both types of arthroplasty being used in many centres. PATIENTS AND METHODS: We conducted a feasibility study comparing the clinical effectiveness of a dual mobility acetabular component compared with standard polyethylene component in total hip arthroplasty for independent patients with a displaced intracapsular fracture of the hip, for a 12-month period beginning in June 2013...
November 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27765735/a-process-evaluation-of-the-white-two-trial-comparing-total-hip-artroplasty-with-and-without-dual-mobility-component-in-the-treatment-of-displaced-intracapsular-fractures-of-the-proximal-femur-can-a-trial-investigating-total-hip-arthroplasty-for-hip-fracture
#10
C Huxley, J Achten, M L Costa, F Griffiths, X L Griffin
OBJECTIVES: The annual incidence of hip fracture is 620 000 in the European Union. The cost of this clinical problem has been estimated at 1.75 million disability-adjusted life years lost, equating to 1.4% of the total healthcare burden in established market economies. Recent guidance from The National Institute for Health and Clinical Excellence (NICE) states that research into the clinical and cost effectiveness of total hip arthroplasty (THA) as a treatment for hip fracture is a priority...
October 2016: Bone & Joint Research
https://www.readbyqxmd.com/read/27692108/surgical-delay-as-a-risk-factor-for-wound-infection-after-a-hip-fracture
#11
José Cordero, Alfonso Maldonado, Sergio Iborra
PURPOSE: Analysis of significant risk factors for mortality and for medical and orthopaedic complications. PATIENTS AND METHODS: Observational study of a prospective consecutive cohort of 697 patients diagnosed of hip fracture from December 2012 to December 2014. Average age was 85±9years and 520 were female (75%). Intracapsular fractures (308, 44%) were treated non-operatively, (19 patients), with cannulated screws (58) or with hip arthroplasty (228 bipolar, 3 total hip atrhoplasty)...
September 2016: Injury
https://www.readbyqxmd.com/read/27637999/three-year-outcomes-of-intracapsular-femoral-neck-fractures-fixed-with-sliding-hip-screws-in-adults-aged-under-sixty-five-years
#12
D P Dargan, F Callachand, O J Diamond, C K Connolly
INTRODUCTION: Intracapsular femoral neck fractures remain associated with high rates of post-traumatic femoral head necrosis, non-union, and revision surgery. AIM: Our aim was to identify factors associated with revision surgery in intracapsular femoral neck fractures treated with sliding hip screws (SHS) in adults aged <65 years. PATIENTS AND METHODS: Consecutive admissions were identified retrospectively from the Royal Victoria Hospital, Belfast, which was the largest volume hospital on the National Hip Fracture Database...
November 2016: Injury
https://www.readbyqxmd.com/read/27574251/dynamic-hip-screw-fixation-versus-multiple-screw-fixation-for-intracapsular-hip-fracture
#13
P Jettoo, P James
PURPOSE: To compare dynamic hip screw (DHS) fixation with multiple screw fixation for intracapsular hip fractures in terms of complications and conversion to hemiarthroplasty or total hip arthroplasty (THA). METHODS: Records of 52 884 patients aged ≥50 years who underwent internal fixation using a dynamic hip screw (n=18 014, 34.1%) or multiple screws (n=34 870, 65.9%) for intracapsular femoral neck fracture from September 2007 to September 2013 were extracted from the hospital admission database that covers all admissions to the National Health Service hospitals in England using the ICD-10 and OPCS-4 codes...
August 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27574249/commentary-dynamic-hip-screw-fixation-versus-multiple-screw-fixation-for-intracapsular-hip-fracture
#14
T M Wong
No abstract text is available yet for this article.
August 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/27546471/ambulatory-ability-and-personal-independence-after-hemiarthroplasty-and-total-arthroplasty-for-intracapsular-hip-fracture-a-prospective-comparative-study
#15
Massimo Mariconda, Giovangiuseppe Costa, Mario Misasi, Pasquale Recano, Giovanni Balato, Maria Rizzo
BACKGROUND: Total hip arthroplasty (THA) has not only been associated with best functional outcomes but also with higher dislocation risk when compared with bipolar hemiarthroplasty (HA). The functionality and activities of daily living (ADL) of patients treated with THA or HA for intracapsular hip fracture (IHF) have been scarcely investigated in comparison with the preoperative status. METHODS: Two comparable groups of 60 patients with an IHF who had undergone either THA or bipolar HA were created matching several preoperative characteristics...
July 21, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27448601/serum-and-bone-pentosidine-in-patients-with-low-impact-hip-fractures-and-in-patients-with-advanced-osteoarthritis
#16
Jan Vaculík, Martin Braun, Pavel Dungl, Karel Pavelka, Jan J Stepan
BACKGROUND: Femoral neck fractures are a common occurrence in patients suffering from osteoporosis, while intracapsular hip fracture is rare in cases of osteoarthritis of the hip. Previous histomorphometric studies have emphasized the association between bone microarchitecture and the risk of low-impact fractures in osteoarthritis and osteoporosis patients. However, the strength of bone material is also a function of composition of organic bone matrix. In order to compare tissue material properties in these two clinical conditions, serum and bone pentosidine, a non-enzymatic collagen crosslinking element, was measured in patients who suffered a low-impact fracture, and in patients with advanced osteoarthritis...
July 22, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27402464/a-protocol-for-staged-arthroplasty-to-salvage-infected-nonunion-of-hip-fractures
#17
Ayman M Ebied, Adel I Elseedy, Osama Gamal
BACKGROUND: Nonunion of hip fractures is not uncommon. Total hip arthroplasty is used to salvage cases of non union or secondary arthritis in these fractures. However, this option may not be available or may be difficult to achieve when infection has superseded the site of nonunion. The objective of this prospective study was to assess if a staged protocol of treatment yields good results in these difficult cases. MATERIALS AND METHODS: Twenty-seven consecutive patients who had deep hip infection with failed treatment of hip fractures (intracapsular in 16 cases and extracapsular in 11) were treated between June 2007 and September 2011...
March 2017: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/27364647/erratum-to-ultrasound-guided-nerve-blocks-for-intracapsular-and-extracapsular-hip-fractures-am-j-emerg-med-34-3-2016-586-589
#18
Eitan Dickman, Illya Pushkar, Antonios Likourezos, Knox Todd, Ula Hwang, Saadia Akhtar, Sean Morrison
No abstract text is available yet for this article.
May 25, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27299061/intra-pelvic-migration-of-sliding-hip-screw-during-osteosynthesis-of-hip-fracture-a-rare-avoidable-intraoperative-complication
#19
G Zarattini, L Breda, M Zacharia, F Sibona
INTRODUCTION: Hip fractures, which are common among old patients, are classified into two groups: intracapsular and extracapsular fractures. Extracapsular fractures can be treated with extramedullary implants [e.g. dynamic hip screw (DHS)] or intramedullary nails. Dynamic hip screw is the treatment of choice in stable pertrochanteric fractures. Intrapelvic migration of the sliding screw is a very rare complication. CASE REPORT: We report a case of a 90-year old Caucasian woman who had an unusual intraoperative complication during osteosynthesis procedure for extracapsular hip fracture fixation...
July 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27299034/ipsilateral-intracapsular-hip-fracture-2-years-after-fixation-of-extracapsular-fracture-by-dynamic-hip-screw
#20
Farhan Syed, Perrico Nunag, Abubakar Mustafa, Anand Pillai
INTRODUCTION: Sustaining an intracapsular fracture in a hip which was previously fixed with dynamic hip screw for extracapsular fracture, is a very rarely reported occurrence. We present one such case in order to discuss the presentation and management of this fracture. We have also reviewed the literature and pooled the previously reported cases to look at potential cause & risk factors. CASE REPORT: A 92 year old female, presented with new onset hip pain following a trivial injury...
April 2015: Journal of Orthopaedic Case Reports
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