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Intracapsular hip fracture

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https://www.readbyqxmd.com/read/29589786/a-randomized-controlled-trial-comparing-the-thompson-hemiarthroplasty-with-the-exeter-polished-tapered-stem-and-unitrax-modular-head-in-the-treatment-of-displaced-intracapsular-fractures-of-the-hip
#1
MULTICENTER STUDY
A L Sims, N Parsons, J Achten, X L Griffin, M L Costa, M R Reed
Aims This study aimed to compare the change in health-related quality of life of patients receiving a traditional cemented monoblock Thompson hemiarthroplasty compared with a modern cemented modular polished-taper stemmed hemiarthroplasty for displaced intracapsular hip fractures. Patients and Methods This was a pragmatic, multicentre, multisurgeon, two-arm, parallel group, randomized standard-of-care controlled trial. It was embedded within the WHiTE Comprehensive Cohort Study. The sample size was 964 patients...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29427750/is-dynamic-locking-plate-targon-fn-a-better-choice-for-treating-of-intracapsular-hip-fracture-a-meta-analysis
#2
REVIEW
Hao Yin, Zhengjun Pan, Hua Jiang
PURPOSE: The aim of this study was to assess the outcomes of dynamic locking plate (Targon FN) and other alternative implant (cannulated cancellous screws or sliding hip screw) for treating of intracapsular hip fracture. METHODS: Relevant clinical trials on the dynamic locking plate and alternative implant treatment for intracapsular hip fracture were retrieved through searching the databases, PubMed, Embase and the Cochrane Central Register of Controlled Trials up to August 2017...
April 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29423867/uncemented-thompson-s-hemiarthroplasty-safe-palliative-and-cost-effective-surgery-in-the-infirm-patient-a-consecutive-series-of-1445-cases
#3
G Manoharan, B D Chatterton, T S Moores, P J Roberts
BACKGROUND: Guidelines on the management of displaced intracapsular fractures recommend using an Orthopaedic Data Evaluation Panel-rated cemented implant. Prior to the National Institute for Health and Care Excellence guidelines, uncemented implants were commonly used in the UK. METHODS: We retrospectively examined the outcomes of patients with uncemented Thompson's hemiarthroplasties at our unit, between April 2005 and December 2010. Patients who underwent revision surgery before December 2011 were identified...
February 8, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29344700/dual-mobility-hip-arthroplasty-provides-better-outcomes-compared-to-hemiarthroplasty-for-displaced-femoral-neck-fractures-a-retrospective-comparative-clinical-study
#4
Yong Tae Kim, Je-Hyun Yoo, Min Ki Kim, Sanghyun Kim, Jihyo Hwang
PURPOSE: Total hip arthroplasty with a dual mobility cup (DMC) is a proposed alternative to the widely performed bipolar hemiarthroplasty (BHA) for treating displaced intracapsular femoral neck fractures (DFNF) in the elderly. However, the comparison between the two modalities has not been extensively conducted thus far. METHODS: A retrospective cohort study was conducted with DFNF patients aged over 65 years who were treated either by BHA or DMC. After propensity matching each group comprised 84 patients (168 patients in total) and was analyzed using peri-operative and post-operative parameters...
January 17, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29318081/-hidden-preoperative-blood-loss-with-extracapsular-versus-intracapsular-hip-fractures-what-is-the-difference
#5
Katharine D Harper, Paul Navo, Frederick Ramsey, Sainabou Jallow, Saqib Rehman
Purpose: Excessive blood loss with hip fracture management has been shown to result in increased rates of complications. Our goal is to compare blood loss and transfusion rates between patients with intracapsular and extracapsular (both intertrochanteric (IT) and subtrochanteric (ST)) hip fractures. Methods: 472 patients were evaluated over a five-year period. Those who presented to the hospital with a proximal femur fracture (femoral neck, IT or ST) were considered for the study...
December 2017: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29135668/hemiarthroplasty-and-total-hip-replacement-for-displaced-intracapsular-fracture-in-active-elderly-patients-did-not-differ-for-function-at-12-years-after-surgery
#6
Matthew P Abdel
No abstract text is available yet for this article.
November 15, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29026135/interventions-for-treating-displaced-intracapsular-femoral-neck-fractures-in-the-elderly-a-bayesian-network-meta-analysis-of-randomized-controlled-trials
#7
Bin-Fei Zhang, Peng-Fei Wang, Hai Huang, Yu-Xuan Cong, Hu Wang, Yan Zhuang
Displaced intracapsular femoral neck (AO type 31 B2/3) fractures have various treatments, including internal fixation (IF), unipolar uncemented hemiarthroplasty (HA), bipolar uncemented HA, unipolar cemented HA, bipolar cemented HA, uncemented total hip replacement (THR), and cemented THR. Systematic literature retrieval was performed from the databases to compare them in a network meta-analysis. Forty studies (85 arms) containing 6141 patients were included. Overall, our network meta-analysis rank the orders of 7 procedures in reoperation, mortality, dislocation and infection, which indicates that IF may provide the highest reoperation incidence, unipolar cemented HA may provide the lowest reoperation incidence; uncemented THR contributes the highest dislocation incidence; and bipolar uncemented HA provides the lowest infection incidence...
October 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28979579/combined-intracapsular-and-extracapsular-neck-of-femur-fractures-case-series-literature-review-and-management-recommendations
#8
Wasim Khan, Rhodri Williams, Sam Hopwood, Sanjeev Agarwal
Concomitant ipsilateral intracapsular and extracapsular fractures of the femoral neck are rare injuries with only 14 cases described in the literature as single case reports. We present three cases that were successfully and uniquely treated by uncemented hip arthroplasties. Two patients underwent complex primary uncemented total hip replacements, and one patient underwent an uncemented bipolar fluted stem hemiarthroplasty. The level of bearing constraint varied between implants. After describing our cases we review the literature and make recommendations on the management of these injuries...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28956892/evidence-based-management-of-intracapsular-neck-of-femur-fractures
#9
Wayne Hoskins, Darren Webb, Roger Bingham, Marinis Pirpiris, Xavier L Griffin
Neck of femur fractures are occurring at an increased incidence. Functionally independent patients without cognitive impairment can expect reasonable life expectancy. This indicates the need for a durable surgical option that optimises the chance to return to pre-injury functional status, with minimal risk of complications and reoperation. Most fractures are displaced. Surgical options include internal fixation, hemiarthroplasty or total hip arthroplasty (THA). Evidence is conclusive that arthroplasty options outperform internal fixation in terms of function, quality of life and reoperation rates...
September 19, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28956291/trends-in-osteoporotic-hip-fracture-epidemiology-over-a-17-year-period-in-a-spanish-population-alcorc%C3%A3-n-1999-2015
#10
Ramón Mazzucchelli Esteban, Elia Pérez-Fernández, Natalia Crespí-Villarías, Alberto García-Vadillo, Gil Rodriguez-Caravaca, Angel Gil de Miguel, Loreto Carmona
Our aim was to analyze trends in osteoporotic hip fracture rates in a suburban health area over a long time period. We detected a steady decrease, especially in women, that could be explained by historical, administrative, lifestyle changes as well as by medical behavior. PURPOSE: The purpose of this study was to analyze trends in osteoporotic hip fracture rates in a suburban health area over a long time period. METHODS: This is an ecological retrospective study of all discharges occurring in the Alcorcón health area and registered in the minimum basic data set (MBDS)...
September 27, 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28918874/the-outcome-of-intracapsular-hip-fracture-fixation-using-the-targon-femoral-neck-tfn-locking-plate-system-or-cannulated-cancellous-screws-a-comparative-study-involving-2004-patients
#11
Zeiad Alshameeri, Mohamed Elbashir, Martyn J Parker
AIM: This study compares the outcome of intracapsular hip fracture fixation using the Targon Femoral Neck (TFN) locking plate system with the standard fixation using cannulated cancellous screws (CCS). PATIENTS AND METHOD: Analyses of a prospectively collected data of all patients treated for intracapsular hip fractures using the TFN system and CCS at our department over a period of 28 years. Baseline characteristics and specific outcome measures where compared...
November 2017: Injury
https://www.readbyqxmd.com/read/28914130/high-failure-rate-after-internal-fixation-and-beneficial-outcome-after-arthroplasty-in-treatment-of-displaced-femoral-neck-fractures-in-patients-between-55-and-70-years
#12
Stefan Bartels, Jan-Erik Gjertsen, Frede Frihagen, Cecilia Rogmark, Stein Erik Utvåg
Background and purpose - The treatment of patients between 55 and 70 years with displaced intracapsular femoral neck fracture remains controversial. We compared internal fixation (IF), bipolar hemiarthroplasty (HA) and total hip arthroplasty (THA) in terms of mortality, reoperations and patient-reported outcome by using data from the Norwegian Hip Fracture Register. Patients and methods - We included 2,713 patients treated between 2005 and 2012. 1,111 patients were treated with IF, 1,030 with HA and 572 patients with THA...
February 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/28851773/mortality-and-readmission-following-hip-fracture-surgery-a-retrospective-study-comparing-conventional-and-fast-track-care
#13
Kristin Haugan, Lars G Johnsen, Trude Basso, Olav A Foss
OBJECTIVE: To compare the efficacies of two pathways-conventional and fast-track care-in patients with hip fracture. DESIGN: Retrospective single-centre study. SETTING: University hospital in middle Norway. PARTICIPANTS: 1820 patients aged ≥65 years with hip fracture (intracapsular, intertrochanteric or subtrochanteric). INTERVENTIONS: 788 patients were treated according to conventional care from April 2008 to September 2011, and 1032 patients were treated according to fast-track care from October 2011 to December 2013...
August 29, 2017: BMJ Open
https://www.readbyqxmd.com/read/28851523/hip-osteoarthritis-as-a-predictor-of-the-fracture-pattern-in-proximal-femur-fractures
#14
Ignacio Aguado-Maestro, Michalis Panteli, Manuel García-Alonso, Ignacio García-Cepeda, Peter V Giannoudis
INTRODUCTION: Several authors have suggested a correlation between the fracture patterns of proximal femur fractures and the degree of hip osteoarthritis (HOA), but the current evidence to support this are insufficient. The aim of our study was to demonstrate whether there is an association between the grade of HOA and fracture pattern observed, in patients presenting with a fragility fracture of the proximal femur. MATERIALS AND METHODS: We contacted a retrospective review of all patients presenting to our institution with fragility fractures involving the proximal femur, between March 2012 and October 2013...
December 2017: Injury
https://www.readbyqxmd.com/read/28828062/femoral-neck-fractures-in-osteogenesis-imperfecta-treated-with-bisphosphonates
#15
M C Papanna, S Tafazal, M J Bell, S N Giles, J A Fernandes
PURPOSE: Osteogenesis imperfecta (OI) is a condition characterised by bone fragility and multiple fractures, which cause considerable morbidity in the affected patients. Most cases are associated with mutations in one of the type I collagen genes. Recently, bisphosponates have been used widely to reduce pain and the incidence of fragility fractures in OI in children, even though there have been concerns raised regarding the long-term complications of it due to their effect on the bone...
June 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28802420/dhs-osteosynthesis-with-internal-bone-grafting-in-unstable-delayed-presented-intracapsular-neck-femur-fractures
#16
Wasudeo M Gadegone, R M Chandak, Vijayanand R Lokhande
OBJECTIVES: The aim of this study was to assess fracture union and complications following use of dynamic hip screw (DHS) with internal bone grafting in treatment of unstable delayed presented intracapsular neck femur fractures in patients younger than 65 years of age. MATERIAL AND METHODS: Thirty two patients with displaced intracapsular neck femur fractures(Garden III and IV, Pauwels III, with comminution) with delayed presentation (15-60 days) in the 45-65 year age group (mean 54...
August 2017: Injury
https://www.readbyqxmd.com/read/28745563/validity-of-routinely-collected-data-in-identifying-hip-fractures-at-a-major-tertiary-hospital-in-australia
#17
Lieu Thi Thuy Trinh, Helen Achat, Sze Ming Loh, Robert Pascoe, Hassan Assareh, Joanne Stubbs, Veth Guevarra
OBJECTIVES: To examine the validity of routinely collected data in identifying hip fractures (HFs) and to identify factors associated with incorrect coding. METHOD: In a prospective cohort study between January 2014 and June 2016, HFs were identified using physician diagnosis and diagnostic imaging and were recorded in a Registry. Records of HFs in the health information exchange (HIE) were identified using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification/Australian Classification of Health Interventions/Australian Coding Standards codes...
January 2018: Health Information Management: Journal of the Health Information Management Association of Australia
https://www.readbyqxmd.com/read/28702399/bilateral-simultaneous-neck-femur-fracture-following-domestic-fall-in-an-elderly-patient-a-rare-case-report
#18
Mayank Vijayvargiya, Vivek Shetty, Kiran Makwana, Nitesh Agarwal
Simultaneous bilateral neck femur fracture is a rare entity that has been associated with underlying bone disease, various metabolic diseases, high-energy trauma, and seizure disorders. Its occurrence following minimal trauma is very rare. This article presents the case of a 66-year-old female who sustained bilateral intracapsular fracture neck femur following a slip and fall at home. Single-stage bilateral cemented total hip replacement was done using a direct lateral approach with alternate right and left lateral positions...
May 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28679476/outcome-of-bone-marrow-instillation-at-fracture-site-in-intracapsular-fracture-of-femoral-neck-treated-by-head-preserving-surgery
#19
Nikhil Verma, M P Singh, Rehan Ul-Haq, Rajesh K Rajnish, Rahul Anshuman
PURPOSE: The aim of present study is to evaluate the outcome of bone marrow instillation at the fracture site in fracture of intracapsular neck femur treated by head preserving surgery. METHODS: This study included 32 patients of age group 18-50 years with closed fracture of intracapsular neck femur. Patients were randomized into two groups as per the plan generated via www.randomization.com. The two groups were Group A (control), in which the fracture of intracapsular neck femur was treated by closed reduction and cannulated cancellous screw fixation, and Group B (intervention), in which additional percutaneous autologous bone marrow aspirate instillation at fracture site was done along with cannulated cancellous screw fixation...
August 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/28665454/outcomes-of-nondisplaced-intracapsular-femoral-neck-fractures-with-internal-screw-fixation-in-elderly-patients-a-systematic-review
#20
Ignacio J Oñativia, Pablo A I Slulittel, Fernando Diaz Dilernia, Juan M Gonzales Viezcas, Valeria Vietto, Prem N Ramkumar, Martin A Buttaro, Nicolas S Piuzzi
INTRODUCTION: Although the preferred treatment for displaced femoral neck fractures in the elderly is hip arthroplasty, the treatment for impacted or undisplaced femoral neck fractures (UFNF) is still a subject of controversy. Our purpose was to systematically review studies of elderly patients with UFNF treated with internal fixation using screws: (i) what is the reported mortality; (ii) what is the reoperation rate; (iii) what are the clinical and radiological outcomes; and (iv) what is the methodological quality of the included studies? METHODS: This systematic review was performed through a search of PubMed and the Cochrane database using a structured search algorithm including studies enrolling patients older than 60 years old, with UFNF treated with internal fixation using screws...
January 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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