The optimal treatment of displaced femoral neck fractures in patients over 60 years is controversial. While much research has focused on the impact of total hip arthroplasty (THA) and hemiarthroplasty (HA) on surgical outcomes, little is known about patient preferences for either alternative. The purpose of this study was to elicit surgical preferences of patients at risk of sustaining hip fracture using a novel Decision board. We developed a Decision board for the surgical management of displaced femoral neck fractures presenting risks and outcomes of HA and THA. The Decision board was presented to 81 elderly patients at risk for developing femoral neck fractures identified from an osteoporosis clinic. The participants were faced with the scenario of sustaining a displaced femoral neck fracture and were asked to state their treatment option preference and rationale for operative procedure.Purpose
Method
if adding the prospect of co-authorship to a survey’s final paper would increase, and if the sending modality (fax or email) would affect, the six-week response rate of an orthopaedic survey.
to receive or not receive an additional cover page promising co-authorship of the survey’s final paper if they filled in and returned the survey (an “academic incentive”), and to receive their survey by fax or email.
the general attitude of the orthopaedic surgeon toward intimate partner violence, the attitude of the orthopaedic surgeon toward victims and batterers, and the clinical relevance of intimate partner violence in orthopaedic surgery.
victims must be getting something out of the abusive relationships (16%); some women have personalities that cause the abuse (20%); and the battering would stop if the batterer quite abusing alcohol (40%). In the past year, approximately half of the surgeons (50.8%) acknowledged identification of a victim of IPV; however, only 4.0% of respondents currently screened for IPV among female patients with injuries. Surgeons expressed concerns about lack of knowledge in the management of abused women (30%) Guidelines for the detection and management of IPV were uncommon in most surgeons’ practices (7.8%).
radiologic investigations, definition of successful lumbar fusion and reliability, sensitivity and specificity of the investigations used to assess the spinal fusion.