Aims. Current levels of
Aims. The aims of this study were to assess quality of life after
Aims. Cementing in arthroplasty for
Aims. Surgery is often delayed in patients who sustain a
Aims. The aim of this study was to investigate the association between additional rehabilitation at the weekend, and in-hospital mortality and complications in patients with
Aims. The use of multimodal non-opioid analgesia in
Aims. The aim of this study was to compare the cost-effectiveness of cemented hemiarthroplasty (HA) versus hydroxyapatite-coated uncemented HA for the treatment of displaced intracapsular
Aims. The aims of this study were to evaluate the incidence of reoperation (all cause and specifically for periprosthetic femoral fracture (PFF)) and mortality, and associated risk factors, following a hemiarthroplasty incorporating a cemented collarless polished taper slip stem (PTS) for management of an intracapsular
Aims. In UK there are around 76,000
Aims. This study aimed to compare mortality in trochanteric AO/OTA A1 and A2 fractures treated with an intramedullary nail (IMN) or sliding hip screw (SHS). The primary endpoint was 30-day mortality, with secondary endpoints at 0 to 1, 2 to 7, 8 to 30, 90, and 365 days. Methods. We analyzed data from 26,393 patients with trochanteric AO/OTA A1 and A2 fractures treated with IMNs (n = 9,095) or SHSs (n = 17,298) in the Norwegian
The Nottingham
Background. In a number of disciplines, positive correlations have been reported between volume and clinical outcome. This has helped drive the evolution of specialist centres to deal with complex or high risk medical conditions.
Aims.
The
Aims. Prior to the availability of vaccines, mortality for
Aims. The aim of this study was to examine perioperative blood transfusion practice, and associations with clinical outcomes, in a national cohort of
Aims. The aim of this study was to determine the impact of hospital-level service characteristics on
Aims. Patients with A1 and A2 trochanteric
Aims. To identify factors influencing clinicians’ decisions to undertake a nonoperative
Aims. This study aimed to identify risk factors (patient, healthcare system, and socioeconomic) for mortality after
Solid organ transplant (SOT) recipients present an increased medical risk; however, few studies analyze the outcomes of these patients undergoing
One of the most important sequelae to ageing is osteoporosis and subsequently
Aims. Factors associated with high mortality rates in geriatric
Thrombelastography (TEG) is a point-of-care tool that can measure clot formation and breakdown using a whole blood sample. We have previously used serial TEG analysis to define hypercoagulability and increased venous thromboembolism (VTE) risk following a major fracture requiring surgical treatment. Additionally, we have used serial TEG analysis to quantify the prolonged hypercoagulable state and increased VTE risk that ensues following a
Aims. The primary aim was to assess the independent influence of coronavirus disease (COVID-19) on 30-day mortality for patients with a
Aims. The aim of this study was to describe variation in
Background.
Abstract. Introduction. The management of
Aims. Despite the COVID-19 pandemic, incidence of
Aims. To investigate if preoperative CT improves detection of unstable trochanteric
Aims. The coronavirus disease (COVID)-19 pandemic forced an unprecedented period of challenge to the NHS in the UK where
Following the establishment of regional Major Trauma Networks in England in 2012, there were concerns that pressures regarding resource allocation in Major Trauma Centres (MTCs) may have a detrimental impact on the care of patients with
Prolonged bedrest in hospitalized patients is a major risk factor for venous thromboembolism (VTE), especially in high risk patients with
Prolonged bedrest in hospitalized patients is a major risk factor for venous thromboembolism (VTE), especially in high risk patients with
Aims. The aim of this study was to describe the current pathways of care for patients with a fracture of the hip in five low- and middle-income countries (LMIC) in South Asia (Nepal and Sri Lanka) and Southeast Asia (Malaysia, Thailand, and the Philippines). Methods. The World Health Organization Service Availability and Readiness Assessment tool was used to collect data on the care of
Aims.
Aims.
Aims. We assessed the value of the Clinical Frailty Scale (CFS) in the prediction of adverse outcome after
Aims. This study aimed to describe preoperative waiting times for surgery in
Aims. The primary aim was to determine the influence of COVID-19 on 30-day mortality following
Aims.
Aims. The aim of this study was to determine whether national standards of best practice are associated with improved health-related quality of life (HRQoL) outcomes in
Aims. Current guidelines recommend surgery within 48 hours among patients presenting with
Aims. Our rural orthopaedic service has undergone service restructure during the COVID-19 pandemic in order to sustain
The aims were to assess whether vitamin D deficiency influenced mortality risk for patients presenting with a
The aims were to assess whether vitamin D deficiency influenced mortality risk for patients presenting with a
Aims.
Aim. The treatment of fracture-related infections (FRI) focuses on obtaining fracture healing and eradicating infection to prevent osteomyelitis. Treatment guidelines include removal, exchange, or retention of the implants used according to the stability of the fracture and the time from the infection. Infection of a fracture in the process of healing with a stable fixation may be treated with implant retention, debridement, and antibiotics. Nonetheless, the retention of an intramedullary nail is a potential risk factor for failure, and it is recommended to exchange or remove the nail. This surgical approach implies additional life-threatening risks in elderly fragile
Dual-mobility constructs (DMCs) are increasingly used for total hip replacement (THR) following
Aims. The aim of this study was to assess the association of mortality and reoperation when comparing cemented and uncemented hemiarthroplasty (HA) in
Aims. Type 2 diabetes mellitus (T2DM) impairs bone strength and is a significant risk factor for
Aims. The purpose of this study was to determine the weightbearing practice of operatively managed fragility fractures in the setting of publically funded health services in the UK and Ireland. Methods. The Fragility Fracture Postoperative Mobilisation (FFPOM) multicentre audit included all patients aged 60 years and older undergoing surgery for a fragility fracture of the lower limb between 1 January 2019 and 30 June 2019, and 1 February 2021 and 14 March 2021. Fractures arising from high-energy transfer trauma, patients with multiple injuries, and those associated with metastatic deposits or infection were excluded. We analyzed this patient cohort to determine adherence to the British Orthopaedic Association Standard, “all surgery in the frail patient should be performed to allow full weight-bearing for activities required for daily living”. Results. A total of 19,557 patients (mean age 82 years (SD 9), 16,241 having a hip fracture) were included. Overall, 16,614 patients (85.0%) were instructed to perform weightbearing where required for daily living immediately postoperatively (15,543 (95.7%)
Aims. To assess the safety of tranexamic acid (TXA) in a large cohort of patients aged over 65 years who have sustained a
Aims. Echocardiography is commonly used in
The June 2023 Trauma Roundup. 360. looks at: Aspirin or low-molecular-weight heparin for thromboprophylaxis?; Lateral plating or retrograde nailing for distal femur fractures?; Sciatic nerve palsy after acetabular fixation: what about patient position?; How reliable is the new OTA/AO classification for trochanteric
Aims. Postoperative delirium (POD) and postoperative cognitive decline (POCD) are common surgical complications. In the UK, the Best Practice Tariff incentivizes the screening of delirium in patients with
Aims. National
Aims. The aim of this study was to assess the effect of time to surgical intervention from admission on mortality and morbidity for patients with
Aims. The aim of this study to compare 30-day survival and recovery of mobility between patients mobilized early (on the day of, or day after surgery for a hip fracture) and patients mobilized late (two days or more after surgery), and to determine whether the presence of dementia influences the association between the timing of mobilization, 30-day survival, and recovery. Methods. Analysis of the National
Aim: We have previously shown that long-term survival after
Aims. To compare the cost-effectiveness of high-dose, dual-antibiotic cement versus single-antibiotic cement for the treatment of displaced intracapsular
Aims. Infection after surgery increases treatment costs and is associated with increased mortality.
Aims. The aim of this study was to explore current use of the Global Fragility Fracture Network (FFN) Minimum Common Dataset (MCD) within established national
Aims. This study explores the reported rate of surgical site infection (SSI) after
Aims. During the COVID-19 pandemic, many patients continue to require urgent surgery for
Introduction: A secular trend in
In patients admitted to hospital with a
A
The HIPGEN study funded under EU Horizon 2020 (Grant 7792939) has the aim to investigate the potential of the first regenerative cell therapy for the improvement of recovery after muscle injury in
Aims. We conducted a systematic review and meta-analysis to compare the mortality, morbidity, and functional outcomes of cemented versus uncemented hemiarthroplasty in the treatment of intracapsular
Aims. Hospital case volume is shown to be associated with postoperative outcomes in various types of surgery. However, conflicting results of volume-outcome relationship have been reported in
Elderly patients undergoing surgery for a
Aims. The aim of the HIPGEN consortium is to develop the first cell therapy product for
Aims. To evaluate if, for orthopaedic trainees, additional cadaveric simulation training or standard training alone yields superior radiological and clinical outcomes in patients undergoing dynamic hip screw (DHS) fixation or hemiarthroplasty for
The National
Introduction: Among numerous international studies on
To conduct a meta-analysis for intertrochanteric
Aims. This study sought to determine the proportion of older adults with
Aims. Delirium is associated with adverse outcomes following
Due to changes in population demographics, the burden of
Venous thromboembolism (VTE) is the second most common complication and pulmonary embolism (PE) is the fourth most common cause of death after a
COVID-19 confers a three-fold increased mortality risk among
Aims. This study evaluated variation in the surgical treatment of stable (A1) and unstable (A2) trochanteric
We performed a randomized feasibility trial to examine the impact of preoperative femoral nerve block (FNB) on elderly patients with
Aims. To establish if COVID-19 has worsened outcomes in patients with AO 31 A or B type
Aims. This study aims to assess the feasibility of conducting a pragmatic, multicentre randomized controlled trial (RCT) to test the clinical and cost-effectiveness of an informal caregiver training programme to support the recovery of people following
The National
Abstract. Objectives. Our study evaluates financial impact to the Best Practice Tariff (BPT) of
Aims. To assess the variation in pre-fracture quality of life (QoL) within the UK
Aims. Bone health assessment and the prescription of medication for secondary fracture prevention have become an integral part of the acute management of patients with
The aims were: (1) assess the influence of COVID-19 on mortality in
Aims. The aim of this study was to describe the management and associated outcomes of patients sustaining a femoral
This international multicentre retrospective cohort study aimed to assess: 1) prevalence of COVID-19 in
The ‘Best Practice Tariff‘ (BPT) was developed to improve
Aims. A systematic literature review focusing on how long before surgery concurrent viral or bacterial infections (respiratory and urinary infections) should be treated in