Aims. This study aimed to compare mortality in trochanteric AO/OTA A1 and A2 fractures treated with an intramedullary nail (IMN) or sliding
Aims. This study evaluated variation in the surgical treatment of stable (A1) and unstable (A2) trochanteric
Aims. To compare the cost-effectiveness of high-dose, dual-antibiotic cement versus single-antibiotic cement for the treatment of displaced intracapsular
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. The aims of this study were to determine the cumulative ten-year
survivorship of
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
Aims.
Aims. Prior to the availability of vaccines, mortality for
Aims. Current levels of
Aims. The aims of this study were to assess quality of life after
Aims. The aim of this study was to examine perioperative blood transfusion practice, and associations with clinical outcomes, in a national cohort of
Aims. Patients with A1 and A2 trochanteric
Aims. The aim of this study was to describe the management and associated outcomes of patients sustaining a femoral
A consecutive series of 320 patients with an
intracapsular fracture of the
Aims. Factors associated with high mortality rates in geriatric
Aims. Surgery is often delayed in patients who sustain a
Aims. The aim of this study was to report the three-year follow-up for a series of 400 patients with a displaced intracapsular fracture of the
Aims. This study aimed to identify risk factors (patient, healthcare system, and socioeconomic) for mortality after
Aims. The aim of this study was to describe the current pathways of care for patients with a fracture of the
Aims. The aim of this study was to determine the impact of hospital-level service characteristics on
Aims. To investigate if preoperative CT improves detection of unstable trochanteric
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. We assessed the value of the Clinical Frailty Scale (CFS) in the prediction of adverse outcome after
Aims. The use of multimodal non-opioid analgesia in
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
Aims. National
Aims. Periprosthetic fractures (PPFs) following hip arthroplasty are complex injuries. This study evaluates patient demographic characteristics, management, outcomes, and risk factors associated with PPF subtypes over a decade. Methods. Using a multicentre collaborative study design, independent of registry data, we identified adults from 29 centres with PPFs around the
Aims. The aim of this study was to investigate the association between the type of operation used to treat a trochanteric fracture of the
Aims. The aim of this study was to assess the association of mortality and reoperation when comparing cemented and uncemented hemiarthroplasty (HA) in
Aims. The aim of this study was to describe variation in
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 investigate if there are differences in outcome between sliding
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
Aims. Deep surgical site infection (SSI) remains an unsolved problem after
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
Aims.
Aims. To compare the outcomes for trochanteric fractures treated with
a sliding
Aims. Infection after surgery increases treatment costs and is associated with increased mortality.
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
We compared a new fixation system, the Targon
Femoral Neck (TFN)
Aims. This study sought to compare the rate of deep surgical site infection (SSI), as measured by the Centers for Disease Control and Prevention (CDC) definition, after surgery for a fracture of the
Aims. This study sought to determine the proportion of older adults with
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
Aims. Patients receiving cemented hemiarthroplasties after
Aims. This study explores data quality in operation type and fracture classification recorded as part of a large research study and a national audit with an independent review. Patients and Methods. At 17 centres, an expert surgeon reviewed a randomly selected subset of cases from their centre with regard to fracture classification using the AO system and type of operation performed. Agreement for these variables was then compared with the data collected during conduct of the World
Aims. Debate continues about whether it is better to use a cemented or uncemented hemiarthroplasty to treat a displaced intracapsular fracture of the
Aims. This study describes and compares the operative management and outcomes in a consecutive case series of patients with dislocated hemiarthroplasties of the
Aims. Low haemoglobin (Hb) at admission has been identified as a risk factor for mortality for elderly patients with
Aims. The aim of this study was to investigate the hypothesis that a single dose of tranexamic acid (TXA) would reduce blood loss and transfusion rates in elderly patients undergoing surgery for a subcapital or intertrochanteric (IT) fracture of the
In a randomised trial involving 598 patients
with 600 trochanteric fractures of the
Aims.
Aims. We aimed to determine the effect of dementia and Parkinson’s
disease on one, three and 12-month mortality following surgery for
fracture of the
Aims. A lack of supporting clinical studies have been published to determine the ideal length of intramedullary nail in fixation of trochanteric fractures of the
Aims. The aim of this study was to investigate mortality and risk of intraoperative medical complications depending on delay to
We compared the outcome of patients treated for an intertrochanteric fracture of the femoral neck with a locked, long intramedullary nail with those treated with a dynamic
Aims. The aims of this study were to evaluate the incidence of postoperatively restricted weight-bearing and its association with outcome in patients who undergo surgery for a fracture of the
Aims. Displaced, comminuted acetabular fractures in the elderly are increasingly common, but there is no consensus on whether they should be treated non-surgically, surgically with open reduction and internal fixation (ORIF), or with acute total hip arthroplasty (THA). A combination of ORIF and acute THA, an approach called ’combined
Aims. The aim of this paper is to review the evidence relating to the
anatomy of the proximal femur, the geometry of the fracture and
the characteristics of implants and methods of fixation of intertrochanteric
fractures of the
Background. Approximately half of all
Aims. The primary aim of this prognostic study was to identify baseline
factors associated with physical health-related quality of life
(HRQL) in patients after a femoral neck fracture. The secondary
aims were to identify baseline factors associated with mental HRQL,
hip function, and health utility. Patients and Methods. Patients who were enrolled in the Fixation using Alternative
Implants for the Treatment of
We performed a randomised, prospective trial in 111 patients with intertrochanteric fractures of the
Aims. We examined risk of developing acute renal failure and the associated
mortality among patients aged >
65 years undergoing surgery for
a fracture of the
Aims. In this study, we aimed to determine whether designation as a
major trauma centre (MTC) affects the quality of care for patients
with a fracture of the
Limited access surgery is thought to reduce post-operative morbidity and provide faster recovery of function. The percutaneous compression plate (PCCP) is a recently introduced device for the fixation of intertrochanteric fractures with minimal exposure. It has several potential mechanical advantages over the conventional compression
Aims. We present an audit comparing our level I major trauma centre’s
data for a cohort of patients with
Aims. The aim of this study was to inform a definitive trial which
could determine the clinical effectiveness of the X-Bolt Dynamic
Hip Plating System compared with the sliding
Aims. We aimed to characterise the effect of expeditious
Fractures of the
Objectives. To study the measurement properties of a joint specific patient
reported outcome measure, a measure of capability and a general
health-related quality of life (HRQOL) tool in a large cohort of
patients with a
Aims. Our aim in this study was to describe the long-term survival
of the native
Aims. A fracture of the
A total of 56 male patients with a displaced
intracapsular fracture of the
Aims. We reviewed all patients who sustained a fracture of the hip
and were treated in Northern Ireland over a period of 15 years to
identify trends in incidence, the demographics of the patients,
the rates of mortality, the configuration of the fracture and the
choice of implant. Patients and Methods. Since 01 January 2001 data about every fracture of the
A delay in establishing the diagnosis of an occult
fracture of the
Aims. Surgical site infection can be a devastating complication of
hemiarthroplasty of the
We investigated the excess mortality risk associated with fractures of the
Several studies have reported the rate of post-operative
mortality after the surgical treatment of a fracture of the
Surgical dislocation of the
The aims of this study were to identify the early
in-hospital mortality rate after
There has been extensive discussion about the
effect of delay to surgery on mortality in patients sustaining a fracture
of the
We determined the age-specific incidence of a second fracture of the
We compared 5341 patients with an initial fracture
of the
The aim of this study was to examine the rates
and potential risk factors for 28-day re-admission following a fracture
of the
This is the first study to use the English Indices of Multiple Deprivation 2007, the Government’s official measure of multiple deprivation, to analyse the effect of socioeconomic status on the incidence of fractures of the
We examined prospectively collected data from 6782 consecutive
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 81.1 years (70.2 to
95.6) were included, of whom 205 (81%) were women. A total of 137
were treated with a cemented hemiarthroplasty and 115 with a cemented
THA. At long-term follow-up we analysed the modified Harris Hip
Score (HHS), post-operative complications and intra-operative data
of the patients who were still alive. Results . At a mean follow-up of 12 years (8.23 to 16.17, standard deviation
2.24), 50 patients (20%), 32 in the hemiarthroplasty group and 18
in the THA group, were still alive, of which 47 (94%) were women.
There were no significant differences in the mean modified HHS (p
= 0.85), mortality (p = 0.13), complications (p = 0.93) or rate
of revision surgery (p = 1.0) between the two groups. Conclusion. In the treatment of active elderly patients with an intracapsular
fracture of the
Prospective data on 6905 consecutive
The National Institute for Health and Clinical
Excellence (NICE) guidelines from 2011 recommend the use of cemented
hemi-arthroplasty for appropriate patients with an intracapsular
hip fracture. In our institution all patients who were admitted
with an intracapsular
Our aim was to determine the total blood loss associated with surgery for fracture of the
We have evaluated retrospectively the relationship of bony injuries seen on 106 consecutive MR scans in elderly patients of a mean age of 81.4 years (67 to 101) who were unable to bear weight after a low-energy injury. There were no visible fractures on plain radiographs of the
The aim of this study was to compare the operating
time, length of stay (LOS), adverse events and rate of re-admission
for elderly patients with a fracture of the
Fractures of the proximal femur are one of the
greatest challenges facing the medical community, constituting a
heavy socioeconomic burden worldwide. Controversy exists regarding
the optimal treatment for patients with unstable trochanteric proximal
femoral fractures. The recognised treatment alternatives are extramedullary
fixation usually with a sliding
Immobility has been used as an indication for conservative treatment of patients with fractures of the
The purpose of this study was to identify changing
trends in the pattern of distribution of the type and demographics
of fractures of the
Prospective data on
Heterotopic ossification (HO) of the
The Nottingham
We treated 108 patients with a pertrochanteric femoral fracture using either the dynamic