Aims. Periprosthetic
Aims. To report the outcomes of patients with a
Aims. In the Netherlands, general practitioners (GPs) can request radiographs. After a radiologically diagnosed
Aims. The aim of this study was to describe the demographic details of patients who sustain a femoral periprosthetic
Aims. The aim of this study was to describe the management and associated outcomes of patients sustaining a femoral hip periprosthetic
Aims. The aims of this study were to report the outcomes of patients with a complex
Aims. The primary aim was to estimate the cost-effectiveness of routine operative fixation for all patients with humeral shaft
Aims. The primary aim of this study was to determine the rates of return to work (RTW) and sport (RTS) following a humeral shaft
Aims. The primary aim of this study was to address the hypothesis that
Aims. The aim of this study was to explore current use of the Global Fragility
Aims. This study evaluated variation in the surgical treatment of stable (A1) and unstable (A2) trochanteric hip
Aims. The aim of this study was to determine the current incidence and epidemiology of humeral diaphyseal
Aims. Osseointegrated prosthetic limbs allow better mobility than socket-mounted prosthetics for lower limb amputees. Fractures, however, can occur in the residual limb, but they have rarely been reported. Approximately 2% to 3% of amputees with socket-mounted prostheses may
Aims. The primary aim of this study was to develop a reliable, effective radiological score to assess the healing of humeral shaft
Aims. Although infrequent, a
Aims. We reviewed all patients who sustained a
Aims. The aim of this study was to report the outcome following primary
fixation or a staged protocol for type C
Aims. To evaluate whether an ultra-low-dose CT protocol can diagnose
selected limb
We present the prevalence of multiple fractures
in the elderly in a single catchment population of 780 000 treated over
a 12-month period and describe the mechanisms of injury, common
patterns of occurrence, management, and the associated mortality
rate. A total of 2335 patients, aged ≥ 65 years of age, were prospectively
assessed and of these 119 patients (5.1%) presented with multiple
fractures. Distal radial (odds ratio (OR) 5.1, p <
0.0001), proximal humeral
(OR 2.2, p <
0.0001) and pelvic (OR 4.9, p <
0.0001) fractures
were associated with an increased risk of sustaining associated
fractures. Only 4.5% of patients sustained multiple
Aims. To evaluate interobserver reliability of the Orthopaedic Trauma
Association’s open
Bicondylar tibial plateau
The aim of this study was to report the pattern
of severe open diaphyseal tibial
Aims. The aim of this prospective randomised controlled trial was to
compare non-operative and operative management for acute isolated
displaced
In this study, we describe a morphological classification
for greater tuberosity
The Nottingham Hip
Fractures of the hip are common, often occurring
in frail elderly patients, but also in younger fit healthy patients following
trauma. They have a significant associated mortality and major social
and financial implications to patients and health care providers.
Many guidelines are available for the management of these patients,
mostly recommending early surgery for the best outcomes. As a result,
healthcare authorities now put pressure on surgical teams to ‘fast
track’ patients with a
Aims. The fundamental concept of open reduction and internal fixation
(ORIF) of ankle
We define the long-term outcomes and rates of
further operative intervention following displaced Bennett’s fractures
treated with Kirschner (K-) wire fixation between 1996 and 2009.
We retrospectively identified 143 patients (127 men and 16 women)
with a mean age at the time of injury of 33.2 years (18 to 75).
Electronic records were examined and patients were invited to complete
the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire
in addition to a satisfaction questionnaire. The time since injury
was a mean of 11.5 years (3.4 to 18.5). In total 11 patients had
died, one had developed dementia and 12 patients were lost to follow-up.
This left 119 patients available for recruitment. Of these, 57 did
not respond, leaving a study group of 62 patients. Patients reported
excellent functional outcomes and high levels of satisfaction at
follow-up. Median satisfaction was 94% (interquartile range 91.5
to 97.5) and the mean DASH score was 3.0 (0 to 38). None of the patients
had undergone salvage procedures and none of the responders had
changed occupation or sporting activities. Long-term patient reported
outcomes following displaced Bennett’s
Aims. Despite limited clinical scientific backing, an additional trochanteric stabilizing plate (TSP) has been advocated when treating unstable trochanteric
Aims. Tobacco, in addition to being one of the greatest public health threats facing our world, is believed to have deleterious effects on bone metabolism and especially on bone healing. It has been described in the literature that patients who smoke are approximately twice as likely to develop a nonunion following a non-specific bone fracture. For clavicle
Aims. Acetabular fractures are associated with long-term morbidity. Our prospective cohort study sought to understand the recovery trajectory of this injury over five years. Methods. Eligible patients at a level I trauma centre were recruited into a longitudinal registry of surgical acetabular fractures between June 2004 and August 2019. Patient-reported outcome measures (PROMs), including the 36-Item Short Form Health Survey (SF-36) physical component summary (PCS), were recorded at baseline pre-injury recall and six months, one year, two years, and five years postoperatively. Comparative analyses were performed for elementary and associated
Aims. This study aimed to compare mortality in trochanteric AO/OTA A1 and A2
Aims. Understanding of open
Aims. The Open-Fracture Patient Evaluation Nationwide (OPEN) study was performed to provide clarity in open
Aims. Though most humeral shaft fractures heal nonoperatively, up to one-third may lead to nonunion with inferior outcomes. The Radiographic Union Score for HUmeral Fractures (RUSHU) was created to identify high-risk patients for nonunion. Our study evaluated the RUSHU’s prognostic performance at six and 12 weeks in discriminating nonunion within a significantly larger cohort than before. Methods. Our study included 226 nonoperatively treated humeral shaft
Aims. There is a lack of published evidence relating to the rate of nonunion seen in occult scaphoid fractures, diagnosed only after MRI. This study reports the rate of delayed union and nonunion in a cohort of patients with MRI-detected acute scaphoid fractures. Methods. This multicentre cohort study at eight centres in the UK included all patients with an acute scaphoid fracture diagnosed on MRI having presented acutely following wrist trauma with normal radiographs. Data were gathered retrospectively for a minimum of 12 months at each centre. The primary outcome measures were the rate of acute surgery, delayed union, and nonunion. Results. A total of 1,989 patients underwent acute MRI for a suspected scaphoid fracture during the study period, of which 256 patients (12.9%) were diagnosed with a previously occult scaphoid fracture. Of the patients with scaphoid fractures, six underwent early surgical fixation (2.3%) and there was a total of 16 cases of delayed or nonunion (6.3%) in the remaining 250 patients treated with cast immobilization. Of the nine nonunions (3.5%), seven underwent surgery (2.7%), one opted for non-surgical treatment, and one failed to attend follow-up. Of the seven delayed unions (2.7%), one (0.4%) was treated with surgery at two months, one (0.4%) did not attend further follow-up, and the remaining five
Aims. The aim of this study was to perform the first population-based description of the epidemiological and health economic burden of fracture-related infection (FRI). Methods. This is a retrospective cohort study of operatively managed orthopaedic trauma patients from 1 January 2007 to 31 December 2016, performed in Queensland, Australia. Record linkage was used to develop a person-centric, population-based dataset incorporating routinely collected administrative, clinical, and health economic information. The FRI group consisted of patients with International Classification of Disease 10th Revision diagnosis codes for deep infection associated with an implanted device within two years following surgery, while all others were deemed not infected. Demographic and clinical variables, as well as healthcare utilization costs, were compared. Results. There were 111,402 patients operatively managed for orthopaedic trauma, with 2,775 of these (2.5%) complicated by FRI. The development of FRI had a statistically significant association with older age, male sex, residing in rural/remote areas, Aboriginal or Torres Strait Islander background, lower socioeconomic status, road traffic accident, work-related injuries, open
Aims. HIV and musculoskeletal injuries both disproportionately affect individuals living in low- and middle-income countries (LMICs), leading to a significant number of
Aims. Ankle
Aims. Distal third clavicle (DTC)
Aims. The aim of this study was to evaluate the suitability, against an accepted international standard, of a linked hip
Aims. The aims of this study were to assess quality of life after hip
Aims. To investigate if preoperative CT improves detection of unstable trochanteric hip
Aims. Current levels of hip
Aims. The aim of this study was to develop and evaluate a deep learning-based model for classification of hip
Aims. Several previously identified patient-, injury-, and treatment-related factors are associated with the development of nonunion in distal femur fractures. However, the predictive value of these factors is not well defined. We aimed to assess the predictive ability of previously identified risk factors in the development of nonunion leading to secondary surgery in distal femur fractures. Methods. We conducted a retrospective cohort study of adult patients with traumatic distal femur fracture treated with lateral locking plate between 2009 and 2018. The patients who underwent secondary surgery due to fracture healing problem or plate failure were considered having nonunion. Background knowledge of risk factors of distal femur fracture nonunion based on previous literature was used to form an initial set of variables. A logistic regression model was used with previously identified patient- and injury-related variables (age, sex, BMI, diabetes, smoking, periprosthetic
Aims. This study aimed to describe practice variation in the use of total hip arthroplasty (THA) for older patients with femoral neck
Aims. Proximal humeral fractures (PHFs) are common. There is increasing evidence that most of these
Aims. Prior to the availability of vaccines, mortality for hip
Aims. Hip