Hip Fractures (Subscribe)

Categories

Femoral Head Fractures (1)
Internet resources relating to Femoral Head Fractures
MeSH Search Term "Hip Fractures"[mesh]
ICD-10 Code S72.0 Fracture of Hip NOS
SNOMED-CT Term Closed fracture of head of femur (disorder) Concept ID: 208526001
See also 41191003 Open fracture of head of femur (disorder)
Femoral Neck Fractures (17)
Internet resources relating to Femoral Neck Fracture. Fractures of the neck, the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures
MeSH Search Term "Femoral Neck Fractures"[mesh]
ICD-10 Code S72.0 Fracture of neck of femur
SNOMED-CT Term Fracture of neck of femur (disorder) Concept ID: 5913000
Synonyms - Fracture of neck of femur
Femoral neck fracture
Fracture of hip
NOF - Fracture of neck of femur
Fractured Greater Trochanter (1)
Internet resources relating to Fractured Greater Trochanter
MeSH Search Term "Hip Fractures"[mesh:noexp]
ICD-10 Code S72.9 Fracture of femur, part unspecified
SNOMED-CT Term Fracture of greater trochanter (disorder) Concept ID: 301034006
IT Fractures (15)
Internet resources relating to Intertrochanteric or Pertrochanteric Hip Fractures
MeSH Search Term "Hip Fractures"[mesh:noexp]
ICD-10 Code S72.1 Pertrochanteric fracture
SNOMED-CT Term Intertrochanteric fracture (disorder) Concept ID: 127287001
Synonyms - Intertrochanteric fracture
Extracapsular fracture of neck of femur
Pertrochanteric fracture of neck of femur
Trochanteric fracture of neck of femur
Intertrochanteric fracture of femur
Intertrochanteric fracture (disorder)
Subtrochanteric Fractures (6)
Internet resources relating to Subtrochanteric Fractures, fractures extending from the Intertrochanteric region into the proximal shaft of the femur
MeSH Search Term "Hip Fractures"[mesh:noexp]
ICD-10 Code S72.2 Subtrochanteric fracture
SNOMED-CT Term Subtrochanteric fracture of femur (disorder) Concept ID: 263229001

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2009 Future Fracture Risk in a Nationwide Cohort Study of Twins

Abstract The principal causal components of an osteoporotic fracture are a fall and weakened bone strength. While bone quality measures have been frequently studied, the ability of simple measures of impaired balance to predict fracture risk has received less attention. Computer-assisted telephone interviews were conducted between 1998 and 2000 among 24,598 Swedish twins aged 55 years or older. Impaired balance at the time of interview was reported by 2,890 (12%) of the twins. Twin pairs who were discordant with regard to impaired balance were selected for analysis and followed for fractures through 2005. In a pairwise analysis, the odds ratio for hip fracture was 3.13 (95% confidence interval (CI): 1.62, 6.05) among twins with impaired balance as compared with their co-twins with normal balance. When previously recognized clinical risk factors for osteoporotic fracture were considered in the model, the odds ratio for hip fracture with impaired balance was 3.88 (95% CI: 1.40, 10.72). Approximately 40% of all hip fractures were attributable to impaired balance. The odds ratios for any fracture and any osteoporotic fracture for twins with impaired balance were 2.00 (95% CI: 1.29, 3.11) and 2.39 (95% CI: 1.49, 3.82), respectively. These results imply that self-reported impaired balance is a novel and readily assessed risk factor for future fractures in the elderly
Helene Wagner; Håkan Melhus; Rolf Gedeborg; Nancy L. Pedersen; Karl Michaëlsson American Journal of Epidemiology. 2009;169(2):143-149.

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2009 Health-related quality of life after vertebral or hip fracture

All 25 women (mean age 75.0, SD 4.7) with hip fracture as inclusion fracture had no significant changes in HRQOL between two and seven years and did not differ from the reference group regarding HRQOL after seven years. The vertebral group had significantly lower values for bodily pain, vitality, role-emotional function and mental health compared to the hip group. HRQOL showed a positive relationship between physical activity, static balance and handgrip strength.
Conclusions The long-term reduction of HRQOL in women with vertebral fracture emerged clearly in this study. The relationships between HRQOL and physical performance in women with vertebral and hip fracture raise questions for more research.
Health-related quality of life after vertebral or hip fracture: a seven-year follow-up study Hallberg I, Bachrach-Lindstrom M, Hammerby S, Toss G, Ek AC BMC Musculoskeletal Disorders 2009, 10:135

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2009 The Effect of Time-to-Surgery on Outcome in Elderly Patients With Proximal Femoral Fractures Medscape

Background: Whether reducing time-to-surgery for elderly patients suffering from hip fracture results in better outcomes remains subject to controversial debates.
Conclusion: Although this study found a trend toward more frequent post-operative complications in the longest time-to-surgery group, there was no effect of time-to-surgery on mortality. Shorter time-to-surgery may be associated with somewhat lower rates of post-operative complications such as decubitus ulcers, urinary tract infections, thromboses, pneumonia and cardiovascular events, and with somewhat higher rates of others such as post-operative bleeding or implant complications.
Rüdiger Smektala; Heinz G. Endres; Burkhard Dasch; Christoph Maier; Hans J. Trampisch; Felix Bonnaire; Ludger Pientka from From BMC Musculoskeletal Disorders 2009 (full text)

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2010 Effect of early surgery after hip fracture on mortality and complications

Guidelines exist for the surgical treatment of hip fracture, but the effect of early surgery on mortality and other outcomes that are important for patients remains unclear. We conducted a systematic review and meta-analysis to determine the effect of early surgery on the risk of death and common postoperative complications among elderly patients with hip fracture.
Interpretation: Earlier surgery was associated with a lower risk of death and lower rates of postoperative pneumonia and pressure sores among elderly patients with hip fracture. These results suggest that reducing delays may reduce mortality and complications.
Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis
Published online ahead of print September 13, 2010 CMAJ 10.1503/cmaj.092220 Nicole Simunovic, P. J. Devereaux, Sheila Sprague, Gordon H. Guyatt, Emil Schemitsch, Justin DeBeer, Mohit Bhandari

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2010 Home-Based Exercises May Protect High-Risk Elderly Women From Hip Fractures Medscape

September 27, 2010 —Home-based exercises may protect high-risk elderly women from hip fractures, according to the results of a population-based, randomized controlled exercise trial reported in the September 27 issue of the Archives of Internal Medicine.
The exercise group had significantly better outcomes than the control group in postural sway (group x time interaction, P = .005), walking speed (group x time interaction, P <.001), and Frenchay Activities Index score (group x time interaction, P = .001). However, both groups had similar decreases in bone mineral density across time.
During extended follow-up, women in the exercise group had an incidence rate of fractures 0.05 per 1000 person-years vs 0.08 per 1000 person-years among women in the control group (Poisson incidence rate ratio, 0.68; 95% confidence interval [CI], 0.34 - 1.32). None of the women in the exercise group had hip fractures vs 5 in the control group. There was 1 death in the exercise group and 8 deaths in the control group (Poisson incidence rate ratio, 0.11; 95% CI, 0.01 - 0.85).

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2010 Inaccuracies Common in Diagnostic X-Rays for Hip and Pelvic Fractures Medscape

Report on article in AJR (Am J Roentgenol. 2010;94:1054-1060.)
The results showed that X-ray missed a number of fractures and that MRI revealed many fractures undetected by X-ray. Among other findings:
* 13 patients (14%) had 23 fractures (6 hip, 17 pelvic) undetected by X-ray but confirmed by MRI
* 11 patients (12%) whose X-ray suggested the presence of fractures had MRIs that showed none
* 15 patients (16%) with X-rays that did reveal fractures had MRIs that depicted additional breaks missed by X-ray

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2010 Shortage of Nurses Means Death After Hip Fracture Medscape

Report of presentation to the AAOS Annual Meeting 2010.
Low nurse staffing levels are associated with increased mortality among elderly patients admitted to hospital with hip fractures, new research suggests.
In a retrospective cohort study presented at the American Association of Orthopaedic Surgeons 2010 Annual Meeting, the risk for death among elderly patients in the hospital with hip fractures increased 22% when the nursing staff was reduced by 1 full-time nurse each day

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2011 Mortality and cause of death in hip fracture patients aged 65 or older

Results Mean follow-up was 3.7 years (range 0-9 years). Overall 1-year postoperative mortality was 27.3% and mortality after hip fracture at the end of the follow-up was 79.0%. During the follow-up, age-adjusted mortality after hip fracture surgery was higher in men than in women with hazard ratio (HR) 1.55 and 95% confidence interval (95% CI) 1.21-2.00. Among hip surgery patients, the most common causes of death were circulatory diseases, followed by dementia and Alzheimer's disease. After hip fracture, men were more likely than women to die from respiratory disease, malignant neoplasm, and circulatory disease. During the follow-up, all-cause age- and sex-standardized mortality after hip fracture was 3-fold higher than that of the general population and included every cause-of-death category.
Mortality and cause of death in hip fracture patients aged 65 or older - a population-based study Panula J, Pihlajamaki H, Mattila VM, Jaatinen P, Vahlberg T, Aarnio P, Kivela SL BMC Musculoskeletal Disorders 2011, 12:105 (full text)

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Forces acting on the Hip Joint Wheeless

broad range of forces acts upon the hip joint;
- muscles that cross hip joint generate most of the load that it bears;
Wheeless' Textbook of Orthopaedics

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Proximal Femur AO Surgery Reference

Online Reference of surgical technique

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Proximal Femur Fractures - AO Surgery Reference

The proximal femur section of the AO Surgery Reference. The whole surgical management described, including decision-making support, approaches, and surgical procedures.

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Thromboembolism in Hip Fracture Wheeless

See links to:
- DVT Discussion
- Pulmonary Embolism
- References
- Role of Dextran in Hip Frx
- Role of Heparin in Hip Frx
Wheeless' Textbook of Orthopaedics

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