Abstract
Hip fractures associated with underlying osteoporosis result in significant morbidity and mortality in elderly patients and increase the risk for future fractures. Several underlying modifiable contributors may be identified, while osteoporosis itself is amenable to a number of effective treatments....
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PMID: 21531228
PDF is available here.
Abstract
We identified 716 women who sustained a subtrochanteric or femoral shaft fracture following initiation of bisphosphonate therapy and 9723 women who sustained a typical osteoporotic fracture of the intertrochanteric region or femoral neck. Compared with transient bisphosphonate use, treatment for 5 y...
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PMID: 21343577
PDF is available here.
Abstract
We investigated 164 of 180 women with hip fracture admitted consecutively to a rehabilitation hospital. Lateral radiographs of the spine were taken 20.0 ± 5.1 days (mean ± SD) after fracture occurrence. To obtain a summary measure of vertebral fracture burden, we calculated the spinal deformity in...
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PMID: 21169744
PDF is available here.
Abstract
We determined the overall fracture risk as assessed by the World Health Organization (WHO)'s FRAX® tool in Korean patients with seropositive RA. Additionally, we compared treatment eligibility according to the criteria of the Korean Health Insurance Review Agency (HIRA), FRAX, and the National Oste...
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PMID: 21179283
PDF is available here.
Abstract
Achieving remission in late-life depressive disorder is difficult; it is far better to prevent depression. In the last ten years there have been a number of clinical studies of the feasibility of prevention.
A limited literature review was undertaken of studies from 2000 specifically concerning the...
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PMID: 20594389
PDF is available here.
Abstract
We included patients (aged 16 years or older) with Injury Severity Score value ≥ 9 who were admitted to Level I and II TCs. To ensure data quality, we limited the study to TC that routinely reported comorbidities and Abbreviated Injury Scale codes. IHF were defined as patients, aged 65 years or ol...
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PMID: 21068608
PDF is available here.
Abstract
The purpose of our prospective study was to analyze how many patients with hip fractures are on treatment with platelet aggregation inhibitors (aspirin and clopidogrel), how many of these patients have impaired platelet function as measured by the PFA-100, and whether there is an association between...
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PMID: 21068622
PDF is available here.
Abstract
Hip fracture in the elderly can be associated with dramatic issues like death in the year or severe handicap requiring admission in a nursing home. Implementation of a close cooperation between orthopaedic surgeon and geriatrician materialize in the creation of unit, known as orthogeriatric unit whe...
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PMID: 21140964
PDF is available here.
Abstract
Whole cereal grain foods are rich in phytate, a Ca chelator, and could increase the risk of hip fracture. The objective of the present study was to investigate the association between baseline whole grain intake and incident hip fracture. In the present study, 29 192 women who at baseline in 1986 we...
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PMID: 20569526
PDF is available here.
Abstract
In independent studies delirium was associated with higher levels of cortisol, interleukin(IL)s, and S100B. The aim of this study was to simultaneously compare cortisol, IL-6, IL-8, and S100B levels in patients aged 65years and older admitted for hip fracture surgery with and without delirium. Corti...
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PMID: 20580479
PDF is available here.
Abstract
In-hospital mortality is a common criterion for evaluating the quality of medical care provided for inpatients. Besides general concerns, the call for a defined follow-up-period is the subject to be discussed. A project - abbreviated as QSR - covering insured from local health insurance funds now pr...
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PMID: 20925008
PDF is available here.
Abstract
We conducted a population-based case-control study to investigate whether polypharmacy increases the risk for hip fracture in the elderly. We used insurance claims data from the Taiwan Bureau of National Health Insurance, a universal insurance program with a coverage rate of more than 98% of the pop...
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PMID: 20827106
PDF is available here.
Abstract
We evaluated the results of intertrochanteric hip fractures treated with closed reduction and external fixation (minimally invasive and biological osteosynthesis) in patients with high surgical risk.
Twenty-three patients (14 females, 9 males; mean age 74 [65-88]) with intertrochanteric hip fracture...
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PMID: 21038118
PDF is available here.
Abstract
Modular necks are a relatively new innovation in total hip arthroplasty (THA), with several companies now offering modular neck options. The proposed advantages of reduced impingement, reduced dislocation rate, and better reconstitution of leg length and offset are compelling. However, few reports i...
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PMID: 20839691
PDF is available here.
Abstract
Altogether 433 residents were on PPIs. The factors associated with regular PPI use in univariate analyses included poor functional status, higher number of comorbidities, higher number of medications and lactose intolerance. The users had suffered from a prior ventricular or duodenal ulcer, cancer a...
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PMID: 20586539
PDF is available here.
Abstract
We report a 55-year-old female who presented with trochanteric fracture of right femur. Examination and investigation revealed a huge retrosternal goiter with compression of great vessels which was asymptomatic for more than two decades. Subsequent investigation confirmed it as a case of toxic multi...
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PMID: 21189699
PDF is available here.
Abstract
I fractures, 19 type II and 6 type III according to upgraded Evans-Jensen classification system. All patients were complicated with osteoporosis, and 19 patients had preexisting internal medical diseases. According to the rating scale of disease severity by the American Society of Anesthesiologists...
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PMID: 20670577
PDF is available here.
Abstract
We studied postoperative complications, mortality rate, functional outcome using the Harris hip score, time to return to normal activities, and radiographic evidence of healing. Two patients died on the third and fifth postoperative days. Seven more patients died within one year. The Harris hip scor...
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PMID: 19517109
PDF is available here.
Abstract
We postulate retroversion also may be a risk factor for having intracapsular fractures develop.
We looked specifically at the geometry of the hip to analyze the possibility of a relationship between acetabular version, femoral version, and Mckibbin's instability index and fracture ty...
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PMID: 19967473
PDF is available here.
Abstract
We therefore determined whether (1) perioperative complication rates, and (2) length of stay and time to surgery for patients undergoing surgical management of hip fractures differed by the specialty of the primary service.
We performed a retrospective cohort study at a university-ba...
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PMID: 20224961
PDF is available here.
Abstract
In conclusion, a screening program for osteoporosis is necessary and should be a tool in the armamentarium of every traumatology department....
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PMID: 20375916
PDF is available here.
Abstract
Use of drugs that inhibit gastric acid is associated with an increased risk of hip fracture; however, this association was only found among persons with at least one other risk factor for hip fracture. Acid inhibition might therefore be associated with fracture risk in persons already at risk for os...
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PMID: 20353792
PDF is available here.
Abstract
Sixteen hips (53.3%) showed evidence of osteonecrosis, and 14 (46.7%) showed evidence of subchondral insufficiency fracture, which was consistent with the corresponding histopathologic diagnoses. In all cases of osteonecrosis, the patient had a history of either corticosteroid intake or alcohol abus...
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PMID: 20566783
PDF is available here.
Abstract
Our mortality rate was higher than those reported from industrialized countries. The use of antibiotics and physical therapy are potentially modifiable factors to improve patients' survival after fracture in Brazil. LEVEL OF EVIDENCE: Level II, prognostic study. See the Guidelines for Authors for a...
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PMID: 19936861
PDF is available here.
Abstract
Significant differences in rehabilitation activities were observed, and intensity was notably different within the first 8 therapy days even though baseline demographics and medical complexity were comparable across facility types. Our data suggest that after more complex hip replacement surgery, hi...
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PMID: 20567135
PDF is available here.
Abstract
Intensive geriatric intervention reduced the 30-day mortality (odds ratio (OR) = 0.08; 95% confidence interval (CI): 0.01; 0.52) and reduced 3-month mortality (OR = 0.03; 95% CI: 0.003; 0.25). Fluid therapy and nutritional support were associated with reduced probability of death (OR = 0.12; 95% CI:...
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PMID: 20569658
PDF is available here.
Abstract
These results suggest that the original TUG manual, described as 1 practice trial followed by 1 timed trial, needs modification when used in patients with hip fracture who are allowed FWB. The best (fastest) of 3 timed TUG trials performed with a standardized walking aid is recommended.
Copyright 20...
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PMID: 20510979
PDF is available here.
Abstract
We report a 66-year-old patient with a spontaneously fused right hip, who sustained an ipsilateral comminuted proximal femoral fracture secondary to a road traffic accident. Optimal operative fixation of this patient posed as a surgical challenge. We discuss the management options in this paper. Int...
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PMID: 20658098
PDF is available here.
Abstract
We develop a Bayesian approach to analyse the length of care episode after a fractured hip. We model the large scale data with a flexible nonparametric multilayer perceptron network and with a parametric Weibull mixture model. To assess the performances of the models, we estimate expected utilities...
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PMID: 20629418
PDF is available here.
Abstract
The strength of nursing home residence as a prognostic indicator of outcome following hip fracture has not previously been examined in Australia. The aim of the study was to examine the influence of nursing home residency on mortality after sustaining an acute hip fracture.
A prospective study of al...
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PMID: 20618199
PDF is available here.
Abstract
This study shows that axial failure loads of the crossed-screw configuration were greater than those of the parallel screw configuration. Clinically, this provides the surgeon more options for stabilizing a subtrochanteric femur fracture. This decision may be made intra-operatively if necessary, fac...
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PMID: 20502218
PDF is available here.
Abstract
Patients with intertrochanteric fractures seem to benefit from the use of epoetin alfa because it is safe and reduces the need for blood transfusions.
Copyright (c) 2010 Elsevier Inc. All rights reserved....
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PMID: 19592206
PDF is available here.
Abstract
BACKGROUND: Androgen deprivation therapy (ADT) increases the risk for fractures in patients with prostate cancer. Objective: To assess the cost-effectiveness of measuring bone mineral density (BMD) before initiating ADT followed by alendronate therapy in men with localized prostate cancer. DESIGN: M...
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PMID: 20479027
PDF is available here.
Dennis M Black,
Michael P Kelly,
Harry K Genant,
Lisa Palermo,
Richard Eastell,
Christina Bucci-Rechtweg,
Jane Cauley,
Ping Chung Leung,
Steven Boonen,
Arthur Santora,
Anne de Papp,
Douglas C Bauer,
Fracture Intervention Trial Steering Committee and
HORIZON Pivotal Fracture Trial Steering Committee
Abstract
The occurrence of fracture of the subtrochanteric or diaphyseal femur was very rare, even among women who had been treated with bisphosphonates for as long as 10 years. There was no significant increase in risk associated with bisphosphonate use, but the study was underpowered for definitive conclus...
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PMID: 20335571
PDF is available here.
Abstract
There is a substantial variation in hip fracture incidence between populations. The Scandinavian countries have the highest incidence of hip fractures worldwide, and latitude and seasonal variation have been discussed as possible reasons for the high fracture incidences. The purpose of this study wa...
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PMID: 19944199
PDF is available here.
Abstract
We sought to examine the preoperative time for hip stabilization procedure among Hispanics, non-Hispanic blacks (blacks) and non-Hispanic whites (whites).
This was a secondary data analysis using Medicare claims data. Our analysis included 40,321 patients admitted for hip fracture hospitalization fr...
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PMID: 20375948
PDF is available here.
Abstract
Among all the cases, 59 were followed up in outpatient department for 24 to 70 months (33 months on average). Systemic complications were found in 19 cases with no death during preoperative period and 5 deaths after leaving hospital. Operation related complications were found in 9 cases, included 3...
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PMID: 20575280
PDF is available here.
Abstract
All 57 patients were followed-up for 5 months to 9 years and 3 months with an average of 4.8 years. The healing time of the fractures was from 8 to 20 weeks with an average of 12.8 weeks. The results of Harris scoring showed the pain scores of the anatomic plate group were higher than that of the tr...
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PMID: 20575281
PDF is available here.
Abstract
All the cases were followed up for 13 months to 7 years with an average of 36 months, 12 cases were failed including 4 cases of femur head and neck cut-off, 1 case of coax vara, 2 cases of compress screw slip out of the plate tube, 2 cases of screws loosening, 2 cases of tail pin displacement 1 case...
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PMID: 20575284
PDF is available here.
Abstract
The operation time was from 40 to 90 minutes (with an average of 55 minutes). The average bleeding volume during the operation was 70 ml (from 50 to 150 ml). One patient died during hospital stay. Twenty-five patients were followed up from 6 months to 2 years with an average of 15 months after opera...
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PMID: 20575283
PDF is available here.
Abstract
We studied single-nucleotide polymorphisms present in the major genes in the PTH pathway (PTH, PTHrP, PTHR1, PTHR2) in relation to bone mineral density (BMD) and fracture incidence. We found that haplotypes of the PTH gene were associated with fracture risk independent of BMD. In the present study,...
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PMID: 20349051
PDF is available here.
Abstract
The no-supplemental-coverage policy resulted in an immediate and significant reduction of 10 absolute points in benzodiazepine use (27.0% to 17.0%) after Medicare Part D was implemented (95% confidence interval, -0.11 to -0.09; P < .001). Benzodiazepine use remained stable in the partial-supplementa...
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PMID: 20421554
PDF is available here.
Abstract
With the meticulous augmentation technique demonstrated in this study, the PMMA cemented DHS proved to have better outcome than a conventional DHS for unstable intertrochanteric fractures in elderly patients. Typical complications related to a conventional DHS device for the treatment of such fractu...
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PMID: 20386288
PDF is available here.
Abstract
By intention to treat, vertebral fracture risk was reduced by 31% (relative risk, RR=0.69; 95% confidence interval, CI 0.52-0.92), nonvertebral fracture risk by 27% (RR=0.73; 95% CI 0.57-0.95), major nonvertebral fracture risk by 33% (RR=0.67; 95% CI 0.50-0.89) and hip fracture risk by 24% (RR=0.76;...
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PMID: 20026265
PDF is available here.
Abstract
Bilateral hip dislocation rarely occurs. In this paper, a case of bilateral hip dislocation associated with bilateral sciatic nerve palsy resulted from a road traffic accident is reported. Both hips were emergently reduced under general anaesthesia. Acetabular reconstruction was done bilaterally due...
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PMID: 20356452
PDF is available here.