Latest & greatest articles for hip fracture

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Top results for hip fracture

141. Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture

Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture 18701252 2009 03 23 2009 06 25 2009 03 23 1532-8406 24 3 2009 Apr The Journal of arthroplasty J Arthroplasty Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture. 400-6 10.1016/j.arth.2007.12.009 Displaced neck of femur fracture is a common clinical problem among the elderly population. Our aim is to review (...) , Hip methods Femoral Neck Fractures surgery Humans Randomized Controlled Trials as Topic 2007 08 07 2007 12 11 2008 8 15 9 0 2009 6 26 9 0 2008 8 15 9 0 ppublish 18701252 S0883-5403(07)00710-3 10.1016/j.arth.2007.12.009

EvidenceUpdates2009

142. Computed tomography as a predictor of hip stability status in posterior wall fractures of the acetabulum

Computed tomography as a predictor of hip stability status in posterior wall fractures of the acetabulum 19104298 2008 12 23 2009 02 05 2016 11 24 1531-2291 23 1 2009 Jan Journal of orthopaedic trauma J Orthop Trauma Computed tomography as a predictor of hip stability status in posterior wall fractures of the acetabulum. 7-15 10.1097/BOT.0b013e31818f9a5c Studies using 2-dimensional computed tomography-derived criteria indicate that, in general, posterior wall fractures involving less than 20 (...) % of the posterior wall are stable and able to withstand physiologic loads, whereas those involving greater than 40%-50% are unstable, leaving a wide range of posterior wall fractures classified as indeterminate. The purpose of this study was to assess the ability of static measurement of posterior acetabular wall fragment size using computed tomography to predict hip stability status, as determined by dynamic stress examination under anesthesia. Diagnostic level I. Retrospective analysis with testing

EvidenceUpdates2009

143. Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial

Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial 19139320 2009 01 13 2009 01 30 2016 11 24 1538-3679 169 1 2009 Jan 12 Archives of internal medicine Arch. Intern. Med. Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial. 25-31 10.1001/archinte.169.1.25 In a randomized trial of patients with hip fractures, we previously (...) demonstrated that a hospital-based case manager could increase rates of appropriate osteoporosis treatment to 51% compared with 22% for usual care (P < .001). Alongside that trial, we conducted an economic analysis. Patients with hip fractures were randomized to usual care (n = 110) or a case manager (n = 110) and followed up for 1 year. Time-motion studies were used to determine intervention costs. From a third-party health care payer perspective and over the patient's remaining lifetime, a Markov

EvidenceUpdates2009

144. Mobility training after hip fracture: a randomised controlled trial

Mobility training after hip fracture: a randomised controlled trial 19017676 2009 01 14 2009 04 13 2009 01 14 1468-2834 38 1 2009 Jan Age and ageing Age Ageing Mobility training after hip fracture: a randomised controlled trial. 74-80 10.1093/ageing/afn217 to compare the effects of two different exercise programmes after hip fracture. assessor-blinded randomised controlled trial. hospital rehabilitation units, with continued intervention at home. 160 people with surgical fixation for hip (...) the trial. There were no differences between the groups for the two primary outcome measures. Post hoc analyses revealed increased walking speed among those in the higher dose, weight-bearing exercise group with cognitive impairment at 4 and 16 weeks. there was no benefit (or harm) due to the higher dose, weight-bearing exercise programme with respect to the primary outcome measures. However, people with hip fracture and cognitive impairment gained greater benefit from the higher dose programme than

EvidenceUpdates2009

145. Treatment of common hip fractures

Treatment of common hip fractures Treatment of common hip fractures Treatment of common hip fractures Butler M, Forte M, Kane RL, Joglekar S, Duval SJ, Swiontkowski M, Wilt T Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Butler M, Forte M, Kane RL, Joglekar S, Duval SJ, Swiontkowski M, Wilt T. Treatment of common hip fractures (...) to be directed toward understanding implications of surgical treatment choices for the nursing home population. Project page URL Final publication URL URL for DARE abstract Indexing Status Subject indexing assigned by NLM MeSH Aged; Aged, 80 and over; Female; Hip Fractures /surgerys; Male; Middle Aged; Randomized Controlled Trials as Topic; Treatment Outcome Language Published English Country of organisation United States Address for correspondence AHRQ, Center for Outcomes and Evidence Technology Assessment

Health Technology Assessment (HTA) Database.2009

146. The relationship between short-term mortality and quality of care for hip fracture: a meta-analysis of clinical pathways for hip fracture

The relationship between short-term mortality and quality of care for hip fracture: a meta-analysis of clinical pathways for hip fracture The relationship between short-term mortality and quality of care for hip fracture: a meta-analysis of clinical pathways for hip fracture The relationship between short-term mortality and quality of care for hip fracture: a meta-analysis of clinical pathways for hip fracture Neuman MD, Archan S, Karlawish JH, Schwartz JS, Fleisher LA CRD summary The review (...) found that use of clinical pathways was associated with lower risk of four common complications after hip fracture, although short-term mortality rates were not significantly reduced. Given the poor quality of studies in the review, and the lack of clear evidence of a causal link between pathways use and clinical outcomes, the authors’ findings may require cautious interpretation. Authors' objectives To evaluate the impact of clinical pathways for hip fractures on in-patient complications and short

DARE.2009

147. Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial

Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial Majumdar S R, Lier D A, Beaupre L A, Hanley D A, Maksymowych W P, Juby A G, Bell N (...) treatment, after hip fracture. The authors concluded that, compared with usual care, the use of a case manager improved osteoporosis treatment and reduced the costs from the perspective of the third-party payer. The study appears to have been based on valid methodology and was well reported. The authors’ conclusions appear to be valid. Type of economic evaluation Cost-utility analysis Study objective The objective was to examine the cost-effectiveness of a hospital-based case manager, in comparison

NHS Economic Evaluation Database.2009

148. Review: oral vitamin D prevents non-vertebral and hip fractures in a dose-dependent manner in patients older than 65 years of age

Review: oral vitamin D prevents non-vertebral and hip fractures in a dose-dependent manner in patients older than 65 years of age Review: oral vitamin D prevents non-vertebral and hip fractures in a dose-dependent manner in patients ⩾65 years of age | Evidence-Based Medicine This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your (...) user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: oral vitamin D prevents non-vertebral and hip fractures in a dose-dependent manner in patients ⩾65 years of age Article Text Therapeutics Review: oral vitamin D prevents non-vertebral and hip fractures in a dose-dependent manner in patients ⩾65 years

Evidence-Based Medicine (Requires free registration)2009

149. E-PASS for predicting postoperative risk with hip fracture: a multicenter study

E-PASS for predicting postoperative risk with hip fracture: a multicenter study 18663551 2008 10 09 2008 10 23 2014 09 03 1528-1132 466 11 2008 Nov Clinical orthopaedics and related research Clin. Orthop. Relat. Res. E-PASS for predicting postoperative risk with hip fracture: a multicenter study. 2833-41 10.1007/s11999-008-0377-2 This multicenter study of 813 consecutive patients with hip fracture was performed to estimate the effectiveness and reproducibility of the Estimation of Physiologic (...) Ability and Surgical Stress (E-PASS) scoring system to assess postoperative risk in patients with hip fracture. E-PASS is comprised of a preoperative risk score, a surgical stress score, and a comprehensive risk score based on the preoperative risk score and surgical stress score. Postoperative complications developed in 163 patients (20.0%); 13 (1.6%) died. Hospital postoperative morbidity and mortality rates increased linearly with the preoperative risk score and comprehensive risk score

EvidenceUpdates2009 Full Text: Link to full Text with Trip Pro

150. Treatment of common hip fractures

Treatment of common hip fractures Treatment of common hip fractures Treatment of common hip fractures Butler M, Forte M, Kane RL, Joglekar S, Duval SJ, Swiontkowski M, Wilt T CRD summary This review assessed the effect of surgical treatments for subcapital and intertrochanteric or subtrochanteric hip fractures in elderly patients. The authors suggested that, due to methodological limitations, the evidence base was inconclusive. This conclusion reflected the evidence presented and is likely (...) to be reliable. Authors' objectives To assess the effect of surgical treatments for subcapital and intertrochanteric or subtrochanteric hip fractures in elderly patients. Searching MEDLINE, the Cochrane Library, and ClinicalTrials.gov were searched from 1985 to April 2008 for articles in English. Search terms were reported and a filter was used to identify methodologically high-quality randomised controlled trials (RCTs). The reference lists of systematic reviews were scanned for additional trials. Study

DARE.2009

151. Minimally invasive hip fracture surgery: are outcomes better?

Minimally invasive hip fracture surgery: are outcomes better? Minimally invasive hip fracture surgery: are outcomes better? Minimally invasive hip fracture surgery: are outcomes better? Kuzyk PR, Guy P, Kreder HJ, Zdero R, McKee MD, Schemitsch EH CRD summary This review concluded that there was no significant difference in outcomes following minimally invasive hip fracture surgery compared to standard insertion of a sliding hip screws except blood transfusion rate, which was lower (...) with minimally invasive surgery. The reliability of the conclusions is difficult to assess as the quality of the studies on which they are based was unclear. Authors' objectives To determine if minimally invasive plating, nailing or external fixation surgery lead to improved outcomes for intertrochanteric hip fractures compared with standard insertion of sliding hip screws. Searching MEDLINE (1966 to June 2007) and EMBASE (1980 to June 2007) were searched for articles published in English. Search terms were

DARE.2009

152. Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis

Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis Bhandari M, Schemitsch E, Jonsson A, Zlowodzki M, Haidukewych GJ CRD (...) summary This review assessed the effects of Gamma Nails on risks of femoral shaft fracture after extracapsular hip fracture treatment in adults. The authors concluded that earlier evidence of adverse outcome was resolved with improved implant design and knowledge of the device. Concerns about the adequacy of reporting and study quality mean that the authors' conclusions may not be reliable. Authors' objectives To assess the effects of time and Gamma Nail design on the risks of femoral shaft fracture

DARE.2009

153. Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture

Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture Meta-analysis comparing total hip arthroplasty with hemiarthroplasty in the treatment of displaced neck of femur fracture Goh SK, Samuel M, Su DH, Chan ES, Yeo SJ CRD summary This review concluded that total hip arthroplasty may be associated with more (...) favourable long-term outcomes than hemiarthroplasty in elderly patients with displaced neck of femur fractures. In view of the small amount of data, problems with randomisation, inconsistency of study findings and lack of systematic validity assessment, the conclusions may not be reliable. Authors' objectives To compare the clinical effectiveness of total hip arthroplasty (THA) versus hemiarthroplasty (HA) for displaced neck of femur fractures. Searching The databases searched were MEDLINE (1966

DARE.2009

154. Timing of surgery for hip fractures: a systematic review of 52 published studies involving 291,413 patients

Timing of surgery for hip fractures: a systematic review of 52 published studies involving 291,413 patients Timing of surgery for hip fractures: a systematic review of 52 published studies involving 291,413 patients Timing of surgery for hip fractures: a systematic review of 52 published studies involving 291,413 patients Khan SK, Kalra S, Khanna A, Thiruvengada MM, Parker MJ CRD summary The authors concluded that delayed surgery may not affect mortality and was likely to increase morbidity (...) and would increase hospital stay. This review contained some methodological flaws and had limited comparable studies; therefore, the authors' conclusion should be treated with caution. Authors' objectives To assess the optimum timing of surgery for a hip fracture after hospital admission Searching MEDLINE and PubMed were searched from 1960 to October 2007. Search terms were reported. The search was limited to English-language publications. Bibliographies of relevant articles were handsearched

DARE.2009

156. Association between 5-alpha reductase inhibition and risk of hip fracture.

Association between 5-alpha reductase inhibition and risk of hip fracture. CONTEXT: For more than 15 years, 5-alpha reductase inhibitors, which block the conversion of testosterone to dihydrotestosterone, have been used in the treatment of benign prostatic hyperplasia (BPH). Short-term studies show no effects of these agents on bone metabolism,but long-term data are not available. OBJECTIVE: To assess the association between use of 5-alpha reductase inhibitors (eg, finasteride) for BPH and (...) occurrence of hip fracture. DESIGN, SETTING, AND PATIENTS: Population-based case-control study using data from Kaiser Permanente Southern California, a managed care organization with more than 3 million members. Case patients included 7076 men 45 years and older with incident hip fracture from 1997-2006. Control patients were 7076 men without incident hip fracture, optimally matched at a 1:1 ratio to case patients on age and medical center. Electronic information on pharmaceutical use was used

JAMA2008

157. Cystatin-C, Renal Function, and Incidence of Hip Fracture in Postmenopausal Women

Cystatin-C, Renal Function, and Incidence of Hip Fracture in Postmenopausal Women 18662213 2008 09 23 2008 10 06 2016 11 22 1532-5415 56 8 2008 Aug Journal of the American Geriatrics Society J Am Geriatr Soc Cystatin-C, renal function, and incidence of hip fracture in postmenopausal women. 1434-41 10.1111/j.1532-5415.2008.01807.x To evaluate the association between chronic kidney disease and incident hip fracture using serum cystatin-C as a biomarker of renal function calculated without (...) reference to muscle mass. Case-control study nested within a prospective study. The Women's Health Initiative Observational Study conducted at 40 U.S. clinical centers. From 93,676 women aged 50 to 79 followed for an average of 7 years, 397 incident hip fracture cases and 397 matched controls were studied. Cystatin-C levels were measured on baseline serum using a particle-enhanced immunonepholometric assay. Estimated glomerular filtration rates (eGFR(cys-c)) were calculated using a validated equation

EvidenceUpdates2008 Full Text: Link to full Text with Trip Pro

158. A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip

A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip 18669966 2008 08 01 2008 10 28 2016 11 24 0301-620X 90 8 2008 Aug The Journal of bone and joint surgery. British volume J Bone Joint Surg Br A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip. 1073-8 10.1302/0301-620X.90B8.20825 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 hip screw (DHS) in a prospective randomised study. Each patient who presented with an extra-capsular hip fracture was randomised to operative stabilisation with either a long intramedullary Holland nail or a DHS. We treated 92 patients with a Holland nail and 98 with a DHS. Pre-operative variables included the Mini Mental test score, patient mobility, fracture pattern and American Society

EvidenceUpdates2008

159. Effects of resistance training on lower-extremity impairments in older people with hip fracture

Effects of resistance training on lower-extremity impairments in older people with hip fracture 18760151 2008 09 01 2008 09 23 2008 09 01 1532-821X 89 9 2008 Sep Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Effects of resistance training on lower-extremity impairments in older people with hip fracture. 1667-74 10.1016/j.apmr.2008.01.026 To study the effects of resistance training on muscle strength parameters, mobility, and balance. Randomized controlled trial (...) . Research laboratory and senior gym. Population-based sample of eligible 60- to 85-year-old community-dwelling men and women 0.5 to 7.0 years after hip fracture. Forty-six people had no contraindications and were willing to participate in the exercise trial. Twelve-week intensive progressive strength-power training (n=24), aiming to reduce asymmetric deficit in leg muscle strength and power, or no intervention (n=22). Isometric knee extension torque (KET) and leg extension power (LEP) measured

EvidenceUpdates2008

160. Serum 25-hydroxyvitamin D concentrations and risk for hip fractures.

Serum 25-hydroxyvitamin D concentrations and risk for hip fractures. BACKGROUND: The relationship between serum 25-hydroxyvitamin D [25(OH) vitamin D] concentration and hip fractures is unclear. OBJECTIVE: To see whether low serum 25(OH) vitamin D concentrations are associated with hip fractures in community-dwelling women. DESIGN: Nested case-control study. SETTING: 40 clinical centers in the United States. PARTICIPANTS: 400 case-patients with incident hip fracture and 400 control participants (...) matched on the basis of age, race or ethnicity, and date of blood draw. Both groups were selected from 39 795 postmenopausal women who were not using estrogens or other bone-active therapies and who had not had a previous hip fracture. MEASUREMENTS: Serum 25(OH) vitamin D was measured and patients were followed for a median of 7.1 years (range, 0.7 to 9.3 years) to assess fractures. RESULTS: Mean serum 25(OH) vitamin D concentrations were lower in case-patients than in control participants (55.95 nmol

Annals of Internal Medicine2008 Full Text: Link to full Text with Trip Pro