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Biomechanical Study of Three Cannulated Screws Configurations for Femur Neck Fracture: A Finite Element Analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-09-16 Zengzhen Cui,Jixing Fan,Yuan Cao,Yuliang Fu,Liangyu Bai,Yang Lv
Background To improve the performance of cannulated screws (CSs) in the treatment of femoral neck fractures (FNF), a number of new screw configurations have been proposed. However, most of the studies have only analyzed the biomechanical performance of different screw configurations under static conditions. This study aimed to investigate the biomechanical performance of three cannulated screws configurations
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Impact of Wearable Device-Based Walking Programs on Gait Speed in Older Adults: A Systematic Review and Meta-Analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-09-16 Ping Lai,Jing Zhang,Qing Lai,Jinfeng Li,Zhengbo Liang
Background As walking abilities are widely affected among the aging population, investigating the effectiveness of wearable device-based walking programs is essential. The intentions of this meta-analysis were to investigate their effects on gait speed among older adults, as well as to include subgroup analysis to evaluate potential effects on individuals with aging-related conditions such as Parkinson's
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The Impact of Triglyceride-Glucose Index Levels During Perioperative Period on Outcomes in Femoral Neck Fracture Patients. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-09-16 Sezer Astan,Orhan Balta
Introduction The objective of the present study is to assess the impact of the triglyceride-glucose index (TyG index) on the prognosis and explore the correlation between the TyG index and all-cause mortality in femoral neck fracture patients. Materials and Methods In this retrospective cohort study, we analyzed the TyG index in the follow-up of femoral neck fracture patients who underwent partial
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Unilateral Spinal Anesthesia in Hip Fracture Surgery for Geriatric Patients With High Cardiovascular Risk due to Aortic Stenosis is Safe and Effective. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-30 Zeynep Çağıran,Arman Vahabi,Kazım Koray Özgül,Omar Aljasim,Semra Karaman,Nadir Özkayın,Kemal Aktuğlu,Nezih Sertöz
Introduction Aortic stenosis is a cause of mortality or morbidity. It complicates the selection and management of anesthetic procedures. The aim of this study was to evaluate the efficacy, hemodynamic effects and postoperative outcome of unilateral spinal anesthesia in geriatric patients with hip fractures with moderate or severe aortic stenosis. Material and Method A retrospective observational study
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Risk Factors for Loss to Follow-up of Elderly Patients After Hip Fracture Surgery: A Retrospective Cohort Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-29 Min Rui,Yujian Hui,Jiannan Mao,Tao Ma,Xin Zheng
Introduction Non-attendance with scheduled postoperative follow-up visits remains a common issue in orthopaedic clinical research. The objective of this study was to identify the risk factors associated with loss to follow-up among elderly patients with hip-fracture postoperatively. Methods A retrospective analysis of 1-year post-surgery was performed on patients aged over 60 years who underwent hip-fracture
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Matters We Metric Vs. Metrics that Matter. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-23 Naoko Onizuka,Liron Sinvani,Carmen Quatman
Introduction Geriatric fracture is a pressing global health issue, marked by elevated mortality and morbidity rates and escalating health care costs. The evolving health care system from fee-for-service to quality-based reimbursement has led to externally driven reward and reimbursement systems that may not account for the complexity of caring for older adults with fracture. Significance The aim of
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Independent Walking Disability After Fragility Hip Fractures: A Prognostic Factors Analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-23 Praphan Chanthanapodi,Netnapha Tammata,Artit Laoruengthana,Atthakorn Jarusriwanna
Introduction Up to one-third of patients with fragility hip fractures are totally dependent in the year following the injury which leads to later morbidity and mortality. Understanding the related factors that affect patients' ambulation helps health care providers prepare for the treatment plans to improve their functional outcomes. This study aimed to evaluate the factors associated with independent
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No Differences in Major In-Hospital Outcome Metrics When Comparing the Direct Lateral Approach to the Posterior Approach for Hemiarthroplasties After Traumatic Displaced Femoral Neck Fractures. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-18 Steven Morgan,Stephanie Jarvis,Alexander Conti,Kelsey Staudinger,Cassandra Reynolds,Samantha Greenseid,David Bar-Or
Introduction The surgical approach of hemiarthroplasty for displaced femoral neck fractures remains debated. The study objective was to compare in-hospital outcomes for geriatric displaced femoral neck fractures treated with hemiarthroplasty based on surgical approach (direct lateral vs. posterior approach). Materials and Methods This retrospective cohort study included geriatric patients (≥60 y/o)
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Barriers to Discharge of Hip Fracture Patients From An Academic Hospital: A Retrospective Data Analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-16 Chantal Backman,Franciely D Engel,Colleen Webber,Anne Harley,Peter Tanuseputro,Ana Lúcia Schaefer Ferreira de Mello,Gabriela Marcellino de Melo Lanzoni,Steve Papp
Introduction Adherence to best practices for care of hip fracture patients is fundamental to decreasing morbidity and mortality in older adults. This includes timely transfer from the hospital to rehabilitation soon after their surgical care. Hospitals experience challenges in implementing several best practices. We examined the potential barriers associated with timely discharge for patients who underwent
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Elder Abuse in the Orthopaedic Patient: An Updated Review of Prevalence, Identification, and Screening Tools for Orthopaedic Surgeons. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-16 Sophia Scott,Devon T Brameier,Ida Tryggedsson,Nishant Suneja,Derek S Stenquist,Michael J Weaver,Arvind von Keudell
Introduction Elder abuse is a prevalent, though often overlooked and underreported, cause of musculoskeletal injury in the elderly population. The purpose of this review is to provide an updated overview of the prevalence of elder abuse, its association with musculoskeletal injuries, and the available resources to aid orthopaedic surgeons in early detection and intervention. Significance Improved training
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The Impact of Improved Compliance With Enhanced Recovery After Surgery on Frail Patients Undergoing Multi-Level Posterior Lumbar Fusion Surgery for Degenerative Lumbar Diseases. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-15 Xiaoying Zhang,Xuewei Dong,Huili Luo,Yanli Song,Shengmin Chen
Background Patients with frailty are more prone to have perioperative adverse events, and enhanced recovery after surgery (ERAS) has been widely adopted to improve perioperative outcomes. The purpose of this study was to assess the impact of improved compliance with ERAS on perioperative outcomes in frail patients. Methods Geriatric patients (over 65 years) who underwent multi-level lumbar fusion surgery
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Initial and Long-Term Prescribing of Opioids and Non-steroidal Anti-inflammatory Drugs Following Total Hip and Knee Arthroplasty. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-13 Melissa R Riester,Elliott Bosco,Francesca L Beaudoin,Stefan Gravenstein,Andrew J Schoenfeld,Vincent Mor,Andrew R Zullo
Introduction Limited evidence exists on health system characteristics associated with initial and long-term prescribing of opioids and nonsteroidal anti-inflammatory drugs (NSAIDs) following total hip and knee arthroplasty (THA/TKA), and if these characteristics differ among individuals based on preoperative NSAID exposure. We identified orthopedic surgeon opioid prescribing practices, hospital characteristics
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Patient Satisfaction Following Non-Operative Treatment of Geriatric Hip Fractures: A Case-Control Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-13 Benjamin R Wiseley,Edward D Shin,Gabrielle R Kuhn,Scott J Hetzel,Kristina P Johnson,David C Goodspeed,Christopher J Doro,Paul S Whiting
Introduction A minority of geriatric hip fracture patients pursue non-operative treatment. Compared with surgical patients, non-operative patients have higher mortality rates. However, patient satisfaction following non-operative vs operative treatment has not been investigated extensively. The purpose of this study was to compare satisfaction among non-operatively vs operatively treated hip fracture
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The Impact of the COVID-19 Pandemic on One-Year Mortality in Geriatric Hip Fracture: A Retrospective Cohort Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-13 Eşref Selçuk,Murat Erem,Emine Gökçen Selçuk,Oğuz Mercan
Introduction The COVID-19 pandemic has profoundly impacted global healthcare systems, necessitating substantial shifts in patient care strategies. The pandemic's onset led to drastic operational changes in hospitals, including reduced bed capacity and staffing levels, which could have further influenced the mortality outcomes for geriatric patients. The study aimed to assess the impact of the COVID-19
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The Utility and Necessity for Radiographic Follow-Up After Arthroplasty for Geriatric Neck of Femur Fractures. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-09 Don Jun Rui Koh,Kuei Siong Andy Yeo,Kam King Charles Kon,Ing How Moo
Background Hip fractures are a common and debilitating condition posing not only a huge health care but also socioeconomic burden. Surgical management for a neck of femur fracture is typically with arthroplasty in the form of total hip arthroplasty or hip hemiarthroplasty. Serial radiographs are typically performed routinely as part of follow-up to look for complications, although their clinical utility
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A 10-Year Experience of an Integrated Geriatric Hip Fracture Treatment Protocol: Outcomes at a Minimum 2-Year Follow-Up. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-08-09 Anna Hayward-Livingston,Yagiz Ozdag,David Kolessar,Jacob Weinberg,Arpitha Pamul,Kenneth Koury,Anthony Balsamo
Introduction Increasing incidence of fragility fractures has spurred development of protocols, largely focused on peri-operative care, with numerous proven benefits. The purpose of this investigation was to evaluate outcomes of our hip fracture treatment program regarding successful protocol implementation, compliance, effect on subsequent fracture rates, and mortality during the first decade of adoption
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Effect of Comprehensive Rehabilitation Training Based on Balance Function on Postoperative Recovery and Function of Hip Fracture in the Elderly: A Systematic Review and Meta-Analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-07-29 Hai Chang,Chunliang Luan,Chen Li
Introduction In China, the proportion of the elderly population is gradually increasing, followed by the increasing medical demands of elderly patients. Hip fracture is a common fracture in the elderly. The elderly are prone to serious postoperative complications, resulting in failure to restore normal hip function, which seriously affects patients' quality of life and further increases their mortality
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Effects of Frailty Syndrome on Osteoporosis, Focusing on the Mediating Effect of Muscle Strength and Balance in Community-Dwelling Older Adults (≥60 years) in Iran: Results From the Amirkola Health and Aging Project Cohort Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-07-25 Abbas Shamsalinia,Seyed Reza Hosseini,Ali Bijani,Reza Ghadimi,Mohammad Reza Kordbageri,Kiyana Saadati,Fatemeh Ghaffari
Introduction For older adults, maintaining muscle strength and balance is crucial to preserve an upright posture and independently manage their basic activities of daily living (ADL). This study aimed to examine whether muscle strength and balance mediate the relationship between frailty syndrome (FS) and osteoporosis in a large sample of community-dwelling older adults. Material and Methods This cross-sectional
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Prevalence of Common Metabolic Bone Diseases Diagnosed by Dual-Energy X-Ray Absorptiometry Scanning and Blood Test in Outpatients With Osteoarthritis the Knee. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-07-20 Napat Chaiyavech,Satit Thiengwittayaporn,Natthapong Hongku
Introduction Osteoarthritis of the knee (OA knee) is a common geriatric disease that require total knee arthroplasty. Periprosthetic fracture is one of the common complications, which is strongly related to metabolic bone disease. Materials and methods We conducted a prospective study on 291 outpatients with OA knee between November 2020 and April 2021. Baseline characteristics, dual-energy X-ray absorptiometry
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The Impact of Sarcopenia on the Clinical Outcomes of Percutaneous Kyphoplasty in Patients With Osteoporotic Vertebral Compression Fracture: A Retrospective Cohort Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-06-08 Shan Wu,Dian Zhong,Guosheng Zhao,Yang Liu,Zhenyong Ke,Yang Wang
Objective: This study aimed to explore the impact of sarcopenia on clinical outcomes after percutaneous kyphoplasty (PKP) for osteoporotic vertebral compression fracture (OVCF). Methods: We retrospectively analyzed the medical records of patients with single-segment OVCF who underwent percutaneous kyphoplasty (PKP) between September 2021 and August 2022. Patients were categorized into a sarcopenia
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Total Elbow Arthroplasty Versus Open Reduction and Internal Fixation for Distal Humerus Fractures: A Propensity Score Matched Analysis of 30-Day Postoperative Complications. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-06-06 Luke A Sandoval,Charles R Reiter,Phillip B Wyatt,James R Satalich,Brady S Ernst,Conor N O'Neill,Jennifer L Vanderbeck
Introduction Open reduction and internal fixation (ORIF) is an established surgical procedure for distal humeral fractures; however, total elbow arthroplasty (TEA) has become an increasingly popular alternative for elderly patients with these injuries. Using a large sample of recent patient data, this study compares the rates of short-term complications between ORIF and TEA and evaluates complication
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A Novel Preoperative Electroencephalogram-Derived Index to Predict Early Postoperative Delirium in Elderly Patients After Hip Fracture Surgeries: Development of a Prediction Model. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-06-03 Ayixia Nawan,Geng Wang,Congcong Zhao,Wenchao Zhang,Bailin Jiang,Yi Feng
Introduction It is appealing to accurately predict postoperative delirium (POD) before surgeries. In this study, it was hypothesized that a novel electroencephalogram-derived index, the delirium index (DELi), could extract latent information regarding the predisposing factors of POD preoperatively. This study was aimed at developing a concise model that incorporated this DELi score to predict the early
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Early Hip Fracture Surgery Within 24 hours did not Reduce the Mortality Rate but Resulted in Less Postoperative Opioid use and a Shorter Length of Stay: A Retrospective Study of 276 Patients From a Tertiary Private Hospital in Thailand. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-05-17 Aasis Unnanuntana,Chirathit Anusitviwat,Vasu Lertsiripatarajit,Peerapol Riawraengsattha,Manee Raksakietisak
Introduction The comparative results of early hip fracture surgery including mortality and postoperative complications in Thailand were not reported. Therefore, we conducted this study to compare the outcomes between patients who received hip surgery within and after 24 hours. Methods A retrospective study was conducted at a single center, a tertiary private hospital in Thailand. The medical records
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Optimal Duration of Physical Therapy Following Total Knee Arthroplasty. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-05-17 Gregory Benes,Zachary Adams,Michael Dubic,Justin David,Claudia Leonardi,Amy Bronstone,Vinod Dasa
Aims & Objectives The purpose of this study was to identify patient characteristics associated with engagement and completion of physical therapy (PT) following total knee arthroplasty (TKA) and examine the relationship between number of PT sessions attended and outcomes during the first 12 weeks after surgery. Methods Patients underwent unilateral primary TKA by a single surgeon and were advised to
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Pre-Fracture Functional Status and Early Functional Recovery are Significant Predictors of Instrumental Activities of Daily Living After Hip Fracture: A Prospective Cohort Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-05-16 Ivan Selaković,Stefan Mandić-Rajčević,Anđela Milovanović,Sanja Tomanović-Vujadinović,Sanja Dimitrijević,Milica Aleksić,Emilija Dubljanin-Raspopović
Introduction Although the overall quality of medicine has improved in recent decades, the functional capacity in many hip fracture patients remains insufficient. The goal of the present study was to identify significant predictors of Instrumental Activities of Daily Living (IADL) measured by the Lawton-Brody scale at 3- and 6-month follow-up in patients with hip fractures admitted to a hospital. Methods
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Biomechanical Comparison of Short-, Mid-, and Long-Length Proximal Femoral Nails for Femoral Intertrochanteric Fracture (AO/OTA 31A3.3) Fixation. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-05-06 Jiro Ando,Tsuneari Takahashi,Tomohiro Matsumura,Katsushi Takeshita
Introduction In surgeries for unstable AO/OTA 31A3.3 fractures, surgeons use various lengths of intramedullary nails (IMNs). However, there is insufficient evidence regarding the appropriate nail length for these fractures. This study compared the biomechanical properties of IMNs of different lengths for AO/OTA 31A3.3 fractures. Methods 30 synthetic femora of AO/OTA 31A3.3 fracture model were randomly
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Patients Aged 80 or More With Distal Radius Fractures Have a Lower One-Year Mortality Rate Than Age- and Gender-Matched Controls: A Register-Based Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-05-05 Linnea Arvidsson,Marcus Landgren,Anna Kajsa Harding,Antonio Abramo,Magnus Tägil
Introduction With a rapidly ageing population, the number of distal radius fractures (DRFs) in the elderly will increase dramatically. The aim of this retrospective register study was to examine the 1- and 5-year mortality in DRF patients aged 80 years or more and correlate the overall survival to factors not related to the fracture itself. Material and Methods Patients aged ≥80 diagnosed with DRFs
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Risk Factors of Serious Adverse Events for Geriatric Hip Fractures: Is it the Frailty or the Timing? Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-04-25 Ling-Xiao Wang,Li-Juan Guan,Ming-Hong Deng,Li-Hua Zhou
Objective Preoperative frailty and surgical waiting times are associated with the occurrence of adverse outcomes in patients with hip fractures. Specifically, we aimed to investigate the influence of frailty status and surgical timing on the risk of serious adverse events during hospitalization. Methods This study utilized an observational single cohort design and included patients aged ≥60 years with
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Adjuvant Vitamin D Injection in Elderly Patients Before Intertrochanteric Fracture Surgery: A Randomised Controlled Trial. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-03-15 Mehrdad Rabiee Rad,Ghazal Ghasempour Dabaghi,Alireza Afshari Safavi,Pooya Moshkdar,Hossein Akbariaghdam
Background There are multiple recommended protocols for Vitamin D (VitD) supplementation in elderly; however, only a few studies achieved to examine the role of VitD supplements before intertrochanteric fracture surgery on mortality and complications after surgery. Methods This single-center block-randomized double-blinded trial was conducted on 80 patients with intertrochanteric fractures and a sufficient
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Polypharmacy of Older Surgical Patients With Extremity Fractures. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-03-12 Takumi Taniguchi,Risa Inagaki,Takehiro Michikawa,Soya Kawabata,Masahiro Yoshida,Yusuke Kawano,Mitsuhiro Morita,Kazue Hayakawa,Mitsunaga Iwata,Shigeki Yamada,Nobuyuki Fujita
Introduction Fractures are often caused by falls in older people. Among various causes of falls, polypharmacy is known to be a risk of falls. Furthermore, potentially inappropriate medicines (PIMs), which interact with polypharmacy, include the drugs involved in falls. Here, we primarily aimed to investigate the prescribed drugs in older surgical patients with extremity fractures to determine the frequency
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Fix or Replace? Patient Preferences for the Treatment of Geriatric Lower Extremity Fractures: A Discrete Choice Experiment. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-02-28 John T Richards,Nathan N O'Hara,Kathleen Healy,Nicolas Zingas,Natasha McKibben,Caroline Benzel,Gerard P Slobogean,Robert V O'Toole,Marcus F Sciadini
Introduction When considering treatment options for geriatric patients with lower extremity fractures, little is known about which outcomes are prioritized by patients. This study aimed to determine the patient preferences for outcomes after a geriatric lower extremity fracture. Materials and Methods We administered a discrete choice experiment survey to 150 patients who were at least 60 years of age
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Unipolar Hip Hemiarthroplasty in Geriatric Patients: A Prospective Study and Analysis of Clinical and Radiological Outcomes. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-01-28 Joe Ghanimeh,Ibrahim Abusaq,Guillaume Villatte,Stéphane Descamps,Stéphane Boisgard,Roger Erivan
Introduction Femoral neck fractures (FNF) in the geriatric population are commonly treated with hip replacement procedures, such as total hip arthroplasty, unipolar hip hemiarthroplasty (UHA), and bipolar hip hemiarthroplasty (BHA). The optimal treatment remains controversial, considering outcomes and cost-effectiveness, with UHA often being cheaper. This prospective observational study aims to evaluate
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Reduction of Postoperative Delirium and Opioid Use in Hip Fracture Patients Through Utilization of Emergency Department Physician Administered Regional Nerve Blocks. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-01-19 Cathy Snapp,Brandon Byrd,Michael Porter
Introduction The complication of delirium for hip fracture patients is a predictor of mortality. Use of opioid medication increases the incidence of delirium in the pre- and postoperative periods. Regional nerve blocks are effective in managing acute pain for acute hip fractures. This study aims to evaluate the utilization of ED physicians to perform fascia iliaca nerve blocks on hip fracture patients
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The Association of Season of Surgery and Patient Reported Outcomes following Total Hip Arthroplasty. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2024-01-12 Andrew D Lachance,Catherine Call,Zachary Radford,Henry Stoddard,Callahan Sturgeon,George Babikian,Adam Rana,Brian J McGrory
Background Understanding the impact of situational variables on surgical recovery can improve outcomes in total hip arthroplasty (THA). Literature examining hospital outcomes by season remains inconclusive, with limited focus on patient experience. The aim of this study is to investigate if there are differences in hospital and patient-reported outcomes measures (PROMS) after THA depending on the season
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Exposing the Care Conundrum of Low-Energy Pelvic Ring Fractures in Older Adults: A Review of 322 Patients. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-11-21 Bailey R Abernathy,Fernando A Huyke-Hernández,Rachael L Rivard,Lisa K Schroder,Julie A Switzer
Introduction A care conundrum for low-energy pelvic ring fracture patients in which they face financial burden after not qualifying for an inpatient stay of 3 days or more has been noted in the literature. The purpose of this study was to identify factors that lead to inpatient length of stay (IP LOS) ≥3 days in older adults with nonoperative pelvic ring fragility fractures and to highlight the challenging
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Bone Health Management in Elective Orthopaedic Surgery: A Claims-Based Observational Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-11-18 Kyle J Jeray,Setareh A Williams,Yamei Wang,Leny Pearman,Nick Pyrih,Karun Singla,Benjamin H Han,Susan V Bukata
Introduction There are limited data on the management of bone health, including bone mineral density (BMD) evaluation and osteoporosis (OP) treatment, in patients undergoing elective orthopaedic surgeries. Methods This was a retrospective cohort study using administrative claims data from Symphony Health, PatientSource for patients aged ≥50 years with documented kyphoplasty/vertebroplasty (KP/VP),
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Predictors of 10-year Mortality After Hip Fracture Surgery in a Pre-Pandemic Cohort. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-11-16 Bryan Loh,Lei Jiang,Liu Timing,Naomi Kong,Ganga Ganesan,Kelvin Bryan Tan,Suang Bee,Joyce Suang Bee Koh,Tet Sen Howe,Ng Yeong Huei
Introduction Though hip fractures are associated with significant mortality and morbidity, increasing life expectancy in developed countries necessitates an analysis of mortality trends and factors predicting long term survival. The aim of this study is to identify the predictors of 10-year mortality as well as assess the correlation of Age-adjusted Charlson comorbidity index (ACCI) with 10-year mortality
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Delay to Surgical Treatment in Geriatric Hip Fracture Patients. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-10-18 Elias G Joseph,Jordan Serotte,Mohammad N Haider,Sonja Pavlesen,Mark Anders
Background Hip fractures in the geriatric population are frequently encountered. There is increasing focus on minimizing the delay to surgery in these patients. This study was designed to evaluate factors responsible for a delay to surgery in a geriatric hip fracture population and how time to surgery affects mortality. Methods A retrospective cohort of patients sustaining low energy geriatric hip
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Temporary Partial Weight-Bearing Restriction in Elderly Patients Treated With a Plate Fixation After a Distal Femur Fracture had a Negative Long-Term Impact on Gait Recovery. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-10-13 Martin Paulsson,Carl Ekholm,Ola Rolfson,Mats Geijer,Roy Tranberg
Background Restricted weight-bearing is still used after lower extremity fracture surgery in elderly patients. The long-term effect on gait recovery in elderly patients with distal femur fractures (DFF) and their ability to comply with the restrictive weight-bearing regime is unknown. This study aimed to investigate the effect of restricted postoperative weight-bearing on gait recovery (actual weight-bearing
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Effects of Fracture Liaison Service on Outcomes of Patients with Hip Fracture in Rural Area of an Asian Country. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-09-25 Chien-Chieh Wang,Hsuan-Chih Liu,Ming-Tsung Lee,Wen-Tsung Huang
Introduction Fracture Liaison Services (FLS) has been proven effective in reducing subsequent fractures and related mortality. However, more research is needed on the impact of FLS on the 30-day readmission rate and its effectiveness in rural hospitals. This study aims to assess the impact of FLS on clinical outcomes including readmission rates, subsequent fractures, and fracture-related mortality
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Perception of Goals and Expected Outcomes in Older Hip Fracture Patients and Their Medical Staff: A Cross Sectional Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-09-22 Hanna S Schroeder,Avi Israeli,Meir Iri Liebergall,Omer Or,Wiessam Abu Ahmed,Ora Paltiel,Dan Justo,Eyal Zimlichman
Background Goal-oriented patientcare is a key element in qualityhealthcare. Medical-caregiver's (MC) are expected to generate a shared decision-making process with patients regarding goals and expected health-outcomes. Hip-fracture patients (HFP) are usually older-adults with multiple health-conditions, necessitating that agreed-upon goals regarding the rehabilitation process, take these conditions
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In-Hospital Mortality Risk and Discharge Disposition Following Hip Fractures: An Analysis of the Texas Trauma Registry. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-09-09 Victor H Martinez,Jaime A Quirarte,Rebecca N Treffalls,Sekinat McCormick,Case W Martin,Christina I Brady
Background In-hospital mortality and discharge disposition following traumatic hip fractures previously reported in the literature, has mainly focused on a nationwide scale, which may not be reflective of unique populations. Objective Our aim was to characterize demographics, hospital disposition, and associated outcomes for patients with the most common hip fractures. Methods A retrospective study
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Displaced Geriatric Femoral Neck Fractures: A Retrospective Comparison of Total Hip Arthroplasties Versus Hemiarthroplasty. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-09-06 Steven Morgan,Stephanie Jarvis,Alexander Conti,Kelsey Staudinger,Cassandra Reynolds,David Bar-Or
Introduction Controversary exists around the best surgical management for traumatic geriatric displaced femoral neck fractures. The study objective was to compare outcomes among those managed with a total hip arthroplasty (THA) to those managed with a hemiarthroplasty (HA). Methods This retrospective matched cohort study included geriatric hip fractures (≥65 y/o) admitted 7/1/16-3/31/20. Patients were
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Influence of Proximal Humeral Cortical Bone Thickness on the Radiographic Outcome After Osteosynthesis of Proximal Humeral Fractures: Propensity Matching Score Analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-08-24 Ryogo Furuhata,Atsushi Tanji,Satoshi Oki,Yusaku Kamata
Introduction Osteoporosis can affect the surgical outcomes of proximal humeral fractures in older people. Recently, the cortical bone thickness of the proximal humerus on plain radiograph has been proposed to reflect local osteoporosis of the proximal humerus; however, its effect on the surgical outcome of proximal humeral fractures remains unclear. The purpose of this study is to investigate the influence
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Postoperative Outcomes Among Dialysis Patients Undergoing Hip Fracture Repair. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-08-17 Conover Benjamin M,Wukich Dane K,Sambandam Senthil
Background Geriatric hip fractures are strongly correlated with increased morbidity. Even so, postoperative outcomes following surgical repair of hip fractures for patients with end stage renal disease lack extensive investigation. Chronic kidney disease (CKD) poses unique risks for surgical procedures as it has been associated with several complications. Little information is available regarding the
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Timing of Complications Following Surgery for Distal Femur Fractures in Older Adults. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-08-16 Naoko Onizuka,Samuel Farmer,Jessica M Wiseman,Gabriel Alain,Catherine C Quatman-Yates,Carmen E Quatman
Introduction The purpose of this study was to identify the timing and nature of complications associated with distal femur fracture surgery in patients aged 65 and older using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Methods The ACS NSQIP database was queried for adults aged 65 and older who received surgical treatment for a distal femur fracture
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Effects of Mind-Body Exercises for Osteoporosis in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-08-14 Haili Li,Haobo Jiang,Jingye Wang,Jin Zhou,Hao Liang,Guangxue Chen,Zehua Guo,Shaofeng Yang,Yonghui Zhang
Introduction Osteoporosis is a major cause of fractures and even life-threatening fractures in the elderly. Mind-body exercise is a beneficial intervention to improve flexibility, control body balance and reduce pain. We aimed to evaluate the effects of physical and mental exercise on osteoporosis in the elderly. Methods Randomized controlled trials (RCTs) focusing on mind-body exercises for osteoporosis
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Use of a Hindfoot Nail Without Separate Subtalar and Tibiotalar Joint Preparation to Treat Geriatric Ankle and Distal Tibia Fractures: A Case Series. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-08-12 Priya Duvvuri,Sally May Trout,Christine Decker Bub,Ariel Tenny Goldman
Introduction Ankle fractures in geriatric patients can be devastating injuries, as they limit an individual's mobility, autonomy, and quality of life. This study examines the functional outcomes and complications related to hindfoot nails (HFN) in geriatric patients who have suffered an ankle malleolar or distal tibia fracture. Materials and Methods This is a single-surgeon case-series of patients
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Psoas Muscle Morphology as a Sarcopenia Marker to Predict Outcomes of Geriatric Trauma Patients: A Systematic Review and Meta-analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-08-12 Yang Wang,Lei Li,Qinmei Pan,Ying Zhong,Xinmei Zou
Objective To provide pooled evidence on the association between central sarcopenia and risk of mortality and/or complications among geriatric patients with moderate to severe trauma. Methods We conducted a systematic search in PubMed, EMBASE, and Scopus databases for relevant observational studies documenting the association of central sarcopenia with the risk of mortality and/or complications in geriatric
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Prospective Associations Between Fear of Falling, Anxiety, Depression, and Pain and Functional Outcomes Following Surgery for Intertrochanteric Hip Fracture. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-08-04 Mahmut Kalem,Hakan Kocaoğlu,Berker Duman,Ercan Şahin,Yener Yoğun,Sancar A Ovali
Objective Fear of falling, anxiety, depression, and pain levels are important risk factors for poor functional outcomes that may potentially be modifiable. We aimed to examine prospective associations between those factors following surgery for intertrochanteric hip fracture. Methods This study is a prospective observational cohort study of patients aged over 65 diagnosed with isolated intertrochanteric
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Elective Foot and Ankle Procedures in the Patients Greater than 65 Years of Age: Worth the Mobility Gains. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-07-21 Wesley Manz,Joseph Novack,Juliet Fink,Joseph Jacobson,Jason Bariteau
Chronic, non-traumatic pathologies of the foot and ankle can be mobility-limiting for patients of all ages. The objective of this study was to compare postoperative changes in LifeSpace Mobility Assessment (LSA) scores of adult and elderly patients following elective foot and ankle surgery. A prospective study of 184 patients undergoing elective ankle, hindfoot, and midfoot procedures conducted by
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Frailty and Pre-Frailty in the Setting of Total Joint Arthroplasty: A Narrative Review. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-07-10 Adam Pearl,Aya Ismail,Tariq Alsadi,Zachary Crespi,Mohammad Daher,Khaled Saleh
Background Total joint arthroplasties are among the most common surgical procedures performed in the United States. Although numerous safeguards are in place to optimize patient health and safety pre-, intra-, and postoperatively, patient frailty is often incompletely assessed or not assessed at all. Frailty has been shown to increase rates of adverse events and length of stay. We discuss the impact
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Compensation Claims After Hip Fracture Surgery in Norway 2008-2018. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-07-08 John Magne Hoseth,Tommy Frøseth Aae,Rune Bruhn Jakobsen,Anne Marie Fenstad,Ida Rashida Khan Bukholm,Jan-Erik Gjertsen,Per-Henrik Randsborg
Background Surgical complications contribute to the significant mortality following hip fractures in the elderly. The purpose of this study was to increase our knowledge of surgical complications by evaluating compensation claims following hip fracture surgery in Norway. Further, we investigated whether the size and location of performing institutions would influence surgical complications. Methods
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Peripheral Nerve Block and Peri-operative Neurocognitive Disorders in Older Patients With Hip Fractures: A Systematic Review With Meta-analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-07-04 Bin Jia,Yiyang Tang,Chenpu Wei,Gaofeng Zhao,Xiangyu Li,Yongyong Shi
Background Poor pain control and opioid use are risk factors for perioperative neurocognitive disorders (PND). The peripheral nerve block (PNB) can reduce pain and opioid consumption. This systematic review aimed to investigate the effects of PNB on PND in older patients with hip fractures. Methods The PubMed, Cochrane Central Registers of Controlled Trial, Embase and ClinicalTrials.gov databases were
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Leg Length Discrepancy After Hip Fracture Repair is Associated With Reduced Gait Speed. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-06-26 Alexa N Pearce,Frederick E Sieber,Nae-Yuh Wang,Jeffrey B Stambough,Benjamin M Stronach,Simon C Mears
Introduction A negative correlation exists between functional outcomes and leg length discrepancy (LLD) following hip fracture repair. We have assessed the effects of LLD following hip fracture repair in elderly patients on 3-meter walking time, standing time, activities of daily living (ADL), and instrumental activities of daily living (IADL). Methods One hundred sixty-nine patients enrolled in the
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Mid-Term Follow-Up Results After Hemiarthroplasty Using Long Femoral Stem Prosthesis (Peerless-160) for Intertrochanteric Fractures in Octogenarians. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-06-18 Qiang Mao,Yi Zhang,Jiang Hua,Bangjian He
Purpose To analyze the clinical effect and imaging data of cementless bipolar hemiarthroplasty employing a long femoral stem (peerless-160) and 2 reconstructed femoral titanium wires to repair intertrochanteric fractures among the octogenarians. Methods Between June 2014 and August 2016, 58 octogenarians with femoral intertrochanteric fractures underwent the long femoral stem (peerless-160) cementless
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Preoperative Hemoglobin <10 g/DL Predicts an Increase in Major Adverse Cardiac Events in Patients With Hip Fracture Over 80 Years: A Retrospective Cohort Study. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-06-10 Min Li,Chen Chen,Jiang Shen,Linyi Yang
Background Preoperative anemia has been associated with perioperative morbidity and mortality in patients undergoing cardiac and non-cardiac surgery. Preoperative anemia is common in elderly hip fracture patients. The primary objective of the study was to explore the relationship between preoperative hemoglobin levels and postoperative major adverse cardiovascular events (MACEs) in hip fracture patients
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Tranexamic Acid Treatment Reduces Blood Loss After Elective and Semi-Urgent Reverse Total Shoulder Arthroplasty. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-06-09 Shaul Beyth,Gabriel Fraind-Maya,Ori Safran
Introduction Post operative blood loss after reverse shoulder arthroplasty (RSA) is associated with the need for blood transfusion and prolonged hospital stay, among other complications. Tranexamic acid (TXA) reduces perioperative blood loss and is effective when delivered systemically or locally. We compared the effects of TXA on perioperative blood loss between elective and semi-urgent RSA. Methods
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Percutaneous Curved Vertebroplasty and Bilateral-Pedicle-Approach Percutaneous Vertebroplasty in the Treatment of Osteoporotic Vertebral Compression Fracture: A Meta-Analysis. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-06-08 Yanxing He,Zhentang Yu,Jianjian Yin,Hao Wang,Nanwei Xu,Luming Nong,Yuqing Jiang
Introduction The aim of this study was to evaluate the use of percutaneous curved vertebroplasty procedure (PCVP) and bilateral-pedicle-approach percutaneous vertebroplasty (bPVP) for the treatment of osteoporotic vertebral compression fractures (OVCFs) through a systematic review and meta-analysis of the scientific literature. Methods A systematic review of the scientific literature in PubMed, China
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Implementation of a Multidisciplinary Preoperative Protocol for Geriatric Hip Fractures Improves Time to Surgery at a Level III Trauma Center. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-06-08 Jacob R Meyer,Ryan E Earnest,Brian M Johnson,Andrew M Steffensmeier,Dheer A Vyas,Richard T Laughlin
Introduction Hip fractures are common among the elderly, and delays in time to surgery (TTS) and length of stay (LOS) are known to increase mortality risk in these patients. Preoperative multidisciplinary protocols for hip fracture management are effective at larger trauma hospitals. The purpose of this study is to evaluate the effect of a similar multidisciplinary preoperative protocol for geriatric