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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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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
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Rehabilitation after Hip Fracture Surgery Improves Physical and Cognitive Function in Patients with or Without Sarcopenia. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-06-06 Yuji Kanaya,Hirokazu Inoue,Hideaki Sawamura,Yuichi Hoshino,Katsushi Takeshita
Introduction Sarcopenia is a prevalent risk factor for falls and fractures, and it affects the physical function and mortality of older people. The present study was performed to assess the prevalence of sarcopenia in patients who underwent rehabilitation after hip fracture surgery and to examine the association of sarcopenia with physical and cognitive function outcomes. Methods This case-control
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Osteoporosis in the Setting of Shoulder Arthroplasty: A Narrative Review. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-06-05 Mohammad Daher,Mohamad Y Fares,Peter Boufadel,Akshay Khanna,Ziad Zalaquett,Joseph A Abboud
Patients who undergo shoulder surgery are frequently affected by osteoporosis and osteopenia, and the prevalence of this association is expected to increase due to the growing number of elderly individuals undergoing these procedures. It may be advisable to conduct a preoperative DXA scan for orthopedic surgical candidates at high risk, to detect those who could benefit from early intervention and
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Prediction of Non-Home Discharge Following Total Hip Arthroplasty in Geriatric Patients. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-05-25 Teja Yeramosu,Jacob Wait,Stephen L Kates,Gregory J Golladay,Nirav K Patel,Jibanananda Satpathy
Introduction The majority of total hip arthroplasty (THA) patients are discharged home postoperatively, however, many still require continued medical care. We aimed to identify important characteristics that predict nonhome discharge in geriatric patients undergoing THA using machine learning. We hypothesize that our analyses will identify variables associated with decreased functional status and overall
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Management and Outcome of Elderly Patients With Patellar Fracture Treated With Novel Modified Cerclage Wiring. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-05-24 Lin Li,Qing Zhang,Fulin Tao,Dawei Wang,Jinlei Dong,Dongsheng Zhou,Wenhao Song
Introduction The purpose of this study is to assess the efficacy and security of a fixation method for fixing patellar fractures in elderly patients utilizing modified cerclage wire. Methods From January 2015 to December 2020, 31 cases (age≥65 years old) of closed patellar fracture were treated by modified cerclage wiring. Patients in these instances ranged in age from 65 to 87 (73.7 ± 7.2 years),
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Total Hip Arthroplasty in Nonagenarians - A National In-Patient Sample-Based Study of Perioperative Complications. Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-05-22 Nikit Venishetty,Michel Toutoungy,Jack Beale,Jack Martinez,Dane K Wukich,Varatharaj Mounasamy,Michael H Huo,Senthil Sambandam
Background Nonagenarians are a rapidly expanding population in the United States. These patients are met with increasing rates of hip arthritis, necessitating the need for total hip arthroplasty (THA). However, there is currently limited information on hospitalization information and perioperative complications in this population. Methods: In this retrospective study, we used the Nationwide Inpatient
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Functional Outcomes of Anterior-Based Muscle Sparing Approach Compared to Direct Lateral Approach for Total HIP Arthroplasty Following Acute Femoral Neck Fractures Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-05-05 Matteo Innocenti, Andrea Cozzi Lepri, Alessandro Civinini, Nicola Mondanelli, Fabrizio Matassi, Davide Stimolo, Simone Cerciello, Roberto Civinini
IntroductionTotal hip arthroplasty (THA) performed for femoral neck fractures (FNFs) is becoming a more frequent treatment in the active elderly population. Since there is limited research availabl...
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Fixation of Proximal Third Humeral Shaft Fractures in Older Patients Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-03-21 Jared Quarcoopome, John Adam, Bence Baljer, Ahmed Nagi, Will Eardley, James L. McVie
BackgroundHumeral shaft fractures occur frequently in older patients. The more proximal end of the shaft is prone to non-union when compared with more distal fractures. We provide an overview of se...
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Impact of COVID-19 Pandemic on Treatment and Outcome of Fragility Hip Fractures In Non-COVID Patients: Comparison Between the Lockdown Period, a Historical Series and the “Pandemic Normality” in a Single Institution Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-03-17 Elisa Troiano, Alice Giulia De Sensi, Francesco Zanasi, Andrea Facchini, Giulia De Marco, Giovanni Battista Colasanti, Nicola Mondanelli, Stefano Giannotti
IntroductionThe COVID-19 pandemic has affected and is still deeply affecting all aspects of public life. World governments have been forced to enact restrictive measures to stem the contagion which...
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Atypical Vancouver B1 Periprosthetic Fractures: The Unsolved Problem Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-03-17 Giovanni Vicenti, Giuseppe Solarino, Guglielmo Ottaviani, Massimiliano Carrozzo, Filippo Simone, Giacomo Zavattini, Domenico Zaccari, Claudio Buono, Davide Bizzoca, Giuseppe Maccagnano, Biagio Moretti
Atypical femoral fractures (AFF) are stress or insufficiency fractures induced by low energy trauma or no trauma, frequently correlated with prolonged bisphosphonate therapy. The diagnosis follows ...
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Reoperation Rate of Internal Fixation for Femoral Neck Fractures in the Elderly – A Retrospective Follow-Up Study in 116 Patients With an Exploration of Risk Factors Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-03-10 Viktor Labmayr, Andrea Borenich, Thomas Pusch, Patrick Reinbacher, Georg Hauer, Patrick Sadoghi, Andreas Leithner, Andrea Berghold, Paul Puchwein
AimInternal fixation of femoral neck fractures is a widely used procedure that is comparatively less invasive and faster than hip replacement. While head preserving internal fixation of these fract...
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Mobility and Hip Function Among Geriatric Patients With Displaced Neck of Femur Fractures Treated With Arthroplasty Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-03-10 Jade Pei Yuik Ho, Amy Yoke Foong Wong, Lik Han Ong, Ankimtay Rutel, Sabaruddin Abdullah, Mohd Shahrul Azuan Jaffar, Chun Haw Bong, Kean Tee Tan, Reuben Prashant Rao, Faris Kamaruddin
BackgroundNeck of femur fractures result in impaired function for older people. Despite surgery, many patients experience a decrease in functional level and poorer health status after the injury. T...
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Using an Internal Joint Stabilizer Through a Single Posterior Approach for Elderly Patients With Terrible Triad Injury Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-03-05 Yen-Chun Chiu, Chin-Hsien Wu, Kun-Ling Tsai, I-Ming Jou, Yuan-Kun Tu, Ching-Hou Ma
IntroductionTreating a terrible triad injury of the elbow remains a challenge for orthopedic surgeons, especially in elderly patients due to the poor quality of the surrounding soft tissue and bony...
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Rapidly Progressing Dysphagia After Thoracic Spinal Cord Injury in a Patient With Ankylosing Spondylitis: A Case Report Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-03-02 Beom Su Kim, So Young Lee, Jun Hwan Choi, Mina Seok, Su yeon Ko, Hyun Jung Lee
IntroductionAnkylosing spondylitis (AS) is a chronic systemic inflammatory disease affecting the axial skeleton, including the sacroiliac joint, which causes vertebral fusion in the advanced stage....
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Effect of Postoperative Non-Weight-Bearing in Trochanteric Fracture of the Femur: A Retrospective Cohort Study Using Propensity Score Matching Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-02-27 Naoki Takemoto, Junya Yoshitani, Yoshitomo Saiki, Hitoaki Numata, Koshi Nambu
IntroductionThe effects of postoperative early weight-bearing (WB) on walking ability, muscle mass, and sarcopenia have been investigated. Postoperative WB restriction is also reportedly associated...
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What Postoperative Nutritional Interventions Lead to Better Outcomes in Fragility Hip Fractures? A Systematic Review Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-02-15 Jennifer S. Oberstar, Caitlin J. Bakker, Megan Sorich, Teresa McCarthy
BackgroundFragility hip fracture patients are often malnourished. Nutrition supplementation may help, but it is unclear if supplementation is impactful when considering outcomes. A systematic revie...
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Psoas Hematoma After Posterior Lumbar Interbody fusion: A Case Report and Literature Review Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-02-12 Guan Shi, Liang Zhang, Hao Chen, Tianhao Su, Pu Jia, Fei Feng, Mengmeng Chen, Li Bao
IntroductionThis article introduced the management of a case with severe left lower extremity pain and forced hip flexion after posterior lumbar interbody fusion and a final diagnosis of left psoas...
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Comparison of Intravenous, Topical, or Combined Routes of Tranexamic Acid in Primary Total Knee Arthroplasty Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-02-11 Chunqiang Bi, Damei Wu, Fei Xie, Xue Song, Dawei Yang
Introduction: The optimal route and dosing regimen of tranexamic acid (TXA) in primary total knee arthroplasty (TKA) remains unclear. This study aims to explore if there was a synergistic effect of...
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Higher Mortality Rate in Patients with Vertebral Compression Fractures is due to Deteriorated Medical Status Prior to the Fracture Event Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-01-30 Ariel Zohar, Itamar getzler, Eyal Behrbalk
IntroductionVertebral compression fractures (VCF) are the most common low-energy fractures in older people and are associated with increased mortality. To assess mortality risk in patients sufferin...
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Two-Part Intertrochanteric Femur Fractures with Bisection of the Lesser Trochanter: An Irreducible Fracture Pattern Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-01-22 Sun-jun Hu, Shi-Min Chang, Shou-chao Du, Li-zhi Zhang, Wen-feng Xiong
ObjectiveTo introduce the clinical features of and surgical techniques for a rare type of irreducible pertrochanteric femur fracture pattern with bisection of the lesser trochanter.MethodsFrom Janu...
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Preoperative Oswestry Disability Index Cannot Reliably Predict Patient Satisfaction After Single and Double Level Lumbar Transforaminal Interbody Fusion Surgery Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-01-15 Bryon Jun Xiong Teo, Tet Sen Howe, Cheri Chan, Joyce SB. Koh, William Yeo, Yeong Huei Ng
IntroductionThe role of patient-reported outcomes in preoperative assessment is not well studied. There is recent interest in studying whether Patient-reported outcomes scores can be used either in...
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Tranexamic Acid in Hip Hemiarthroplasty Surgery: A Retrospective Analysis of Perioperative Outcome Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2023-01-13 Arne Wilharm, Isabell Wutschke, Philipp Schenk, Gunther Olaf Hofmann
Introduction: Implantation of a dual-head hip prosthesis to treat medial femoral neck fractures is often associated with significant blood loss. In elective endoprosthetics procedures, it has alrea...
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Reverse Total Shoulder Arthroplasty in Patients Who Exceeded Their Life-Expectancy: A Retrospective Study Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-12-22 Mai Lan Dao Trong, Dimitris Dimitriou, Sebastian Guenkel, Naeder Helmy, Ulf Riede
BackgroundReverse total shoulder arthroplasty (RTSA) has become an established treatment for cuff arthropathy, severe osteoarthritis and in certain fracture cases. Due to the increasingly aging pop...
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Simulating Prophylactic Fixation Methods for Osteoporotic Femoral Neck Fracture Prevention Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-12-09 Gregory R. Roytman, Alim F. Ramji, Brian Beitler, Brad Yoo, Michael P. Leslie, Michael Baumgaertner, Steven M. Tommasini, Daniel H. Wiznia
IntroductionGeriatric patients who suffer femoral neck fractures have high morbidity and mortality. Prophylactic fixation of the femoral neck is a potential avenue to reduce the incidence of femora...
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Age-Associated Changes in Proximal Femur Morphology Affect Femoral Component Sizing in Cementless Hip Arthroplasty Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-12-07 Hidde D. Veldman, Tim A. E. J. Boymans, Liza N. van Steenbergen, Ide C. Heyligers
BackgroundIn cementless hip arthroplasty, the femoral component should obtain firm fixation within the endosteal bone and achieve adequate reconstruction of hip joint biomechanics simultaneously. P...
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A Newly Identified Complication of Patellofemoral Arthroplasty: Case Report and Literature Review Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-12-07 Giuseppe Solarino, Giuseppe Maccagnano, Giovanni Vicenti, Claudio Buono, Filippo Simone, Guglielmo Ottaviani, Giacomo Zavattini, Domenico Zaccari, Massimiliano Carrozzo, Antonio Spinarelli, Davide Bizzoca, Biagio Moretti
BackgroundPatellofemoral arthroplasty (PFA) is a surgical option for patients older than 40 years old who are affected by patellofemoral osteoarthritis. Regarding the complications of PFAs, few stu...
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Comparing Intramedullary Nails Versus Dynamic Hip Screws in the Treatment of Intertrochanteric Hip Fractures on Post-operative Rehabilitation Outcomes:A Systematic Review Protocol Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-12-05 Steve Papp, Chantal Backman, Lauren Konikoff, Peter Tanuseputro, Anne Harley, Soha Shah, Randa Berdusco, Marie-Cécile Domecq, Stéphane Poitras, Veronique French-Merkley, Paul E. Beaulé
Background: Intertrochanteric hip fractures are treated by fixation with either an intramedullary (IM) Nail or Dynamic Hip Screw (DHS). It is unknown whether one surgery type has better post-operat...
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The Potential Risk Factors for Prolonged Length of Stay Despite an Enhanced Recovery After Surgery Protocol for Elderly Patients Undergoing Short-Level Lumbar Fusion Surgery Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-11-30 Peng Cui, Chao Kong, Peng Wang, Shuaikang Wang, Shibao Lu
ObjectiveTo identify the risk factors associated with prolonged length of stay (LOS) despite an enhanced recovery after surgery (ERAS) protocol in short-level lumbar fusion surgery.MethodsWe gather...
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Catastrophic Trunnion Failure in an Anatomic Titanium Alloy Stem Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-11-28 Benjamin P. Pruitt, Simon C Mears, Andrew E. Apple, Jeffrey B. Stambough, C. Lowry Barnes, Benjamin M. Stronach
IntroductionCertain titanium alloy stems have been shown to be susceptible to failure at the neck with catastrophic trunnion failure. Failure has been particularly noted in the single wedge Accolad...
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Perioperative Management and Outcomes of Hip Fracture Patients with Advanced Chronic Kidney Disease Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-11-18 Chris Ongzalima, Kimberly Dasborough, Siddarth Narula, Glenn Boardman, Panchi Kumarasinghe, Hannah Seymour
AimsTo explore clinical characteristics, perioperative management and outcomes of Hip Fracture patients with advanced Chronic Kidney Disease (HF-aCKD) compared to the general Hip Fracture populatio...
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Clinical Outcome of Sacroiliac Rod Fixation for Fragility Fracture of the Pelvis Rommens and Hoffman Classification Type IVb: Case Series Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-11-17 Hisanori Gamada, Yohei Yanagisawa, Shotaro Teruya, Yusuke Eda, Tsukasa Nakagawa, Masashi Yamazaki
IntroductionFragility fracture of the pelvis (FFP), generally involving Rommens and Hoffman classification type IVb (H-shaped) requires spinopelvic fixation (SPF). We report the clinical outcome of...
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Finite Element Evaluation of the Femoral Neck System as Prophylactic Fixation to Prevent Contralateral Hip Fractures Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-11-10 Julia N. LaMonica, Brian Rhee, Kenneth Milligan, Michael Leslie, Steven M. Tommasini, Daniel H. Wiznia
IntroductionHip fractures cause significant morbidity and mortality for geriatric patients, and incidence is increasing as the population ages. Following a primary hip fracture, up to 20% may suffe...
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Risk of Mortality for Proximal Femoral Fracture in Patients With and Without COVID-19. A Retrospective Cohort Study Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-11-10 Ashley Holub, Montsant Jornet-Gibert, Jill Ruppenkamp, Chantal E. Holy, Juan Daccach, Pere Torner, Pedro Caba-Doussoux, Josep Maria Muñoz Vives
BackgroundSARS-CoV-2 (COVID-19) has resulted in a widespread loss of lives, morbidity, and major disruptions to the healthcare system. Hip fractures are an emergent condition which require early in...
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Oral Hydration Before and After Hip Replacement: The Notion Behind Every Action Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-11-08 Matteo Briguglio, Thomas W Wainwright, Tiziano Crespi, Kate Southern, Laura Mangiavini, James Craig, Rob G Middleton
IntroductionEven though nearly 20 patients undergo hip replacement every hour just in Italy and the United Kingdom, it is unclear what are the most appropriate oral hydration practices that patient...
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Outcomes After Revision Fixation With Cement Augmentation for Failed Intertrochanteric Fracture Fixation in Older Adult Patients Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-10-25 Fernando A. Huyke-Hernández, Arthur J. Only, Megan Sorich, Naoko Onizuka, Julie A. Switzer, Brian P. Cunningham
IntroductionIntertrochanteric (IT) fractures that fail fixation are traditionally treated with arthroplasty, introducing significant risk of morbidity and mortality in frail older adult patients. R...
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Surgical Position of Lateral-Tilted Supine is Suitable for Proximal Humeral Fracture Operations in Geriatric Patients Geriatr. Orthop. Surg. Rehabilit. (IF 1.6) Pub Date : 2022-10-22 Yun-fa Yang, Jian-wen Huang, Xiao-sheng Gao, Zhong-he Xu
ObjectiveTo report a new surgical position of lateral-tilted supine (LTS) for geriatric proximal humeral fracture operations.MethodsBetween January 2016 and December 2020, we adopted the LTS positi...