BACKGROUND A hip fracture is a debilitating condition that consumes significant resources in the United States. Surgical treatment of hip fractures can achieve better survival and functional outcomes than nonoperative treatment, but less is known about its economic benefits. QUESTIONS/PURPOSES We asked: (1) Are the societal benefits of hip fracture surgery enough to offset the direct medical ...

We assessed the cost-effectiveness of daily calcium supplementation for the prevention of primary osteoporotic hip fractures. The assessment was based on our meta-analysis of the published relative-risk estimates from 3 double-masked, placebo-controlled, clinical trials and our analysis of raw data from the National Health and Nutrition Examination Survey 1988-1994 on the daily intake of calciu...

Although spontaneous and simultaneous bilateral hip fractures without trauma are seen rarely, epileptic seizures may lead to these fractures. We present an 82-year-old female patient with poor bone quality and a 20-year history of epilepsy. She had been using anticonvulsant drugs for almost 20 years. Following a convulsive epileptic attack, bilateral intertrochanteric femur fractures occurred (...

Ceramic bearing surfaces are being increasingly used in young patients undergoing total hip arthroplasty. However,failures have been reported including fractures even with the newer third generation ceramics. The recommendedtreatment for fracture of ceramic bearing surfaces is complete synovectomy and revision total hip arthroplasty.However, disappointing results have also bee...

The incidence of hip fractures rises with increasing age, doubling for each decade beyond 50 years of age.1 With the increase in life expectancy and the accompanying ageing population, there has been an increase in the incidence of hip fractures from 1.17 per 1000 females >60 years old in 1965 to 1.5 per 1000 in 1985. This paper reviews a common method used in the treatment of a common clinical...

BACKGROUND We sought to determine if angulation or translation measured on the lateral preoperative injury radiographs of patients with 31A2 pertrochanteric fractures is related to excessive postoperative shortening when treated with a sliding hip screw. METHODS We retrospectively reviewed the radiographs of consecutive patients with hip fractures treated at a level I university trauma centre...

Fractures of the proximal femur are a big challenge in traumatology. Rapid strides in implant and instrumentations in quest of ideal fixation of pertrochanteric and subtrochanteric femoral fractures have made various options available like Fixed-angled nail plate, Screw plates, Angled blade plate, Dynamic Hip Screw etc. The present study aims to study the role of standard PFN as a minimal invas...

Over the past two decades antibiotic-impregnated hip spacers have become a popular procedure in the treatment of hip joint infections. Besides infection persistence and/or reinfection, major complications after hip spacer implantation include spacer fracture, -dislocation, and bone fracture. Moreover, in cases with extensive loss of femoral and/or acetabular bone alternative reconstructive tech...

We studied 39,896 hip fractures that occurred in Quebec during 10 years. We found an increase in the incidence of hip fracture during this period. Demographical or anthropologic factors (such as smoking, alcohol consumption, residential placement), seasonal variations or socioeconomic factors alone could not give a satisfactory explanation for such an increase of this incidence. The pandemic di...

OBJECTIVES To assess the cost-efficacy of an intervention program aimed at reducing hip fractures. DESIGN Economic evaluation within an 18-month cluster randomized trial. SETTING Forty-nine nursing homes in Hamburg, Germany. PARTICIPANTS Residents with a high risk of falling (intervention group (IG), n=459; control group (CG), n=483). INTERVENTION Education session for nurses, who subse...