BACKGROUND More than 320 000 hip fractures occur annually in North America. An estimated 30% of this population have cognitive impairment. We sought to determine the extent to which patients with cognitive impairment or dementia have been included in randomized controlled trials (RCTs) assessing hip fracture management. METHODS We conducted a systematic search of 3 electronic journal database...

Using standard histomorphometric indices on bone biopsies of trabecular bone volume, osteoid volume, the trabecular osteoid surface, the extent of the calcification front and the number of osteoid lamellae, a histomorphometric diagnosis of osteomalacia was made in three of 28 elderly female patients with fracture of the proximal femur. These patients also showed biochemical changes in the serum...

BACKGROUND Hip fractures are common injuries that result in blood loss and frequently require the transfusion of blood products. We sought to identify risk factors leading to increased blood transfusion in patients presenting with hip fractures, especially those factors that are modifiable. METHODS We retrospectively reviewed the cases of all patients who had fixation of their hip fractures b...

BACKGROUND Intertrochanteric fractures are surgically treated by using different methods and implants. The optional type of surgical stabilization is still under debate. However, between devices with the same philosophy, different design characteristics may substantially influence fracture healing. This is a prospective study comparing the complication and final functional outcome of two intram...

Introduction: We would like to analyze the role of cemented hemiarthroplasty in elderly osteoporotic unstable intertrochanteric fractures through trochanteric fracture window. Materials and Methods: The study was conducted from July 2011 to July 2014. From a total of 265 consecutive patients with intertrochanteric fractures of 42 patients were selected according to inclusion criteria and result...

PURPOSE In comminuted intertrochanteric fractures, various operative options have been introduced. The purpose of this study was to determine whether there were differences in clinical and radiologic outcomes among bipolar hemiarthroplasty (BH), compression hip screw (CHS) and proximal femur nail antirotation (PFNA) in treating comminuted intertrochanteric fractures (AO/OTA classification, A2 [...

ABSTRACT The Long Trochanteric Fixation Nail (LTFN) is a titanium alloy cephalomedullary nail indicated for treatment of proximal femur fractures, including intertrochanteric and subtrochanteric varieties. Between 03/01/2002, and 10/01/2003, 211 consecutive fractures classified either as “intertrochanteric” or “subtrochanteric” were treated surgically at involved study centers. Fifty of these f...

Thirty-two patients (11 male, 21 female) with a mean age of 64 years were prospectively studied after undergoing total hip replacement after failed treatment of intertrochanteric fractures. One patient had bilateral surgery. The mean time from primary surgery to the salvage arthroplasty was 15 months (range, 4 to 32 months). The mean follow-up period was 57 months (range, 30 to 108 months). Int...

PURPOSE We evaluated the geometric discrepancies between the proximal femur in Koreans and two types of proximal femoral nail using plain radiographs. MATERIALS AND METHODS A total of 100 consecutive patients (38 treated with proximal femoral nail antirotation [PFNA], 62 PFNA II) with intertrochanteric fracture were retrospectively identified. The minimum follow up period was 32 months. The g...