Article
Medicine, General & Internal
Mohd Said Dawod, Mohammed S. Alisi, Yaser Saber, Qusai A. Abdel-Hay, Basil M. Al-Aktam, Yesar Alfaouri, Lama B. Alfraihat, Ashraf A. Albadaineh, Amr Z. Abuqudiri, Rabea M. Odeh, Anas A. R. Altamimi, Mutaz A. Alrawashdeh, Mohanad M. Alebbini, Omran A. Abu-Dhaim, Ali A. Al-Omari, Ihab Alaqrabawi, Mohammad N. Alswerki, Abdelrahman Abuawad, Mohammad R. Al Nawaiseh, Yazan Hammad, Jihad Al-Ajlouni
Summary: This study provides an epidemiological overview and perioperative outcomes of elderly hip fractures in Jordan. The annual incidence of elderly hip fractures in Jordan is relatively low, and the 1-year mortality rate is also relatively low.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2022)
Article
Orthopedics
Yu-Hang Chen, Ching-Hsin Chou, Hsin-Hsien Su, Yu-Ting Tsai, Ming-Hsiu Chiang, Yi-Jie Kuo, Yu-Pin Chen
Summary: The neutrophil-to-lymphocyte ratio (NLR) is an important predictor of postoperative prognosis. Higher preoperative and postoperative NLRs were associated with a higher risk of long-term mortality following surgery for hip fracture in geriatric patients. Further studies are needed to confirm the predictive value of NLR in clinical practice.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Health Care Sciences & Services
Ji-Hoon Sim, Soo-Ho Lee, Ji-Wan Kim, Won-Uk Koh, Hyung-Tae Kim, Young-Jin Ro, Ha-Jung Kim
Summary: The study found that PLVI was significantly associated with mortality after hip fracture surgery, with low PLVI being linked to higher mortality rates. Therefore, PLVI might be an independent predictor of mortality in elderly patients undergoing hip fracture surgery.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Orthopedics
Hao Wang, Liping Pan, Baoqiang Li, Taiguo Ning, Guanghua Liang, Yongping Cao
Summary: The primary objective of this study was to investigate the existence of the obesity paradox in hip fracture surgery, and the secondary objective was to determine the impact of body mass index (BMI) on major complications and the incidence of acute kidney injury (AKI) while controlling for confounding factors. The findings showed that underweight and obese patients had a higher risk of major complications and AKI compared to normal-weight patients, while patients with higher BMI had a significantly reduced risk of 1-year mortality.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Orthopedics
Zhicong Wang, Hong Wang, Ling Yang, Wei Jiang, Xi Chen, Yuehong Liu
Summary: This study highlights the association between high PLR and increased one year all-cause mortality in elderly hip fracture patients. High PLR remained an independent predictor for mortality in multivariate analysis, and the high PLR group also had a higher mortality rate.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Geriatrics & Gerontology
Zhicong Wang, Xi Chen, Ling Yang, Hong Wang, Wei Jiang, Yuehong Liu
Summary: This study validated a new preoperative risk score for predicting mortality in elderly hip fracture patients and found that a high-risk score was an independent risk factor for mortality at 30 days, 6 months, and 1 year. Interestingly, each point increase in the risk score was associated with a corresponding increase in mortality risk.
AGING CLINICAL AND EXPERIMENTAL RESEARCH
(2021)
Article
Medicine, General & Internal
Yong-Chan Ha, Yonghan Cha, Jun-Il Yoo, Jiyoon Lee, Young-Kyun Lee, Kyung-Hoi Koo
Summary: In elderly hip fracture patients, dementia was an independent risk factor for mortality at a minimum of 1 year of follow-up, and the severity of dementia in hip fracture patients was a risk factor for mortality within 6 months and 1 year, postoperatively.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2021)
Article
Orthopedics
Seokha Yoo, Eun Jin Jang, Junwoo Jo, Hannah Lee, Yoonbin Hwang, Ho Geol Ryu
Summary: This study aimed to develop and validate predictive models for predicting in-hospital mortality and 1-year mortality after hip fracture surgery in the elderly. The results showed that incorporating institutional case volume into the predictive models improved their discrimination.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Medicine, General & Internal
Yenel Gurkan Bilgetekin, Alper Ozturk, Sinal Yuksel, Orhan Kunu, Halis Atil Atilla, Onder Ersan
Summary: During the COVID-19 pandemic, early mortality rates of geriatric patients with hip fractures remained similar to before in Turkey, but the length of hospital stay increased, more patients refused treatment, and fewer attended regular outpatient visits.
Article
Medicine, General & Internal
Dan-Long Zhang, Yu-Xuan Cong, Yan Zhuang, Xin Xu, Bin-Fei Zhang
Summary: This study aimed to evaluate the clinical association between the age-adjusted Charlson comorbidity index (aCCI) and postoperative mortality in elderly patients. After analyzing the data of elderly patients with hip fractures, it was found that the aCCI was associated with mortality, and the mortality risk increased by 31% when the aCCI increased by one unit.
FRONTIERS IN MEDICINE
(2023)
Article
Endocrinology & Metabolism
Minmin Chen, Yanping Du, Wenjing Tang, Weijia Yu, Huilin Li, Songbai Zheng, Qun Cheng
Summary: Hip fracture surgery in elderly Chinese patients is associated with high mortality and risk of second fracture within 2 years. Risk factors for mortality include male gender, increased age, preoperative hypoalbuminemia, preoperative pneumonia, and poor activities of daily living (ADL), while factors such as high preoperative hemoglobin, high preoperative eGFR, and high preoperative LVEF are protective. Poor ADL is also a risk factor for second fracture. Postoperative rehabilitation and improving ADL are essential to reduce mortality and second fracture.
JOURNAL OF BONE AND MINERAL METABOLISM
(2022)
Article
Endocrinology & Metabolism
D. Gonzalez-Quevedo, V Perez-del-Rio, D. Moriel-Garceso, N. Fernandez-Arroyabe, G. Garcia-Melendez, M. Montanez-Ruiz, M. Bravo-Bardaji, D. Garcia-de-Quevedo, I Tamimi
Summary: Osteoporosis is often underdiagnosed, but the implementation of Fracture Liaison Service (FLS) protocol has shown to increase prescription of anti-osteoporotic drugs and reduce all-cause mortality significantly.
OSTEOPOROSIS INTERNATIONAL
(2022)
Article
Medicine, General & Internal
Zhicong Wang, Xi Chen, Yuxuan Wu, Wei Jiang, Ling Yang, Hong Wang, Shuping Liu, Yuehong Liu
Summary: The study showed that high resting heart rate was independently associated with increased 1-year and total all-cause mortality in elderly patients with hip fracture, with the lowest mortality risk associated with a heart rate of 70 bpm.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2021)
Article
Orthopedics
Timothy E. Hereford, Austin Porter, Jeffrey B. Stambough, Steven M. Cherney, Simon C. Mears
Summary: This study investigated the use of opioids in elderly patients after hip fracture surgery. The results showed a surprisingly high rate of chronic opioid use, with 23% of opioid-naive patients becoming chronic users after surgery. The study highlights the importance of orthopedic surgeons limiting the amount and duration of postoperative opioid prescriptions and monitoring patients for continued use.
JOURNAL OF ARTHROPLASTY
(2022)
Review
Orthopedics
Feng Wanjiang, Zhang Xiaobo, Wu Xin, Meng Ye, Huang Lihua, Wang Jianlong
Summary: This study analyzed the accuracy of POSSUM and P-POSSUM scores in predicting postoperative morbidity and mortality in elderly hip fracture surgery. The results showed that POSSUM can predict the morbidity of elderly hip fractures, while P-POSSUM is more accurate in predicting mortality compared to POSSUM, but the predictive value for mortality is influenced by sample size and fracture type.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Critical Care Medicine
Andrija Jurina, Valentina Delimar, Zlatko Giljevic, Tajana Filipec Kanizaj, Andro Matkovic, Dinko Vidovic, Nikolina Jurjevic, Vinko Vidjak, Zeljko Duic, Mario Cuk, Mladen Japjec, Tomislav Dujmovic, Andrea Radeljak, Mirjana Marjana Kardum Paro, Marijana Vucic-Lovrencic, Mario Staresinic
Summary: This study investigated the prevalence of fragility spinal fractures among liver transplant candidates with cirrhosis. The results showed the detrimental impact of chronic liver disease and hepatic osteodystrophy on bone strength, and the correlation between DXA measurement and lumbar fragility fractures. These findings highlight the importance of adequate bone evaluation in liver transplant candidates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
M. Scrivano, A. Vadal, G. Fedeli, R. Di Niccolo, D. Topa, S. Porcino, F. Pallotta, A. De Carli
Summary: This study compares the outcomes and complications of Ilioinguinal versus modified Stoppa approach in Open Reduction and Internal Fixation (ORIF) of anterior column acetabulum fractures. The results show that the modified Stoppa approach has a shorter operative time, less intra-operative blood loss, and fewer complications. The ilioinguinal approach achieves better anatomic reduction. However, there were no significant differences in terms of vascular lesions, clinical and functional outcomes between the two groups.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Jacob Hartline, Christopher T. Cosgrove, Nathan N. O'Hara, Qasim M. Ghulam, Zachary D. Hannan, Robert V. O'Toole, Marcus F. Sciadini, Christopher G. Langhammer
Summary: In a young, healthy orthopedic trauma population with isolated extremity injury, traditional demographic factors and ballistic injury mechanism have a greater predictive value for long-term mortality after hospital discharge compared to popular markers of socioeconomic status.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Youngmin Kwon, Jihye Lim, Chunui Lee
Summary: This study aims to investigate dental traumatic injuries related to standing electric scooters and compare them with injuries caused by other factors. The results indicate that crown-root fractures and avulsions are more common in electric scooter accidents. Additionally, relatively minor dental injuries, such as concussions and subluxations, are more likely to occur as combined injuries in electric scooter accidents. The study suggests the need for strengthened policies and enforcement of laws to prevent severe dental and craniofacial trauma associated with electric scooter use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Louise Kruse Jensen, Henrik Elvang Jensen, Hans Gottlieb
Summary: This study describes the histopathology of debrided bone tissue in chronic osteomyelitis (CO). The inflammatory response still exists after debridement, although it fades from the center. Sampling of debrided bone tissue must be performed initially during surgery to avoid underestimation of neutrophil infiltration.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Alejandro Alejandrez, Motasem Refaat, Yeng Vue
Summary: This study aims to assess the rate of operative fixation of sacral fractures in pelvises with dysmorphic and nondysmorphic sacrums, as well as whether a difference exists in fracture morphology between groups. The study found no statistical difference in operative fixation rates between pelvises with dysmorphic and nondysmorphic sacrums, but a difference in fracture patterns was observed.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Dong Wang, Shuo Diao, Xiaobin Zhou, Junlin Zhou, Yang Liu
Summary: This study discussed the role of fracture site tissue exosomes lncRNAs-mRNAs networks on post-injury adaptation (PIA) promoting bone mesenchymal stem cells (BMSCs) proliferation and migration. The results confirmed that PIA accelerated BMSCs proliferation and migration, and identified tissue exosomes as the key factor in this process. By analyzing the tissue exosomes lncRNAs-mRNAs networks, several hub genes, such as Akt1, Actb, and Uba52, were identified, and Kif11 was found to be a key gene in BMSCs regulated by tissue-derived exosomes of PIA treated rats.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Lisa Reider, Jason R. Falvey, Safiyyah M. Okoye, Jennifer L. Wolff, Joseph F. Levy
Summary: Falls are a leading cause of injury and hospital readmissions in older adults, with over 3 million seeking hospital care for fall injuries annually in the United States. The annual acute treatment costs for these injuries amount to $20 billion, indicating the urgent need for evidence-based fall prevention interventions and investments in geriatric emergency departments.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Mohamed Elbuzidi, Alyssa N. Wenzel, Andrew Harris, Majd Marrache, Julius K. Oni, Harpal S. Khanuja, Vishal Hegde
Summary: A retrospective propensity score matched cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database to compare outcomes for patients with recently diagnosed COVID-19 infection and those without COVID-19 infection undergoing operative treatment of hip fractures. The results showed that COVID-19-positive patients had a higher risk of 30-day mortality, pneumonia, unplanned intubation, septic shock, longer length of hospital stay, and discharge to an acute care hospital. Active COVID-19 infection is an independent risk factor for complications and increased resource utilization in these patients.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Jorge Mayor, Vera Birgel, Jan-Dierk Clausen, Goekmen Aktas, Stephan Sehmisch, Ann-Kathrin Einfeldt, Vasilis Giannoudis, Ahmed H. K. Abdelaal, Emmanouil Liodakis
Summary: This study provides a comprehensive overview of biomechanical research on the treatment of intertrochanteric fractures using cephalomedullary devices. Through a systematic literature search and synthesis analysis, the study highlights the need for standardization in biomechanical studies, and suggests strategies to enhance construct stability. The findings emphasize the importance of further research and meta-analyses to establish standardized protocols and enhance reliability.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Patricia Rodarte, Jamieson O'Marr, Billy Haonga, Deogratias Patrick, Kian Niknam, Mayur Urva, Abigail Cortez, Willem-Jan Metsemakers, David Shearer, Saam Morshed
Summary: This study evaluates the diagnostic performance of telephone questionnaires in identifying patients with fracture-related infections (FRIs) after open tibia fracture fixation in Tanzania. The study shows that telephone questionnaires have adequate diagnostic performance, with drainage being the main indicator for FRIs.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Zhiyi Liu, Guodong Hou, Wencong Zhang, Junyan Lin, Jinrong Yin, Huan Chen, Guowei Huang, Aiguo Li
Summary: Calcaneal tuberosity avulsion fracture, an extra-articular injury, is a rare fracture caused internally by intense contraction of the gastrocnemius-soleus complex, and externally by low-energy (possibly high-energy). The risk of injuries to the skin and Achilles tendon around the calcaneal tuberosity is closely related to the Lee classification and Carnero-Martin de Soto Classification of this type of fracture. Diagnosis is typically confirmed through X-ray, digital imaging, and CT, but MRI should also be used to assess the soft tissue. Recent advances in understanding this fracture have led to the development of different internal fixation devices and surgical procedures that provide stable fracture reduction and resistance to Achilles tendon forces. This article reviews the new insights into the anatomy, classification, risk factors, and treatment modalities of calcaneal tuberosity avulsion fracture in recent years.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Win Wah, Janneke Berecki-Gisolf, Karen Walker-Bone
Summary: This study aimed to identify the incidence and factors associated with in-hospital complications of work-related musculoskeletal injuries. The results showed that age, gender, area-level disadvantage, hospital type, comorbidity, emergency admissions, anesthesia, and the type of injury were all associated with in-hospital complications. The most common complications were cardiovascular, gastrointestinal complications and adverse drug events.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Article
Critical Care Medicine
Gareth Rooke, Paul Sharplin, Richard Buckley
Summary: A 31-year-old female suffered a right fibula fracture with deltoid ligament injury after falling while climbing on wet rocks. She had ORIF surgery and recovered well, but has developed vague pain and hardware sensation at the lateral ankle 6 months later. Her past medical history includes breast reduction surgery and vaginal delivery, and she has a social history of alcohol consumption and past recreational drug use.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)
Review
Critical Care Medicine
Yuwei Wen, Danjiang Zhu, Qiang Wang, Baojian Song, Wei Feng
Summary: This study compared the clinical outcomes of compression screw and non-weight-bearing techniques in treating pediatric Jones fractures. The results showed that compared to non-weight-bearing techniques, compression screw fixation can shorten the radiographic union time, immobilization time, and facilitate earlier return to full weight bearing and daily life. We recommend the use of compression screw fixation for widely displaced fractures and school-age active adolescents.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2024)