Hip – pubmed Results

CONCLUSIONS: Advanced age and higher Charlson Comorbidity Index scores were significant associated with 30-dat mortality following hip surgery.

CONCLUSION: Advanced age, male gender, cancer, renal disease, dementia, liver disease, heart failure, CVA, and AMI were identified as risk factors for 1-year mortality in patients undergoing THA. Meticulous preoperative medical optimization and standardized postoperative care may reduce mortality among patients with these comorbidities. Cite this article as: Artuç M, Birinci M, Hakyemez ÖS, et al. Perioperative risk factor analysis for mortality in patients undergoing total hip arthroplasty: A...

CONCLUSIONS: The posterior approach for total hip arthroplasty was associated with lower blood loss, fewer transfusions and reduced complication rates compared to the lateral approach, making posterior approach a preferred surgical technique in resource-limited settings.

Hip deformities, including subluxation, dislocation, and coxa valga, are common in nonambulatory children with spastic cerebral palsy (CP), especially those classified as Gross Motor Function Classification System IV and V. These deformities impact daily activities and quality of life. This study aimed to identify factors associated with hip deformity and explore rehabilitation strategies to prevent complications. A cross-sectional study (August 2018-May 2020) included 46 children with spastic...

Most of the literature on reducing carbon emissions is from the developed world, which does not represent the realities of the developing world. Therefore, the current study was planned to gauge the carbon footprint generated by total knee and hip arthroplasty at the Aga Khan University Hospital, Karachi, between November 2023 and July 2024. The trash was sorted into biohazardous, packaging, and discarded equipment categories. The institutional Carbon Management Tool was used to estimate the...

ObjectiveHip and femur fractures in older adults are linked to high morbidity, mortality, and socioeconomic costs. This meta-analysis compares regional anesthesia and general anesthesia for these surgeries, focusing on perioperative safety and outcomes.MethodsFifteen studies (6829 participants) from 2009 to 2024 were analyzed. Primary outcomes included 30-day mortality, postoperative delirium, and cardiovascular events; secondary outcomes covered intraoperative blood loss, hospital stay, and...

CONCLUSION: The burden of hip fractures due to falls in China continues to intensify, with a higher incidence in females but a more rapid long-term increase in males. Integrated fall prevention strategies are urgently needed to address the challenges posed by an aging population. Cite this article as: Xu D, Lu Z, Yan H, Yang Z. Rising burden of fall-induced hip fractures in China: accelerating male-specific trends and persistent gender disparities from GBD 2021. Acta Orthop Traumatol Turc. 2026;...

CONCLUSION: This study suggests that aspirin appears to be a reasonable alternative to enoxaparin for VTE prophylaxis in hip fracture patients, demonstrating comparable efficacy with a lower blood transfusion requirement and similar rates of major bleeding and symptomatic VTE. Given its affordability, ease of administration, and favorable safety profile, aspirin appears to be a reasonable and costeffective alternative for high-risk trauma patients. Cite this article as: Korkmaz O, Hakyemez ÖS,...

Femoral neck fractures (FNF) in young patients are relatively rare but can lead to severe complications if not treated appropriately. Pauwels type 2 fractures, characterized by moderate inclination, require surgical stabilization. However, no consensus exists regarding the optimal implant that provides superior biomechanical stability. This study aims to compare the biomechanical properties of 3 different fixation systems for the surgical treatment of Pauwels type 2 FNF. Methods: A total of 21...

Background and Objectives: Discharge planning after hip-related fracture surgery may depend on both the surgical method and functional recovery achieved during convalescent rehabilitation. This single-center retrospective cohort study aimed to determine whether discharge pathways differed according to surgical procedure and whether functional recovery patterns differed according to surgical procedure and discharge pathways among patients admitted for convalescent rehabilitation after hip-related...

CONCLUSIONS: In this formulation-specific subanalysis of malnourished older adults with hip fracture, an association between HMB-containing ONS and lower 6-month mortality was observed compared with non-HMB ONS. Exploratory findings suggested a clinically relevant mortality gradient according to both supplement formulation and treatment persistence, although these results should be interpreted cautiously. Larger prospective studies are warranted to confirm these findings.

Total hip arthroplasty (THA) is among the most effective orthopedic interventions for osteoarthritis, yet post-operative rehabilitation is frequently delayed due to informational and organizational barriers. Geographic information system (GIS) technology offers a promising approach to improving rehabilitation access coordination, though its integration into patient-facing mobile platforms remains insufficiently studied. This two-arm, parallel-group, superiority randomized controlled trial...

Background and Objectives: Malnutrition is common among older adults with fragility fractures and is linked to poor clinical outcomes in orthopedic surgery. However, the association between nutritional status and bone-related parameters, including bone mineral density (BMD) and bone turnover markers, remains inadequately characterized in this population. This study evaluated these associations in patients with proximal femoral fragility fractures. Materials and Methods: In total, 108 patients...

BACKGROUND Dega acetabuloplasty is commonly used to correct acetabular deficiency in children with developmental dysplasia of the hip (DDH) and cerebral palsy (CP). This retrospective study aimed to evaluate the clinical and radiographic outcomes following Dega acetabuloplasty in 11 children with DDH and 13 children with CP. MATERIAL AND METHODS We retrospectively analyzed 32 hips in 24 patients (8 males, 16 females; mean age, 61.35±41.09 months) who underwent Dega acetabuloplasty by a single...

CONCLUSIONS: The findings of this study suggest that ERAS-based nursing may alleviate negative emotions, reduce pain, promote functional recovery, and improve quality of life in elderly patients after hip arthroplasty.

CONCLUSIONS: Applying NMES to the gluteus medius is associated with reduced pain intensity in patients with sleep disorders after HA. This may contribute to improved sleep quality and help alleviate the reciprocal interaction between pain and sleep disorders.

Background: Osteoporosis (OP) is a chronic disease characterized by decreased bone mass and altered microarchitecture, leading to bone fragility and fracture risk. To date, although carbohydrate-binding proteins Galectins 1 and 3 (Gal-1/Gal-3) have been implicated in bone metabolism, inflammation and aging, their levels and potential regulation by microRNAs (miRNAs) have not yet been investigated in OP. Methods: In this pilot study, 13 osteoporotic (OP) and 10 non-osteoporotic (NOP) patients,...

CONCLUSIONS: In this retrospective historical-control cohort, silver-impregnated occlusive dressing use was associated with a lower 30-day SSI rate after DAA THA. Given the low event rate and potential temporal confounding, these findings should be interpreted cautiously and warrant confirmation in larger studies.

AIMS: Mayo University Hospital performs approximately 350 joint arthroplasty surgeries per annum. We revised our analgesia protocol in 2024 based on best current practice.

CONCLUSION: Despite self-reported generally strong positive attitudes towards RA for hip fractures, it remains underused. Insufficient skills and training were the most common self-reported barriers. Future research could be aimed at assessing the impact of standardised training and departmental protocols on clinical practice.

Older adults who sustain a hip fracture frequently experience loss of independence and identifying care pathways that improve recovery remains a major clinical priority. In their recent study, Netzer et al. report that patients managed within an orthogeriatric model of care (OMC) were more frequently discharged to rehabilitation facilities and subsequently home. They further observed improved adherence to key clinical care standards.

This matters arising article was written in response to the recent article by Chen et al regarding "Effect of perioperative ultrasound guided fascia iliaca compartment block in elderly adults with hip fractures undergoing arthroplasty in spinal anesthesia-a randomized controlled trial", which is published on BMC Geriatrics at February, 2023. The main findings of Chen et al' study are that the fascia iliaca compartment block (FICB) before spinal anesthesia reduces positioning pain, shorten...

BACKGROUND: Total hip arthroplasty (THA) is a highly effective procedure for improving pain and function in patients with advanced joint degeneration; however, revision surgery may be required because of complications or implant wear. Revision THA (rTHA) has a higher in-hospital mortality rate, longer hospital length of stay, are at higher risk of re-revision surgery and have worse physical and mental health outcome measures compared with primary THAs. The introduction of specialist revision...

» Traditional reliance on preoperative glycated hemoglobin (HbA1c) for surgical eligibility and periprosthetic joint infection (PJI) risk stratification has significant limitations, including surgical delays and poor reflection of short-term metabolic instability. » Perioperative hyperglycemia and glucose variability are stronger and more consistent determinants of PJI risk than static glycemic indices such as HbA1c. » Novel markers, such as fructosamine, and technologies, including continuous...

CONCLUSION: Sustained success of a national hip fracture clinical audit requires strong leadership, effective governance, clear clinical standards, accessible data and timely reporting. Continued relevance requires agility and alignment with evolving system needs.

CONCLUSIONS: Successful completion of this study may introduce a new strategy for the management of FNF and help establish a standardized protocol for the use of navigation systems, potentially enhancing clinical outcomes and reducing complication rates.

CONCLUSIONS: THR after gunshot hip injury achieved satisfactory mid-term functional and radiological outcomes in this single-center cohort. Staged reconstruction and advanced implant strategies appear beneficial in managing complex and contaminated injuries. These findings are descriptive and intended to inform clinical decision-making; further studies are required for external validation.

CONCLUSION: Revision arthroplasty and polymicrobial infections were associated with higher failure rates after DAIR. Lower failure rates were observed among patients treated within seven days of diagnosis, although this finding should be interpreted with caution and warrants further investigation.

CONCLUSION: A lower preoperative PNI was associated with an increased risk of POD among older adults with femoral neck fractures, but not among those with intertrochanteric fractures. PNI may serve as a simple tool for preoperative risk stratification in patients with femoral neck fractures.

CONCLUSION: In children with CP classified as GMFCS levels IV-V, higher clinically assessed hip spasticity-particularly of the hip adductors-was associated with development of a hip at risk for displacement.

CONCLUSION: The use of intraoperative fluoroscopy in primary THA via DAA in the Netherlands is associated with a significantly lower short-term risk of revision. The data showed no major differences in revision due to malalignment and periprosthetic fractures. Revision rates were low in both groups and clinical differences were only small.

Hip fracture is a common and serious condition in elderly individuals, often associated with altered TNF-α signaling. However, few studies have explored whether changes in TNF pathway biomarkers contribute to the risk of hip fracture. In this study, adverse events related to hip fracture reported for five TNF inhibitors were analyzed using data from the first quarter of 2014 to the fourth quarter of 2023. After data standardization and cleaning, four disproportionality methods, including the...

Total hip arthroplasty (THA) is the primary treatment for end-stage hip diseases, and its clinical outcomes mainly depend on the accuracy of prosthesis implantation. Robot-assisted THA (RTHA), with its advantages in prosthesis implantation, overcomes the uncertainty of component positioning in conventional surgery and has become a research hotspot in joint surgery in recent years. This article systematically reviews international RTHA systems such as ROBODOC and MAKO, as well as domestic RTHA...

CONCLUSION: For Pipkin type Ⅰ and Ⅱ femoral head fractures, all-arthroscopic fixation represents a safe and effective therapeutic strategy. The individualized selection of Herbert screws, bioabsorbable screws, or suture anchors based on the specific characteristics of the fracture fragments offers significant clinical advantages. This approach ensures minimal invasiveness, minimal disruption of the femoral head blood supply, and a low complication rate.

CONCLUSION: SHD combined with autologous iliac crest bone grafting has a good early effectiveness in the treatment of femoral neck fracture nonunion in adolescents. The technique not only protects the blood supply of the femoral head, but also fully exposes the structure of the femoral neck fracture, allowing for sufficient freshness, bone grafting, and fixation treatment of the fracture end, thereby achieving good bone healing.

This study aimed to evaluate the synergistic effects of robotic-assisted (RA) technology and Enhanced Recovery After Surgery (ERAS) protocols on the surgical quality and clinical outcomes of femoral neck fracture (FNF) fixation. A total of 226 patients who underwent cannulated compression screw fixation for FNF were retrospectively analyzed and categorized into four groups: Freehand surgery with Routine Orthopedic Care (FH + ROC, n = 60), Freehand surgery with ERAS (FH+ERAS, n = 57),...

BACKGROUND Osteoporotic femoral neck fractures cause substantial disability in older adults. Although joint replacement is the standard treatment, the choice between total hip arthroplasty (THA) and hemiarthroplasty (HA) remains controversial. This study compared outcomes of THA and HA and identified factors influencing postoperative hip functional recovery. MATERIAL AND METHODS This retrospective study included 98 patients, with 52 in the THA group and 46 in the HA group. Surgical parameters...

An accrued interest has recently developed in robotics in total knee (TKA) and hip arthroplasty (THA). This study addressed the questions, "What is the degree of promotion of robotics in total joint arthroplasty (TJA) on the internet by members of the American Association of Hip and Knee Surgeons (AAHKS), and what information is conveyed?" An internet search was conducted to identify orthopaedic surgeon-promotional websites for each member of the AAHKS using the members' full name and a...

CONCLUSION: The articulated spacer assessed in this study, especially when used in combination with a custom-made acetabular component, allowed approximation of the main biomechanical parameters, with small, non-significant differences compared to the contralateral side. Offset parameters reduction may be associated with spacer dislocation rate.

CONCLUSION: Intraarticular application of vancomycin powder was not associated with a reduction in overall PJI rates after primary TJA but appeared to be associated with a longer time to infection. These findings may suggest that local vancomycin application delays the clinical manifestation of infection rather than preventing it, potentially complicating the diagnosis of PJI and limiting less invasive treatment options.

CONCLUSION: Closed suction drainage did not reduce the UFA increase or improve clinical outcomes after THA. The routine use of drains may not be warranted considering the absence of demonstrable benefits and potential risks.

With the increase in the number of orthopedic surgeries, such as knee and hip replacement, the risk of peri-implant infection also increases. According to various registries, the number of such interventions continues to grow, making the problem of infections particularly relevant. Morphological assessment of peri-implant tissues, primarily the peri-implant membrane, has become routine practice and is used as one of the diagnostic criteria for infection. This review summarizes the main...

CONCLUSIONS: Increasing preoperative NarxCare ORS, a measure of prescription drug use, is inversely associated with patient perceived improvement after THA. An ORS of just 100 may significantly decrease the chances of clinically meaningful improvements in hip pain and function, as well as satisfaction at 1-year. A multidisciplinary approach is warranted to mitigate the detrimental effects of sedatives, opioids, or stimulant drug use and surgeons may use this easily accessible score to guide a...

CONCLUSIONS: cTHA is the most cost-effective technique for primary THA in the United States, compared with both rTHA and mTHA.

CONCLUSIONS: Patients with MetS undergoing total joint arthroplasty had worse clinical outcomes and were less likely to achieve MCID on PROMIS-PF than patients without MetS. Obese THA patients with MetS were less likely to achieve MCID on PROMIS-PF. Obesity and comorbid conditions are known to increase the risk of suboptimal outcomes in patients undergoing total joint arthroplasty, and this study highlights the increased risk of patients with MetS.

INTRODUCTION: Hip fractures in older adults are common and associated with substantial mortality. Effective analgesia is essential to mobilization and recovery, with opioid-sparing strategies prioritized in this vulnerable population. Perioperative ketorolac is widely used, but its impact on early postoperative outcomes and bone healing after hip fracture remains uncertain. We evaluated associations between perioperative ketorolac and 90-day mortality and medical complications, with secondary...

CONCLUSIONS: Implementation of a modified ERAS protocol incorporating TCM elements was associated with reduced length of stay, enhanced functional recovery, and lower healthcare costs in elderly hip fracture patients at a single TCM hospital. These improvements were achieved without evidence of increased complications. Multicenter prospective studies are warranted to confirm these findings.

CONCLUSIONS AND RELEVANCE: In this cohort study, older adults with dementia had shortened survival and more time in skilled nursing or long-term care facilities after hip fracture than those without dementia. Differences in days at home were associated with structural and socioeconomic factors among those with dementia, with implications for health system policy, prognostic counseling, and discussions about long-term care needs in this population.

CONCLUSIONS: The XGBoost model demonstrated strong predictive performance and interpretability, enabling the early identification of older patients at risk for adverse frailty trajectories following hip surgery. This tool may support targeted interventions and improve perioperative care in geriatric populations.

CONCLUSION: Valgus-producing osteotomy with blade-plate fixation is a viable joint-preserving option for subacute displaced femoral neck fractures in young adults when arthroplasty is undesirable.