Adherence to Preoperative Cardiac Clearance Guidelines in Hip Fracture Patients.

Objectives: To identify if preoperative cardiac consultations are made in accordance with the American College of Cardiology (ACC) Foundation and American Heart Association (AHA) guidelines and the delays in care after unnecessary consults.

Design: Retrospective review.

Setting: Level 1 trauma center.

Radiographic changes of implant failure after plating for pubic symphysis diastasis: an underappreciated reality?

Background: Implant failure after symphyseal disruption and plating reportedly occurs in 0% to 21% of patients but the actual occurrence may be much more frequent and the characteristics of this failure have not been well described.

Questions/purposes: We therefore determined the incidence and characterized radiographic implant failures in patients undergoing symphyseal plating after disruption of the pubic symphysis.

Methods: We retrospectively reviewed 165 adult patients with Orthopaedic Trauma Association (OTA) 61-B (Tile B) or OTA 61-C (Tile C) pelvic injuries treated with symphyseal plating at two regional Level I and one Level II trauma centers.

A continuous infusion fascia iliaca compartment block in hip fracture patients: a pilot study.

Background: Hip fractures account for 350,000 fractures annually and the projected incidence is expected to exceed 6.3 million by 2050. As the number of hip fractures continues to increase as a result of the aging American population, the importance of limiting and preventing complications is magnified.