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Proximal Femur Fractures: Evaluating the Necessity of On-Call Surgery.
J Clin Med
December 2024
Helios Kliniken Kassel, 34121 Kassel, Germany.
The decision of the Joint Federal Committee on the treatment of hip fractures stipulates that proximal femur fractures must be treated within the first 24 h. This leads to organizational and personnel difficulties in day-to-day care. Therefore, we investigated the question at what times of day we operate to maintain this timeline and whether there is a difference in the outcome for the patients according to treatment hours.
View Article and Find Full Text PDFEffects of trehalose on bone healing, physical function, and pain in patients with pertrochanteric fractures: a randomized controlled trial protocol.
Trials
December 2024
Musculoskeletal Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background: Appropriate management of fractures is crucial for restoring natural bone function and preventing long-term complications. Previous research on animal models indicates that trehalose can improve bone fracture healing by inhibiting the inflammatory cascade. We hope that trehalose can accelerate bone fracture healing in humans, alleviate pain, and ultimately enhance the individual's quality of life.
View Article and Find Full Text PDFPseudoaneurysms of lower limb of orthopaedic traumatological origin: a literature review and our experience of 18 cases.
Eur J Trauma Emerg Surg
December 2024
Department of Orthopaedics and Trauma, Ganga Medical Centre and Hospitals Pvt. Ltd, 313, Mettupalayam Road, Coimbatore, 641043, India.
Introduction And Aims: Arterial pseudoaneurysm is a rare yet potentially life-threatening complication that can arise as a late sequelae of penetrating injuries or orthopaedic procedures. We aim at sharing our institutional experience of managing 18 cases of lower limb arterial pseudoaneurysms in orthopaedic practice and to provide technical tips for emergency management of severe bleeding. A comprehensive literature review resulting from fractures and orthopaedic surgeries is also presented.
View Article and Find Full Text PDFAssessing potential factors leading to perioperative peri-implant fracture in femoral pertrochanteric fracture osteosynthesis using the proximal femoral nail antirotation 2: A retrospective study.
BMC Musculoskelet Disord
November 2024
Division of Orthopaedic Traumatology, Department of Orthopaedic Surgery, Musculoskeletal Research Center, Chang Gung Memorial Hospital, Tao-Yuan, 33302, Taiwan.
Background: Perioperative peri-implant fractures (PPIFs) pose infrequent yet significant challenges in orthopedic surgery, particularly in the context of femoral pertrochanteric fractures (FPF) treated with proximal femoral nail antirotation 2 (PFNA-2) nails. PPIFs can lead to prolonged recovery and may necessitate re-osteosynthesis in severe cases. Despite the effectiveness of PFNA-2 in the management of FPFs, our understanding of PPIFs in this specific context remains limited.
View Article and Find Full Text PDFEarly surgical care of the anticoagulated hip fracture patient within 24 hours.
Injury
December 2024
Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, University of Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany. Electronic address:
Article Synopsis
- Hip fractures continue to have high morbidity and mortality rates, and delays in surgery often occur for patients on long-term antithrombotic therapy, but urgent surgery may not lead to severe bleeding complications.
- A study reviewed 1142 patients who underwent surgery within 24 hours for hip fractures, with 51.1% on antithrombotics; it focused on transfusion rates, hemoglobin changes, mortality, and hematoma occurrences post-surgery.
- The findings revealed a 10.3-hour mean surgery wait, a 25.9% blood transfusion rate influenced by surgery duration and anticoagulants, a 5.3% mortality rate primarily linked to ASA classification and surgery timing, and 3
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