scholarly journals Routine Fracture Fixation for a Periprosthetic Hip Fracture Below Birmingham Hip Resurfacing

2020 ◽  
Vol 10 (3) ◽  
pp. e19.00540-e19.00540
Author(s):  
Jordy van Rijn ◽  
Maarten C. Koper ◽  
Pieter K. Bos
Keyword(s):  
Hip Fracture ◽  
Fracture Fixation ◽  
Hip Resurfacing ◽  
Birmingham Hip Resurfacing

scholarly journals Fixation of a Periprosthetic Intertrochanteric Hip Fracture below a Birmingham Hip Resurfacing

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
J. Macdonald ◽  
A. Robinson ◽  
I. Brown
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Conservative Management ◽  
Hip Resurfacing ◽  
Locking Compression Plate ◽  
Periprosthetic Fractures ◽  
Intertrochanteric Hip Fracture ◽  
Birmingham Hip Resurfacing ◽  
Compression Plate ◽  
Interesting Solution

This case report involves a 56-year-old female (Mrs X) with a traumatic intertrochanteric hip fracture with subtrochanteric extension below a previous Birmingham hip resurfacing. Periprosthetic fractures following hip resurfacing are usually subcapital and treated with a revision or conservative management. We present an unusual surgical problem with an interesting solution stabilising the fracture using a proximal femoral locking compression plate (LCP). Eight months following surgery the patient is able to walk pain free and there is good fixation and stability.

scholarly journals Association between preoperative evaluation with lung ultrasound and outcome in frail elderly patients undergoing orthopedic surgery for hip fractures: study protocol for an Italian multicenter observational prospective study (LUSHIP)

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Luigi Vetrugno ◽  
Enrico Boero ◽  
Elena Bignami ◽  
Andrea Cortegiani ◽  
Santi Maurizio Raineri ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Postoperative Complications ◽  
Observational Study ◽  
Elderly Patients ◽  
Fracture Fixation ◽  
Frail Elderly ◽  
Statistical Power ◽  
Lung Ultrasound ◽  
Preoperative Evaluation ◽  
Cardiac Complications

Abstract Background Hip fracture is one of the most common orthopedic causes of hospital admission in frail elderly patients. Hip fracture fixation in this class of patients is considered a high-risk procedure. Preoperative physical examination, plasma natriuretic peptide levels (BNP, Pro-BNP), and cardiovascular scoring systems (ASA-PS, RCRI, NSQIP-MICA) have all been demonstrated to underestimate the risk of postoperative complications. We designed a prospective multicenter observational study to assess whether preoperative lung ultrasound examination can predict better postoperative events thanks to the additional information they provide in the form of “indirect” and “direct” cardiac and pulmonary lung ultrasound signs. Methods LUSHIP is an Italian multicenter prospective observational study. Patients will be recruited on a nation-wide scale in the 12 participating centers. Patients aged  >  65 years undergoing spinal anesthesia for hip fracture fixation will be enrolled. A lung ultrasound score (LUS) will be generated based on the examination of six areas of each lung and ascribing to each area one of the four recognized aeration patterns—each of which is assigned a subscore of 0, 1, 2, or 3. Thus, the total score will have the potential to range from a minimum of 0 to a maximum of 36. The association between 30-day postoperative complications of cardiac and/or pulmonary origin and the overall mortality will be studied. Considering the fact that cardiac complications in patients undergoing hip surgery occur in approx. 30% of cases, to achieve 80% statistical power, we will need a sample size of 877 patients considering a relative risk of 1.5. Conclusions Lung ultrasound (LU), as a tool within the anesthesiologist’s armamentarium, is becoming increasingly widespread, and its use in the preoperative setting is also starting to become more common. Should the study demonstrate the ability of LU to predict postoperative cardiac and pulmonary complications in hip fracture patients, a randomized clinical trial will be designed with the scope of improving patient outcome. Trial registration ClinicalTrials.gov, NCT04074876. Registered on August 30, 2019.

scholarly journals Survival and functional outcome of the Birmingham Hip Resurfacing system in patients aged 65 and older at up to ten years of follow-up

2013 ◽  
Vol 38 (6) ◽  
pp. 1139-1145 ◽  
Author(s):  
Regis Pailhe ◽  
Gulraj S. Matharu ◽  
Akash Sharma ◽  
Paul B. Pynsent ◽  
Ronan B. Treacy
Keyword(s):  
Functional Outcome ◽  
Hip Resurfacing ◽  
Birmingham Hip Resurfacing

Long-term results of Birmingham hip resurfacing arthroplasty in Asian patients

2017 ◽  
Vol 21 (1) ◽  
pp. 117-123 ◽  
Author(s):  
Keisuke Uemura ◽  
Masaki Takao ◽  
Hidetoshi Hamada ◽  
Takashi Sakai ◽  
Kenji Ohzono ◽  
...  
Keyword(s):  
Hip Resurfacing ◽  
Long Term Results ◽  
Hip Resurfacing Arthroplasty ◽  
Resurfacing Arthroplasty ◽  
Asian Patients ◽  
Birmingham Hip Resurfacing

scholarly journals Is implant sonication useful when screening for infection in conversion of prior hip fracture fixation to total hip arthroplasty?

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110281
Author(s):  
Yannick Palmowski ◽  
Matthias Pumberger ◽  
Carsten Perka ◽  
Sebastian Hardt ◽  
Christian Hipfl
Keyword(s):  
Treatment Outcome ◽  
Hip Fracture ◽  
Total Hip Arthroplasty ◽  
Internal Fixation ◽  
Hip Arthroplasty ◽  
Fracture Fixation ◽  
Microbiological Analysis ◽  
Total Hip ◽  
Osteosynthesis Material ◽  
Cutibacterium Acnes

Objective To examine sonication results in presumed aseptic conversion total hip arthroplasty (THA) after hip fracture fixation and to evaluate its implications on the treatment outcome. Methods This retrospective cohort study reviewed the data from presumed aseptic patients that underwent conversion of prior internal fixation of proximal femoral fractures to THA between 2012 and 2018. Microbiological analysis was performed using sonication of osteosynthesis material and tissue samples. Treatment outcome including the occurrence of periprosthetic joint infection (PJI) was recorded. Results A total of 32 patients were included in the study. Of these, five patients (15.6%) had positive intraoperative cultures. The mean follow-up following conversion THA was 43.0 months (range, 19.0–91.5 months). Sonication was positive in three patients (9.4%), all of whom were deemed contaminated and did not develop PJI. Tissue cultures were positive in two patients (6.3%). One patient with Enterococcus faecalis received antibiotic treatment and did not develop PJI. Another patient with growth of Cutibacterium acnes that was initially classified as a contaminant later developed acute PJI caused by the same pathogen. Overall, PJI occurred in two patients (6.3%) after conversion THA. Conclusion Sonication of internal fixation devices did not add diagnostic value in clinically aseptic conversion THA. Further studies are needed to better understand the relevance of unexpected positive cultures, and to develop diagnostic criteria for the management of these patients.

SIGN Hip Construct Nail, the Amazing Solutionin HIP Fracture Fixation without using an Image Intensifier

2021 ◽  
Vol 04 (04) ◽  
Author(s):  
Jibananda Halder ◽  
Mir Shahidul Hasan ◽  
Paresh Chandra Halder
Keyword(s):  
Hip Fracture ◽  
Fracture Fixation ◽  
Image Intensifier
Sign in / Sign up

Export Citation Format

Share Document