scholarly journals Intraoperative Fluoroscopic Radiation Exposure During Hip Fracture Fixation: A Study Combining Surgical Experience and Fracture Complexity

Cureus ◽  
2021 ◽  
Author(s):  
Angus Bruce ◽  
Chiranjit De ◽  
Ramez Golmohamad ◽  
Awais Habeebulah ◽  
Manoj Sikand ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Radiation Exposure ◽  
Fracture Fixation ◽  
Surgical Experience ◽  
Fracture Complexity

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 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

scholarly journals The Effect of Metal Instrumentation on Patient and Surgical Team Scatter Radiation Exposure Using Mini C-Arm in a Simulated Forearm Fracture Fixation Model

2019 ◽  
Vol 3 (6) ◽  
pp. e18.00089 ◽  
Author(s):  
Michael T. Groover ◽  
Jacob R. Hinkley ◽  
Daniel E. Gerow ◽  
H. Brent Bamberger ◽  
Jennifer Evans ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Fracture Fixation ◽  
Forearm Fracture ◽  
Surgical Team ◽  
Scatter Radiation

scholarly journals Femoral Neck Shortening After Hip Fracture Fixation Is Associated With Inferior Hip Function

2019 ◽  
Vol 33 (10) ◽  
pp. 487-496 ◽  
Author(s):  
Jessica Felton ◽  
Gerard P. Slobogean ◽  
Sarah S. Jackson ◽  
Gregory J. Della Rocca ◽  
Susan Liew ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Femoral Neck ◽  
Fracture Fixation ◽  
Hip Function

scholarly journals Hip fracture fixation in a patient with below-knee amputation presents a surgical dilemma: a case report

2008 ◽  
Vol 2 (1) ◽  
Author(s):  
Ulfin Rethnam ◽  
Rajam Sheeja Yesupalan ◽  
Amer Shoaib ◽  
Thanga K Ratnam
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Fracture Fixation ◽  
Knee Amputation
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