FixationInjuriesBoneComplicationsFragility fractureHumeralFunctionalSurgicallyAnklePatientsIncidenceType of fractureMortalityOsteosynthesisClavicle FracturesTraumaRisk of fractureVertebralHealth outcomesSeverityOpen fractureTotal shoulder arthroplastyCommonlyOsteoporosisPreventionOsteoporotic fracturesClassificationShaftAdverseImprove outcomesDistal humerusBonesHemiarthroplastySurgical treatmentElderlyStabilizationPrimary outcomeNasal fractureFacial fracturesPosterior fractureUnstable fracturesRetrospectivePostmenopausal womenSecondaryForearmPatientSurgeryOccur
Fixation33
- TOFS is a successful surgical approach for reduction and fixation of AO type C intra-articular distal humerus fractures, with excellent tendon healing rates. (scielo.org.za)
- In summary, DHS fixation provides comparable postoperative outcomes in unstable IT fractures with relatively low rates of complications. (annals.edu.sg)
- Locked plate technology for fixation of fractures associated with poor bone quality has expanded in recent years. (scielo.org.za)
- In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)
- The approach includes drainage of the purulent discharge, debridement of the fracture, removal of teeth in the fracture line and immediate fixation. (uwc.ac.za)
- Infections were treated with an incision and drainage and the fractures fixated with a double miniplate fixation system. (uwc.ac.za)
- Conclusion: Although a limited number of clinical cases were treated, the results correspond with the current literature when an immediate miniplate fixation protocol is used in infected mandible fractures. (uwc.ac.za)
- Appropriate medical treatment for osteoporosis, adequate fracture fixation, rehabilitation and lifestyle modifications (e.g., calcium and vitamin supplementation, weight-bearing exercises and minimizing the risk of falls) could facilitate optimal functional recovery, a reduction in future fracture risk and an overall improvement in health-related quality of life. (medscape.com)
- Advances in imaging, surgical technique, and materials for fixation have allowed for improved functional and aesthetic outcomes. (medscape.com)
- ZMC fractures are usually repaired with open reduction and internal fixation within 3-4 weeks following injury. (medscape.com)
- Adams recognized the need for greater stabilization in more comminuted fractures and was one of the first to write of internal wire fixation. (medscape.com)
- Therefore, they concluded that most displaced fractures of the zygoma should be treated by open reduction and direct wire fixation. (medscape.com)
- The success of miniplates was supported further by Michelet et al and others, who continued to develop techniques for reduction and fixation of facial fractures using miniplates. (medscape.com)
- One common surgical technique used for heel fractures is open reduction and internal fixation (ORIF). (surgeonsync.com)
- This procedure involves realigning the fractured bones and securing them with screws, plates, or other fixation devices. (surgeonsync.com)
- Traditional ORIF techniques for heel fractures involve making an incision over the fractured area, exposing the fractured bones, and realigning them using screws, plates, or other fixation devices. (surgeonsync.com)
- The choice of fixation method depends on the fracture pattern and the surgeon's preference. (surgeonsync.com)
- The advantage of this technique is the direct visualization of the fracture, allowing for accurate reduction and fixation. (surgeonsync.com)
- Immediate Full Weight-Bearing Versus Partial Weight-Bearing After Plate Fixation of Distal Femur Fractures in Elderly Patients. (lu.se)
- The purpose of this study was to compare the functional outcome between immediate full weight-bearing (FWB) as tolerated and partial weight-bearing (PWB) during the first 8 weeks following plate fixation of distal femur fractures in elderly patients. (lu.se)
- Conclusions: There were no differences in functional outcome, adverse events, or ROM between immediate FWB and PWB following plate fixation for a distal femur fracture in elderly patients. (lu.se)
- Background: Ankle fractures are one of the most common orthopedic injuries, and although most patients have a satisfactory outcome following operative fixation, there are patients that have persistent pain despite anatomic reduction. (michaelgreasermd.com)
- Our study assesses the clinical impact of performing an ankle arthroscopy during ankle fracture open reduction and internal fixation (ORIF). (michaelgreasermd.com)
- Purpose To compare the efficacy and safety of the percutaneous screw fixation (PSF) and the open pedicle screw fixation (OPSF) on thoracolumbar (TL) fracture. (researchgate.net)
- Methods Sixty-four adult patients with TL vertebral fractures who underwent open or percutaneous posterior short-segment transpedicular screw fixation between January of 2013 and September of 2015 were retrospectively reviewed. (researchgate.net)
- Despite the numerous surgical modalities, plate osteosynthesis remains the gold standard for fixation of humerus shaft fractures. (orthopaper.com)
- Open reduction internal fixation with plating is an excellent mode of treatment in fracture of shaft of humerus, which consistently gives long term good results. (orthopaper.com)
- Implant related sepsis is a relatively unusual complication of intra-medullary nail fixation of long bone fractures. (openorthopaedicsjournal.com)
- Good results were obtained in fractures treated with stable fixation, in early performed surgeries, and in early started rehabilitation. (bezmialem.edu.tr)
- Conclusion: Internal fixation is a valuable and safe option for distal femur periprosthetic fracture treatment in the elderly. (units.it)
- Although much is known regarding the effects of bone density on fracture risk and the treatment options for prevention of fragility fractures, whether bone quality alters clinical outcomes after fracture fixation is unknown. (psu.edu)
- The purpose of this study was to determine whether bone quality correlates with clinical outcomes after fracture fixation. (psu.edu)
- [ 30 ] Riemer documented an overall decrease in mortality, from 26% to 6%, after initiating a protocol that included external fixation and early mobilization for pelvic fractures. (medscape.com)
Injuries23
- Intertrochanteric (IT) fracture is among the most common orthopedic injuries in the elderly population, and is associated with osteoporosis. (annals.edu.sg)
- The complexity of these injuries is a function of fracture severity (and the associated risk of avascular necrosis), and the difficulty in attaining union of the greater and lesser tuberosities in anatomical position. (scielo.org.za)
- Many types of injuries can cause an ankle fracture. (aaos.org)
- The fronto-naso-orbital-ethmoid (FNOE) fractures involves the upper and middle portion of the face and it is injuries of difficult to diagnostic and therapeutic. (bvsalud.org)
- Reproduced and adapted from Nuber GW, Bowen MK: Acromioclavicular joint injuries and distal clavicle fractures. (aaos.org)
- Intra-articular injuries have been suggested as one potential cause of these suboptimal outcomes. (michaelgreasermd.com)
- Common sources of nasal fractures include sports injuries, fighting, falls, and car accidents in the younger age groups, and falls from syncope or impaired balance in the elderly. (wikipedia.org)
- Although treatment of an uncomplicated fracture of nasal bones is not urgent-a referral for specific treatment in five to seven days usually suffices-an associated injury, nasal septal hematoma, occurs in about 5% of cases and does require urgent treatment and should be looked for during the assessment of nasal injuries. (wikipedia.org)
- simple transverse fractures were most common that is 12(40%).10 (33.33%) patients were having associate injuries. (orthopaper.com)
- Long bone fractures are severe injuries commonly resulting from high-energy trauma, usually due to road-traffic collisions. (openorthopaedicsjournal.com)
- Distal radius fractures are one of the most common upper extremity injuries. (wustl.edu)
- Currently, outcome assessment after treatment of these injuries varies widely with respect to the measures that are used, timing of assessment, and the end points that are considered. (wustl.edu)
- ABSTRACT Data on road traffic accident (RTA) injuries and their outcome are scarce in Pakistan. (who.int)
- One-fifth of injuries were either fractures or concussion. (who.int)
- Severity and outcome of injuries were worse for the age group 45 years and older. (who.int)
- Limiting factors to the appropriate care of dental fractures in the emergency department setting include lack of knowledgeable and willing on-call dental professionals 24 hours a day and a lack of knowledge, experience, and focused training of emergency physicians in the care of dental injuries. (medscape.com)
- Ellis II: Injuries in this category are fractures that involve the enamel as well as the dentin layer. (medscape.com)
- [ 2 , 3 ] A Korean study found that among the most common risk factors for tooth fracture are failure to wear a seatbelt in a motor vehicle, failure to wear a helmet while riding a motorcycle or bicycle, and injuries associated with the use of earphones and smartphones. (medscape.com)
- Patients with high-energy pelvic fractures often have abdominal, head, and thoracic injuries. (medscape.com)
- Posterior arterial bleeding is more common in patients with unstable posterior pelvic fractures, and anterior arterial bleeding (pudendal or obturator) is more common in patients with lateral compression (LC) injuries. (medscape.com)
- Fractures usually result from injuries or overuse. (msdmanuals.com)
- Fractures (and other musculoskeletal injuries) vary greatly in severity and in the treatment needed. (msdmanuals.com)
- These injuries can complicate treatment of the fracture and/or cause temporary or permanent problems. (msdmanuals.com)
Bone42
- Zygomatic complex (ZMC) fractures result when disarticulation of the zygomatic bone at the zygomaticofrontal suture (along the lateral orbital rim) and the zygomaticomaxillary suture (medially), as well as along the zygomatic arch to the temporal bone, permit rotation of the zygoma. (medscape.com)
- [ 3 ] Gillies further described the use of a small, thin elevator that is slid under the depressed bone enabling the surgeon to use the leverage of the elevator to reduce the fracture. (medscape.com)
- [ 4 ] It appeared that although the fracture was reduced at one point, the bone became displaced again because of extrinsic forces. (medscape.com)
- Doctors classify ankle fractures according to the area of the bone that is broken. (aaos.org)
- Ankle fractures can be classified by how much the pieces of bone have moved out of their normal position. (aaos.org)
- A displaced ankle fracture is where the broken bone fragments are separated. (aaos.org)
- Previous studies involving premenopausal women have found a risk of bone mineral density loss and fracture with bariatric surgery , but little was known about the risk among men. (medscape.com)
- The purpose of the new study "was to see if we see the same risk of fracture in veterans who are older men, so kind of the opposite of the typical bariatric patient," said Koh, who presented the research at the American Society for Bone and Mineral Research (ASBMR) 2023 Annual Meeting. (medscape.com)
- The treatment of FNOE fractures aims to restore properly the architecture of the frontal bone, the correct intercantal distance between the medial palpebral commissure, the projection of the nasal dorsum, the leveling of the eyeball, and the ratio of frontal sinus drainage by naso-frontal duct that by often cannot be patent, resulting in possible pathological processes. (bvsalud.org)
- The Sanders classification system is commonly used to classify heel fractures based on the involvement of different fracture lines and the displacement of bone fragments. (surgeonsync.com)
- Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on the bone that it snaps or breaks. (aaos.org)
- Many clavicle fractures can be treated by wearing a sling to keep the arm and shoulder from moving while the bone heals. (aaos.org)
- With some clavicle fractures, however, the pieces of bone move far out of place when the injury occurs. (aaos.org)
- Most fractures occur in the middle portion, or shaft, of the bone. (aaos.org)
- The bone can crack just slightly or break into many pieces (comminuted fracture). (aaos.org)
- The broken pieces of bone may line up straight or may be far out of place (displaced fracture). (aaos.org)
- This illustration shows a clavicle fracture close to where the bone attaches to the scapula (shoulder blade). (aaos.org)
- In a clavicle fracture, the broken ends of the bone may cause tenting of the skin over the fracture site. (aaos.org)
- A vertebral fracture is less obvious compared to a long bone fracture but is often very painful. (physio-pedia.com)
- Milk consumption during adolescence is recommended to promote peak bone mass and thereby reduce fracture risk in later life. (nih.gov)
- Bone stability after a fracture occurs between 3 and 5 weeks. (wikipedia.org)
- Low bone density places a person at risk for potentially serious fractures. (sutterhealth.org)
- The tibia, also known as the shinbone is the most commonly fractured long bone in the body. (drchristygraff.com)
- Intramedullary nailing (IMN) - where a specially designed metal rod is inserted inside the bone to stabilise the fracture and allow healing, is the gold standard for the treatment of these fractures in adults. (drchristygraff.com)
- As the fracture heals the load is gradually transferred to the bone. (drchristygraff.com)
- The aim of this review article is to collect and analyze the existing evidence about the incidence and management of infection following IM nailing of long bone fractures and to recommend treatment algorithms that could be valuable in everyday clinical practice. (openorthopaedicsjournal.com)
- Only a few prospective studies exist to report on the management of infection following IM nailing of long-bone fractures. (openorthopaedicsjournal.com)
- We searched the PubMed Medline databases, from January 1992 to December 2012, to retrieve relevant articles reporting on the management of infection following intramedullary nailing of long bone fractures. (openorthopaedicsjournal.com)
- Over 70% of women having fractures have osteopenia or normal BMD, but they remain unidentified and untreated because the definition of 'osteoporosis', a bone mineral density (BMD) T-Score ≤ -2.5SD, is often used to signal bone fragility. (elifesciences.org)
- In the setting of 3 pooled population-based cohorts, the DL model predicted fractures substantially better than areal bone mineral density and FRAX, especially in women ≥65 years. (elifesciences.org)
- 1 To identify women with fragile bones before fracture, a W.H.O group designated women as having 'osteoporosis' if femoral neck bone mineral density (BMD) T-Score was ≤ -2.5 standardized deviations (SD) below the premenopausal mean. (elifesciences.org)
- 3 - 9 The women with osteopenia or normal BMD having fragility fractures remain unidentified and untreated using the definition of osteoporosis, a BMD T-Score ≤ - 2.5 SD, to signal bone fragility. (elifesciences.org)
- Treatment is not offered, even in the presence of a prevalent or incident fracture, because the absence of osteoporosis is incorrectly interpreted as being evidence of absence of bone fragility. (elifesciences.org)
- Introduction: Osteoporosis and decreased bone density are known to increase fracture incidence and severity. (psu.edu)
- Conclusions: Our results suggest that decreased bone quality, as measured using preoperative CT, significantly correlates with inferior short-term clinical outcomes. (psu.edu)
- These results have significant implications for integrating bone quality into treatment algorithms for fracture patients. (psu.edu)
- Ninety-three studies were suitable for inclusion, describing 3701 patients (3711 fractures) with complex FRI. The population consisted predominantly of male patients (77%), with the tibia being the most commonly affected bone (64%), and a mean of three previous operations per patient. (sogacot.org)
- Most incidents of blood loss from a pelvic injury arise from cancellous bone at the fracture site or from a retroperitoneal lumbar plexus venous injury. (medscape.com)
- A fracture is a crack or break in a bone. (msdmanuals.com)
- Most fractures result from force applied to a bone. (msdmanuals.com)
- Treatment depends on the type and severity of the fracture and may include pain relievers, PRICE (protection, rest, ice, compression, and elevation), maneuvers or procedures to move the fractured bone fragments back into their normal position (reduction), immobilization of the injured part (for example, with a cast or splint), and sometimes surgery. (msdmanuals.com)
- For example, fractures can range from a small, easily missed crack in a foot bone to a massive, life-threatening break in the pelvis. (msdmanuals.com)
Complications6
- Clinical outcome parameters include perioperative complications, functional outcomes, and incidence of morbidity and mortality. (annals.edu.sg)
- However, like any surgical procedure, ORIF for heel fractures is not without its complications. (surgeonsync.com)
- Based on the results of our study, EWB after IMN for tibial shaft fractures may produce faster healing and fewer total complications in certain patient groups. (drchristygraff.com)
- Mortality, complications, radiographic healing and functional outcomes were retrospectively evaluated. (units.it)
- Weekend admission did not predict death, perioperative complications, longer hospital stay, or other adverse short-term outcomes. (suny.edu)
- In this summary, we review the consensus regarding outcomes assessment after distal radius fractures and propose a systematic approach that integrates performance, patient-reported outcomes, pain, complications, and radiographs. (wustl.edu)
Fragility fracture3
- They are the third most common non-vertebral fragility fracture after the hip and distal radius. (scielo.org.za)
- In addition to primary prevention strategies, efforts should be made to improve patients' outcomes after a fragility fracture and optimize their overall management. (medscape.com)
- NICE guidelines on falls in older people , pressure ulcers , nutrition support for adults , dementia , surgical site infections , venous thromboembolism in over 16s , delirium and osteoporosis: assessing the risk of fragility fracture . (nice.org.uk)
Humeral11
- Proximal humeral fractures account for around 5% of humeral fractures. (scielo.org.za)
- The purpose of the study is to compare patient reported outcome after surgical and non-surgical treatment for humeral shaft fractures. (researchsquare.com)
- A pragmatic randomized controlled trial is planned with two study groups (SHAFT-Y and SHAFT-E). A total of 287 eligible acute humeral shaft fractures are scheduled to be recruited and randomly allocated to surgical or non-surgical treatment with the option of early crossover due to delayed union. (researchsquare.com)
- SHAFT will provide information on the effectiveness of two standard treatments for humeral shaft fractures, while taking the dilemmas within the population into account. (researchsquare.com)
- The incidence of humeral shaft fracture is between 13.5-20 per 100.000 annually(1,2). (researchsquare.com)
- It is projected that the incidence of humeral shaft fractures will increase due to changing demographics(1). (researchsquare.com)
- Considering this demographic difference, the importance of age in terms of patient expectations, upper limb function and patient-reported outcome measures (PROM) in humeral shaft fracture treatment is not well understood. (researchsquare.com)
- One of the main challenges with humeral shaft fractures is the choice between surgical and non-surgical treatment(3). (researchsquare.com)
- Background: Reverse total shoulder arthroplasty (RTSA) is an increasingly popular salvage treatment option for proximal humeral fracture (PHF) sequelae. (monash.edu)
- The aim of this study is to see the functional results of humerus shaft fractures treated with plating, reemphasizes the effectiveness of plate osteosynthesis in the management of humeral shaft fractures so as to restore the patient structurally and functionally to near normal status. (orthopaper.com)
- Intramedullary (IM) nailing is considered the gold standard of treatment of closed and many open femoral, tibial and humeral shaft fractures due to its biomechanical and biological advantages. (openorthopaedicsjournal.com)
Functional21
- Although it was associated with a higher incidence of malunion and excessive impaction in the unstable fracture group, there was no difference in functional status at one-year compared to the stable group. (annals.edu.sg)
- 5 These results should be borne in mind when evaluating functional outcome and pain after surgical interventions. (scielo.org.za)
- Functional outcome. (aott.org.tr)
- This meta-analysis aimed to conduct a pooled analysis of functional outcomes of RTSA in PHF sequelae, with subgroup analysis comparing between intracapsular (Class 1) and extracapsular (Class 2) PHF sequelae. (monash.edu)
- Optimal surgical treatment of the fracture, when indicated, and high-quality postfracture care in terms of evaluation and appropriate medical treatment of osteoporosis, rehabilitation, lifestyle modifications and secondary fall prevention should be provided for optimal functional recovery, reduction of future fracture risk and improvement of overall quality of life. (medscape.com)
- It is known that the complexity of the trauma and hence of fractures, and the time of surgery, directly affect in the outcome of the functional and aesthetic treatment. (bvsalud.org)
- The aim of this study is to report a treatment of FNOE fracture describing the surgical steps performed, discussing their advantages and disadvantages, and serving as a guide for surgeons and residents, besides showing satisfactory aesthetic and functional results. (bvsalud.org)
- Studies have reported good to excellent outcomes in terms of pain relief, functional recovery, and restoration of normal foot alignment. (surgeonsync.com)
- Large comparative studies that have evaluated long-term functional outcome of operatively treated ankle fractures are lacking. (biomedcentral.com)
- This study was performed to analyse the influence of several combinations of malleolar fractures on long-term functional outcome and development of osteoarthritis. (biomedcentral.com)
- In addition, no functional differences were found between bimalleolar and trimalleolar fractures. (biomedcentral.com)
- The results of our study show that long-term functional outcome is strongly associated to medial malleolar fractures, isolated or as part of bi- or trimalleolar fractures. (biomedcentral.com)
- In the literature, little attention is given to the long-term functional outcome of operatively treated ankle fractures. (biomedcentral.com)
- The primary outcome measure was the function index of the short musculoskeletal functional assessment (SMFA) after 52 weeks from injury. (lu.se)
- A distal femur fracture has a negative effect on the functional status of elderly patients that persists at least up to 1 year following injury. (lu.se)
- Predicting patient-reported and objectively measured functional outcome 6 months after ankle fracture in people aged 60 years or over in the UK: prognostic model development and internal validation. (ox.ac.uk)
- OBJECTIVE: To predict functional outcomes 6 months after ankle fracture in people aged ≥60 years using post-treatment and 6-week follow-up data to inform anticipated recovery, and identify people who may benefit from additional monitoring or rehabilitation. (ox.ac.uk)
- Functional Outcomes to Surgical Treatmen. (bezmialem.edu.tr)
- In this study we evaluated to functional results of the surgical treatment of distal humerus intraarticular fractures in adults. (bezmialem.edu.tr)
- Nonetheless, 61% of patients saw a worsening in their functional outcome. (units.it)
- Adjuvant Arthroscopy Does Not Improve the Functional Outcome of Volar Locking Plate for Distal Radius Fractures: A Randomized Clinical Trial. (bvsalud.org)
Surgically3
- An open fracture is an emergency and should be treated surgically as soon as possible. (aaos.org)
- METHODS: Participants were the Ankle Injury Management clinical trial cohort (n=618) (ISRCTN04180738), aged 60-96 years, 459/618 (74%) female, treated surgically or conservatively for unstable ankle fracture. (ox.ac.uk)
- This systematic literature review gives an overview of available diagnostic criteria, classifications, treatment protocols, and related outcome measurements for surgically treated FRI patients. (sogacot.org)
Ankle19
- Ankle fractures are commonly occurring fractures, especially in the aging population, where they often present as fragility fractures. (uib.no)
- Choosing accurate outcome measures for the evaluation of the management of ankle fractures in clinical trials facilitates better decision-making. (uib.no)
- This systematic review assesses the evidence for the measurement properties of patient-reported outcome measures (PROMs) used in the evaluation of adult patients with ankle fractures. (uib.no)
- Studies that assessed the measurement properties of a PROM in an adult ankle fracture population were included. (uib.no)
- Only the Ankle Fracture Outcome of Rehabilitation Measure (A-FORM) presented some evidence on content validity. (uib.no)
- The absence of validation studies covering all measurement properties of PROMs used in the adult ankle fracture population precludes the recommendation of a specific PROM to be used in the evaluation of this population. (uib.no)
- Further research should focus on validation of the content validity of the instruments used in patients with ankle fractures. (uib.no)
- A broken ankle is also known as an ankle fracture. (aaos.org)
- A nondisplaced ankle fracture is where the bones are not out of place. (aaos.org)
- Most ankle fractures with dislocations require surgical treatment. (aaos.org)
- Most ankle fractures can be diagnosed with X-rays. (aaos.org)
- Depending on the type of ankle fracture, your doctor may put pressure on the ankle and take a special X-ray called a stress X-ray. (aaos.org)
- Ankle fractures are commonly seen at emergency departments, accounting for approximately 10 % of all fractures [ 1 ]. (biomedcentral.com)
- Whereas other studies have focused on the long-term influence of deltoid ligamentous injury in addition to a fibular fracture, or on the role of the posterior fragment in ankle fractures [ 6 - 10 ]. (biomedcentral.com)
- In this retrospective cohort study we included all participants with an ankle fracture, who were operatively treated in our clinic from 1995 until 2007. (biomedcentral.com)
- Exclusion criteria were open fractures, epiphyseal fractures, pathological fractures, pilon fractures, previous ankle fracture on the same side, polytrauma patients, age under 18 years at the time of trauma and older than 75 years at the time of follow-up. (biomedcentral.com)
- Outcome measures were 6-month postinjury (primary) self-reported ankle function, using the Olerud and Molander Ankle Score (OMAS), and (secondary) Timed Up and Go (TUG) test by blinded assessor. (ox.ac.uk)
- Materials and methods: A prospective database of all operatively treated ankle fractures by a single surgeon from 2003 to 2013 was used to identify patients. (psu.edu)
- The primary and secondary clinical outcomes included Foot and Ankle Outcome Scores (FAOS) and ankle range of motion (ROM). (psu.edu)
Patients33
- Patients with IT fractures treated with DHS at National University Hospital between 2003 and 2005 were included in the study. (annals.edu.sg)
- Patients were divided into 2 groups: stable and unstable IT fractures. (annals.edu.sg)
- performed a prospective observational study of 76 patients with complex proximal humerus fractures managed non-operatively. (scielo.org.za)
- Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)
- In patients with fractures closer to the centre of the body (for example, in the hip, spine, upper arm or leg), the researchers found a higher mortality rate than expected for the general population of the same age. (garvan.org.au)
- The outcome of non-surgical treatment is generally good, but the treatment course can be long and painful with approximately a quarter of the patients acquiring a nonunion. (researchsquare.com)
- Patients declining randomization will be asked to enroll into an observational cohort with same outcomes and post-treatment regimes. (researchsquare.com)
- In this retrospective study, we reviewed 132 patients with united fractures of the middle third of the clavicle after conservative management. (orthobullets.com)
- [ 7 ] In the UK, over 300,000 patients present to hospitals with fragility fractures, with a medical and social cost of approximately £2 billion each year, most of which is the result of hip fractures. (medscape.com)
- and numerous treatments as well as fall prevention strategies have been developed to reduce the risk of fracture in patients with osteoporosis. (medscape.com)
- VANCOUVER, Canada - Patients who undergo either Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy are at an increased risk of fracture, compared with patients with obesity who do not undergo surgery, according to a new analysis of a predominantly male group of US veterans. (medscape.com)
- Another study found a reduction of fracture risk associated with sleeve gastrectomy and no difference between RYGB and nonsurgical matched control patients in a Medicare population. (medscape.com)
- Patients who undergo ORIF for heel fractures generally experience improved mobility and a return to their pre-injury activities. (surgeonsync.com)
- Introduction: After surgery for distal femur fractures in elderly patients, weight-bearing is commonly restricted. (lu.se)
- Methods: Patients aged 65 years or older with distal femur fractures of AO/OTA types 33 A2, A3, B1, B2, C1, and C2 were included. (lu.se)
- Purpose is to provide descriptive info for improving health outcomes by identifying a subgroup of high-frequency ER patients who may have severe mental illness. (sutterhealth.org)
- Fracture healing after the initial procedure among patients treated with intramedullary nails was 54%, with 46% of patients requiring reoperation. (journalcra.com)
- 28 patients having close fractures and 2 have open injury. (orthopaper.com)
- The fracture united in 29(96.66%) patients with 1 (3.33%) patient going for non union. (orthopaper.com)
- Material and Method: Between 2005 to 2010, 22 elbows of 21 patients who were operated for distal humerus intraarticular fractures were evaluated retrospectively. (bezmialem.edu.tr)
- Fracture healing was observed in all of the patients. (bezmialem.edu.tr)
- Methods: All patients treated at the Orthopedic and Traumatology Unit of Cattinara Hospital-ASUGI (Trieste, Italy) between September 2014 and September 2019 for distal femur periprosthetic fracture after total knee replacement were included in the study. (units.it)
- We conducted a study on the effect of weekend admission on short-term outcomes among US hip fracture patients. (suny.edu)
- We selected Nationwide Inpatient Sample (1998-2010) patients with a principal diagnosis of femoral neck fracture and grouped them by day of admission (weekend or weekday). (suny.edu)
- Included patients had at least 12 months of clinical outcome data. (psu.edu)
- Hip fracture patients had a 3-fold increase in mortality the first year after injury, and over 2-fold increase for up to six years. (uit.no)
- This leaves many patients liable to fracture again. (gponline.com)
- A recent survey found most GPs only assess fracture patients when prompted by orthopaedic surgeons. (gponline.com)
- In turn, surgeons will often discharge hospitalised fracture patients without investigation. (gponline.com)
- This means many patients are undiagnosed and opportunities to prevent further fractures are missed, the report argues. (gponline.com)
- Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o. (medscimonit.com)
- Military antishock trousers (MAST) have proved to be effective in the prehospital treatment of patients who are hypotensive and have pelvic fractures. (medscape.com)
- Poole described a large series of multiply injured patients with pelvic fractures in whom nonpelvic sites were the major source of bleeding. (medscape.com)
Incidence5
- In Singapore, there has been an increase in the incidence of hip fractures from 1.17 per 1000 in females who are 60 years or older from 1957 to 1965, to 1.5 per 1000 in 1985. (annals.edu.sg)
- [ 3 ] Fractures of the vertebrae (spine), proximal femur (hip) and distal forearm (wrist) have long been regarded as 'typical' osteoporotic fractures with a substantial variation in their incidence between populations, sexes, different age groups and even between urban and rural areas. (medscape.com)
- As populations are aging, the incidence of osteoporotic fractures is also increasing, [ 4 ] representing a major public health problem and a substantial burden to healthcare services. (medscape.com)
- Cox proportional hazards models were used to calculate relative risks (RRs) of first incidence of hip fracture from low-trauma events per glass (8 fl oz or 240 mL) of milk consumed per day during teenage years. (nih.gov)
- Background and aim of the work: The incidence of periprosthetic knee fractures is steadily increasing, especially in the geriatric population. (units.it)
Type of fracture3
- in fact, they are the fourth most common type of fracture in adults. (aaos.org)
- This type of fracture is fairly common, accounting for about 5% of all adult fractures. (aaos.org)
- Depending on the type of fracture reduction may be closed or open. (wikipedia.org)
Mortality8
- Intertrochanteric (IT) fractures are associated with significant morbidity and mortality in the elderly population. (annals.edu.sg)
- If those people with fractures also had multiple or complex health conditions, the mortality risk was higher again. (garvan.org.au)
- Interestingly, a fracture located closer to the centre of the body, like hip, vertebrae or upper arm bones had a higher risk of mortality. (garvan.org.au)
- By contrast, those in the healthy group who had fractures further away in the body, such as hands and forearms, had virtually no increase in mortality rate. (garvan.org.au)
- For instance, the mortality rate following hip fracture amongst men in the cancer cluster was 41% higher than similarly aged men in the general community. (garvan.org.au)
- As populations are aging, osteoporotic fractures are common and they are associated with high rates of mortality and morbidity, disability, pain and a high cost of treatment. (medscape.com)
- Fragility fractures are a public health problem because fractures impose high morbidity, mortality and cost to the community. (elifesciences.org)
- The weekend effect: short-term mortality following admission with a hip fracture. (suny.edu)
Osteosynthesis8
- The authors concluded that minimal invasive percutaneous plate osteosynthesis appears to be a successful technique for the treatment of humerus shaft fractures based on plain radiographs, range of motion assessments and some patient reported outcome (PRO) measure which were American Shoulder and Elbow Society (ASES), University of California, Los Angles (UCLA), Mayo Elbow Performance Index (MEPI) and The Disability of The Arm, Shoulder and Hand (DASH) scores. (aott.org.tr)
- Aim: The aim is to assess the outcomes of double miniplate osteosynthesis in the immediate management of infected mandible fractures Material and method: A prospective cohort study was conducted. (uwc.ac.za)
- Osteosynthesis became a reality for facial fractures in the 1970s. (medscape.com)
- The advances in the surgical techniques, CT, current osteosynthesis materials and the collective experience of the surgeons, have helped to reduce the sequelae resulting of the FNOE fractures and providing an outcome more predictable. (bvsalud.org)
- Discussion: Treatment of distal humerus intraarticular fractures with anatomical reduction, stable osteosynthesis, and early rehabilitation are very important in obtaining successful outcomes. (bezmialem.edu.tr)
- To evaluate the outcomes of adding arthroscopy to osteosynthesis of distal radius fractures (DRF) with volar locking plate (VLP), by Patient -Rated Wrist Evaluation (PRWE) 1 year after surgery . (bvsalud.org)
- The aim of this study was to evaluate the reliability of open reduction and minimally invasive plate osteosynthesis (MIPO) for anterior ring fracture combined with pubic symphysis separation and to explore the operative techniques and therapeutic efficacy. (medscimonit.com)
- We used minimally invasive plate osteosynthesis (MIPO) to treat anterior ring fracture combined with pubic symphysis separation. (medscimonit.com)
Clavicle Fractures3
Trauma7
- Osteoporotic fractures have become one of the most prevalent trauma conditions seen daily in clinical practice. (medscape.com)
- [ 1 ] They are also known as 'fragility fractures' and they are defined as those occurring after a low-energy trauma, traditionally interpreted as a fall from a standing height or less. (medscape.com)
- 1.5.1 Schedule hip fracture surgery on a planned trauma list. (nice.org.uk)
- Nasal fractures are caused by physical trauma to the face. (wikipedia.org)
- Comparison of perioperative outcomes and cost of spinal fusion for cervical trauma: weekday versus weekend admissions. (suny.edu)
- Fracture-related infection (FRI) is a serious complication related to musculoskeletal trauma. (sogacot.org)
- The Eastern Association for the Surgery of Trauma has published guidelines for managing hemorrhage in pelvic fracture. (medscape.com)
Risk of fracture5
- The investigators excluded individuals who were at high risk of fracture because of another condition, such as organ transplantation or dialysis. (medscape.com)
- We've shown here that especially men who are on the older side, who go through surgical weight loss, do have a higher risk of fracture compared to those who are similarly obese but have not had the operation," said Schafer, a professor of medicine at the University of California, San Francisco, and chief of endocrinology and metabolism at the San Francisco VA Medical Center. (medscape.com)
- I think this is one of the first times that I've been able to demonstrate that there was a higher risk of fracture with sleeve gastrectomy in comparison with nonsurgical cohorts. (medscape.com)
- As deep learning facilitates investigation of bone's multi-level hierarchical structure and soft tissue, we tested whether this approach might better identify women at risk of fracture before fracture. (elifesciences.org)
- The evidence supporting the conclusion that the model-predicted fracture prediction score can be used clinically to identify women at risk of fracture more effectively than with the current standard clinical approach is convincing . (elifesciences.org)
Vertebral3
- [ 4 ] In 2000, there were an estimated nine million new osteoporotic fractures worldwide, with approximately 1.7 million forearm fractures, 1.6 million hip fractures and 1.4 million vertebral fractures. (medscape.com)
- A spinal fracture happens when a vertebral body collapses. (physio-pedia.com)
- Management of vertebral fragility fractures: a clinical care pathway developed by a multispecialty panel using the RAND/UCLA Appropriateness Method. (medtronic.com)
Health outcomes3
- Considering underlying health issues more comprehensively when a patient has a fracture could better identify those at higher risk of poor health outcomes. (garvan.org.au)
- Having specific combinations of underlying health issues is a significant risk for poorer health outcomes in older adults who've had a fracture, a new study from the Garvan Institute of Medical Research shows. (garvan.org.au)
- Reduced hospital staffing on weekends is a hypothesized risk factor for adverse health outcomes--commonly referred to as the weekend effect. (suny.edu)
Severity3
- Females are affected twice as frequently as males, and the severity of fracture is noted to increase with advancing age. (scielo.org.za)
- Heel fractures can occur in various locations within the calcaneus, and the severity of the fracture can vary. (surgeonsync.com)
- Most fractures heal well and result in few problems, but how long they take to heal varies, depending on many factors, such as the person's age, the type and severity of the injury, and other disorders present. (msdmanuals.com)
Open fracture2
- If you have an open fracture, in which there is a cut in the skin as well as broken nasal bones, you may need stitches and antibiotics. (medlineplus.gov)
- Open fracture. (aaos.org)
Total shoulder arthroplasty1
- The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
Commonly2
- Results: Mandibular angle fractures were most commonly infected. (uwc.ac.za)
- A nasal fracture, commonly referred to as a broken nose, is a fracture of one of the bones of the nose. (wikipedia.org)
Osteoporosis2
- GP commissioners must improve access to specialist osteoporosis clinics to tackle the growing burden of fractures on the NHS, a GPSI has warned. (gponline.com)
- Just 24% of NHS trusts have established Fracture Liaison Services, the gold standard in osteoporosis care, according to West Sussex GPSI Dr Alun Cooper. (gponline.com)
Prevention4
- A multidisciplinary approach and the establishment of clinical pathways are mandatory to ensure optimization of treatment and adherence to prevention strategies of secondary fractures. (medscape.com)
- Nakai Town has been conducting a fall & fracture prevention program named "Koyurugi Exercise" for older people aged 65 and over since 2003. (who.int)
- However, its role in hip fracture prevention is not established and high consumption may adversely influence risk by increasing height. (nih.gov)
- Our DL model may become an easy to use way to identify postmenopausal women at risk for fracture to improve fracture prevention. (elifesciences.org)
Osteoporotic fractures1
- In addition to their significant medical costs worldwide, [ 4 ] osteoporotic fractures also represent a major cause of morbidity in older people, often necessitating hospitalization and operative treatment, and resulting in loss of patient's mobility and autonomy. (medscape.com)
Classification3
- Before delving into the techniques and outcomes of ORIF for heel fractures, it is essential to understand the anatomy of the heel and the classification of heel fractures. (surgeonsync.com)
- This classification system helps guide treatment decisions and predict outcomes. (surgeonsync.com)
- Dental fractures are divided into categories based on the Ellis classification system. (medscape.com)
Shaft3
- Tibial shaft fractures account for 1.9% of all fractures. (drchristygraff.com)
- Fractures of shaft of humerus consists of 1% - 3% of all fractures. (orthopaper.com)
- This is retrospective and prospective study of 30 cases of fractures of shaft of humerus admitted at S.S.G. Hospital, Vadodara, Gujarat in between july 2015 to june 2016. (orthopaper.com)
Adverse1
- Although the procedures performed in these settings are largely temporizing measures, appropriate care in the acute setting is critical to avoid adverse outcomes. (medscape.com)
Improve outcomes2
- ORIF for heel fractures has evolved over the years, with various techniques and approaches being developed to improve outcomes. (surgeonsync.com)
- Targeted approaches to improving care of the injured victims may improve outcomes. (who.int)
Distal humerus1
- All had AO type C fractures of the distal humerus. (scielo.org.za)
Bones6
- When the broken bones break through the skin, the injury is called an open or compound fracture. (aaos.org)
- This approach involves making a long incision on the lateral side of the foot and dissecting through the soft tissues to access the fractured bones. (surgeonsync.com)
- External fixators are devices that are placed outside the body and connected to the fractured bones using pins or wires. (surgeonsync.com)
- A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. (aaos.org)
- If other bones are broken, your doctor may order a computerized tomography (CT) scan to see the fractures in better detail. (aaos.org)
- A priority is to distinguish simple fractures limited to the nasal bones (Type 1) from fractures that also involve other facial bones and/or the nasal septum (Types 2 and 3). (wikipedia.org)
Hemiarthroplasty2
- Outcomes after hemiarthroplasty for proximal humerus fracture are sign" by Justin E.M. Leblanc, Joy C. Macdermid et al. (uwo.ca)
- 1.6.2 Offer replacement arthroplasty (total hip replacement or hemiarthroplasty) to people with a displaced intracapsular hip fracture. (nice.org.uk)
Surgical treatment3
- Surgical treatment of IT fractures aims to achieve early mobility and to restore the patient's walking ability to the pre-injury level. (annals.edu.sg)
- We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)
- Aim: Displaced and intraarticular humerus distal fractures require surgical treatment. (bezmialem.edu.tr)
Elderly3
- The fracture demography follows a typical bimodal pattern with young adults injured in sports, vehicular road-traffic accidents and other high energy traumas and the elderly injured with simple falls, respectively². (researchsquare.com)
- A way of determining early onset of union problems in a young cohort is by gently testing the fracture site at 6 weeks(14) and later for the elderly(15). (researchsquare.com)
- The significant impact of periprosthetic knee fractures on the medium-to long-term survival and quality of life of the elderly patient is confirmed. (units.it)
Stabilization1
- Continued unexplained blood loss despite fracture stabilization and aggressive resuscitation mandates angiographic exploration to look for continued arterial bleeding. (medscape.com)
Primary outcome2
- The primary outcome is the Disability of Arm, Shoulder and Hand (DASH) score at 52 weeks, and is assessor blinded. (researchsquare.com)
- Primary outcome was PRWE questionnaire results 1 year after surgery . (bvsalud.org)
Nasal fracture1
- A nasal fracture occurs when the bony part of your nose has been broken. (medlineplus.gov)
Facial fractures4
- Attempts to treat facial fractures were recorded in the 25th to 30th centuries BC. (medscape.com)
- [ 5 ] In their publication in 1951, they described the use of Kirschner wires, either alone or in combination with direct wiring, for the purpose of stabilizing middle-third facial fractures. (medscape.com)
- They may be complicated by other facial fractures or a septal hematoma. (wikipedia.org)
- Nasal fractures are common, comprising about 40% of facial fractures. (wikipedia.org)
Posterior fracture1
- [ 27 ] The arterial vessel most frequently injured with a posterior fracture is the superior gluteal artery. (medscape.com)
Unstable fractures1
- There were 61 stable and 78 unstable fractures. (annals.edu.sg)
Retrospective2
- Retrospective cohort-study on operated (1995-2007) malleolar fractures. (biomedcentral.com)
- A retrospective analysis of the Nationwide Emergency Department Sample of the Healthcare Cost and Utilization Project found that between 2008 and 2010, a total of 199,061 emergency department visits were attributed to broken or fractured teeth and that males comprised 63% percent of emergency department visits. (medscape.com)
Postmenopausal women1
- NICE technology appraisal guidance on preventing osteoporotic fragility fractures in postmenopausal women (alendronate, denosumab, etidronate, risedronate, raloxifene, strontium ranelate and teriparatide). (nice.org.uk)
Secondary4
- The secondary outcomes are DASH score, EQ-5D-5L, pain assessed by visual analogue score, Constant-Murley score including elbow range of motion and anchor-questions collected at all timepoints throughout the trial. (researchsquare.com)
- Reduced extraocular muscle function, diplopia, and enophthalmos can result secondary to entrapment of the orbital contents via orbital floor fractures . (medscape.com)
- Additionally, secondary ossification centres may be seen at the tips of the transverse processes and spinous processes that may persist until early in the 3rd decade of life and simulate fractures. (physio-pedia.com)
- Secondary outcomes included Disabilities of the Arm , Shoulder and Hand and 12-Item Short Form Health Survey questionnaires , range of motion , strength, radiographic measures , and presence of joint step-offs by computed tomography . (bvsalud.org)
Forearm1
- Can a deep learning model (DL)° based on high resolution images of the distal forearm predict fragility fractures? (elifesciences.org)
Patient4
- Hip Fracture and the Weekend Effect: Does Weekend Admission Affect Patient Outcomes? (suny.edu)
- The project was based on register data from the National Hip Fracture Register linked with data from the Norwegian Patient Registry and Statistics Norway. (uit.no)
- If a patient has a fracture, they have double the risk of doing so again. (gponline.com)
- Data were collected on a standardized data collection form and included demographic data, clinical and laborato- ry features, history of animal exposure, management of the initial bite exposure, and patient outcomes (Table). (cdc.gov)
Surgery9
- Shock index: Easy to use, but can it predict outcomes following major abdominal emergency surgery? (annals.edu.sg)
- Isolated nasal fractures usually heal without significant deformity, but surgery may be needed to correct more serious cases. (medlineplus.gov)
- Several fractures, which may require surgery. (aaos.org)
- These fractures do not require surgery. (aaos.org)
- For these more complicated fractures, surgery may be needed to realign the collarbone. (aaos.org)
- Improving the Outcomes of Older Adults with Psychosocial Vulnerability Undergoing Major Surgery. (sutterhealth.org)
- Given there are no universal guidelines for weight bearing after surgery, we wanted to analyse and compare the different approaches in regard to their outcomes such as, the time to fracture healing (union), rates of fractures not healing correctly or not healing at all. (drchristygraff.com)
- We analysed all possible literature on this topic, extracting data from trials to compare the outcomes of early weight bearing (EWB) - walking on the leg before 6 weeks post surgery, versus delayed weight bearing (DWB) - walking on the leg after 6 weeks post surgery. (drchristygraff.com)
- The weekend effect for hip fracture surgery. (suny.edu)
Occur2
- Fractures of the clavicle are common and most often occur in the middle third. (orthobullets.com)
- In a baby, a clavicle fracture can occur during the passage through the birth canal. (aaos.org)