The Experts below are selected from a list of 22950 Experts worldwide ranked by ideXlab platform
Yngve Gustafson - One of the best experts on this subject based on the ideXlab platform.
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evaluation of a fall prevention program in older people after Femoral Neck Fracture a one year follow up
Osteoporosis International, 2008Co-Authors: Monica Berggren, Birgitta Olofsson, Michael Stenvall, Yngve GustafsonAbstract:Summary A randomized, controlled fall-prevention study including 199 patients operated on for Femoral Neck Fracture reduced inpatient falls and injuries. No statistically significant effects of the intervention program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone old people.
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a multidisciplinary multifactorial intervention program reduces postoperative falls and injuries after Femoral Neck Fracture
Osteoporosis International, 2007Co-Authors: Michael Stenvall, Bengt Borssen, Birgitta Olofsson, Maria Lundstrom, Undis Englund, Olle Svensson, Lars Nyberg, Yngve GustafsonAbstract:Introduction This study evaluates whether a postoperative multidisciplinary, intervention program, including systematic assessment and treatment of fall risk factors, active prevention, detection, and treatment of postoperative complications, could reduce inpatient falls and fall-related injuries after a Femoral Neck Fracture.
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stroke a major and increasing risk factor for Femoral Neck Fracture
Stroke, 2000Co-Authors: Anna Ramnemark, Mikael Nilsson, Bengt Borssen, Yngve GustafsonAbstract:Background and Purpose—Patients with stroke have up to a 4-fold increased risk of hip Fracture because of their high incidence of falls and loss of bone mass in the paretic side, ie, hemiosteoporosis. The purpose of this study was to investigate the prevalence of previous stroke among patients with Femoral Neck Fracture. Methods—The study included all 568 patients, aged ≥65 years, who underwent surgery for Femoral Neck Fracture in 1980, 1983, 1987, 1993, and 1997 at the orthopedic clinic of Umea University Hospital, Umea, Sweden. Results—The prevalence of previous strokes ranged from 16.4% to 38.5% (P<0.001); this finding is only partly explained by the increased incidence of stroke in the corresponding population, and there was no significant increase in the overall incidence of Femoral Neck Fracture. Fractures occurred 5.4±6.4 years after stroke (median 2.9 years, range 0 to 33 years). In stroke patients with unilateral stroke and persisting paresis at the time of Fracture, 62.5% had their Fracture on...
Rajesh Malhotra - One of the best experts on this subject based on the ideXlab platform.
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Arthroplasty options in Femoral-Neck Fracture: answers from the national registries
International Orthopaedics, 2012Co-Authors: Arun Kannan, Ramprasad Kancherla, Stephen Mcmahon, Gabrielle Hawdon, Aditya Soral, Rajesh MalhotraAbstract:Purpose Femoral-Neck Fracture in the elderly population is a problem that demands the attention of the orthopaedic community as life expectancy continues to increase. There are several different treatment options in use, and this variety in and of itself indicates the absence of an ideal single treatment option. Recent debate has focussed on the probable superiority of total hip arthroplasty (THA) over hemiarthroplasty for Femoral-Neck Fracture. Clinical trials and systematic reviews of such trials have not provided a convincing answer to this question. Methods We analysed data from national registries evaluating prosthetic replacements for Femoral-Neck Fracture in the elderly. We compared revision and reoperation rates of hemiarthroplasty and THA, analysed the prognostic variables that influenced implant survival and the major causes of failure. Results Data from the Australian and Italian registries indicate that THA has an increased revision rate compared with bipolar hemiarthroplasty in Femoral-Neck Fracture in the elderly. The registries identify that age over 75 years and the use of the anterior surgical approach are associated with better survivorship in patients who have a hemiarthroplasty. Cemented fixation of the Femoral stem in hemiarthroplasty and THA is supported by registry data. Acetabular erosion accounted for a very low percentage of hemiarthroplasty revisions and reoperations. Conclusion Our review of data from national registries supports the continued use of bipolar hemiarthroplasty in Femoral-Neck Fracture in the elderly and identifies age, method of fixation and surgical approach as important prognostic variables in determining implant survival.
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arthroplasty options in Femoral Neck Fracture answers from the national registries
International Orthopaedics, 2012Co-Authors: Arun Kannan, Ramprasad Kancherla, Stephen Mcmahon, Gabrielle Hawdon, Aditya Soral, Rajesh MalhotraAbstract:Purpose Femoral-Neck Fracture in the elderly population is a problem that demands the attention of the orthopaedic community as life expectancy continues to increase. There are several different treatment options in use, and this variety in and of itself indicates the absence of an ideal single treatment option. Recent debate has focussed on the probable superiority of total hip arthroplasty (THA) over hemiarthroplasty for Femoral-Neck Fracture. Clinical trials and systematic reviews of such trials have not provided a convincing answer to this question.
Stephanie M. Zielinski - One of the best experts on this subject based on the ideXlab platform.
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the societal costs of Femoral Neck Fracture patients treated with internal fixation
Osteoporosis International, 2014Co-Authors: Stephanie M. Zielinski, Martin J. Heetveld, Peter Patka, C A M Bouwmans, Mohit Bhandari, E M M Van Lieshout, Faith InvestigatorsAbstract:Summary The study rationale was to provide a detailed overview of the costs for Femoral Neck Fracture treatment with internal fixation in the Netherlands. Mean total costs per patient at 2-years follow-up were €19,425. Costs were higher for older, less healthy patients. Results are comparable to internationally published costs.
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Adherence to a Femoral Neck Fracture treatment guideline
Surgery and Traumatology, 2013Co-Authors: Stephanie M. Zielinski, Martin J. Heetveld, Michiel Verhofstad, Gert R. Roukema, Peter Patka, Meeuwis, E.m.m. VanlieshoutAbstract:textabstractPurpose: In 2007 the Dutch Surgical Society published a clinical practice guideline for the treatment of hip Fracture patients, based on the best available international evidence at that time. We investigated to what extent treatment of Femoral Neck Fracture patients in the Netherlands corresponded with these guidelines, and determined differences in patient characteristics between the treatment groups. Methods: All Femoral Neck Fracture patients treated in 14 hospitals between February 2008 and August 2009 were included. Patient characteristics, X-rays, and treatment data were collected retrospectively. Results: From a total of 1,250 patients 59 % had been treated with arthroplasty, 39 % with internal fixation, and 2 % with a non-operative treatment. While 74 % of the treatment choices complied with the guideline, 12 % did not. In 14 % adherence could not be determined from the available data. Arthroplasty was preferred over internal fixation in elderly patients with severe comorbidity, pre-Fracture osteoporosis and a displaced Fracture, who were ambulatory with aids pre-Fracture (odds ratio, OR 2.2-58.1). Sliding hip screws were preferred over cancellous screws in displaced Fractures (OR 1.9). Conclusions: Overall guideline adherence was good. Most deviations concerned treatment of elderly patients with a displaced Fracture and implant use in internal fixation. Additional data on these issues, preferably at a higher scientific level of evidence, is needed in order to improve the guideline and to reinforce a more uniform treatment of these patients.
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Adherence to a Femoral Neck Fracture treatment guideline
International orthopaedics, 2013Co-Authors: Stephanie M. Zielinski, Max A. Meeuwis, Martin J. Heetveld, Michiel Verhofstad, Gert R. Roukema, Peter Patka, Esther M.m. Van LieshoutAbstract:Purpose In 2007 the Dutch Surgical Society published a clinical practice guideline for the treatment of hip Fracture patients, based on the best available international evidence at that time. We investigated to what extent treatment of Femoral Neck Fracture patients in the Netherlands corresponded with these guidelines, and determined differences in patient characteristics between the treatment groups.
Nirav K Pandya - One of the best experts on this subject based on the ideXlab platform.
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management of pediatric Femoral Neck Fracture
Journal of The American Academy of Orthopaedic Surgeons, 2018Co-Authors: Joseph T Patterson, Jennifer Tangtiphaiboontana, Nirav K PandyaAbstract:In the pediatric population, Femoral Neck Fracture is a relatively uncommon injury with a high complication rate, despite appropriate diagnosis and management. The anatomy and blood supply of the proximal femur in the skeletally immature patient differs from that in the adult patient. Generally, these Fractures result from high-energy trauma and are categorized using the Delbet classification system. This system both guides management and aids the clinician in determining the risk of osteonecrosis after these Fractures. Other complications include physeal arrest, coxa vara, and nonunion. Multiple Fracture fixation methods have been used, with the overall goal being anatomic reduction with stable fixation. Insufficiency Fractures of the Femoral Neck, although rare, must also be considered in the differential diagnosis for the pediatric patient presenting with atraumatic hip pain.
Takehiko Torisu - One of the best experts on this subject based on the ideXlab platform.
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Co-occurrence of subchondral insufficiency Fracture of the Femoral head and contralateral Femoral Neck Fracture in a rheumatic patient receiving steroid treatment
Modern Rheumatology, 2008Co-Authors: Keita Miyanishi, Tetsuo Hamada, Masayuki Maekawa, Susumu Tsurusaki, YOSHIHISA KAMO, Taka Aki Moro-oka, Toshihiko Hara, Seiya Jingushi, Takehiko TorisuAbstract:We describe a 79-year-old woman with rheumatoid arthritis who suffered from subchondral insufficiency Fracture of the Femoral head (SIF) and contralateral Femoral Neck Fracture. Radiographs obtained two months after the onset of thigh pain showed collapse of the right Femoral head and contralateral Femoral Neck Fracture. MRI revealed a subchondral serpiginous low-intensity band in the right Femoral head on the T2-weighted image. This case report suggests that SIF should be considered in the differential diagnoses of rheumatic patients who suffer from thigh pain without antecedent trauma.
