This article describes the rate of falls and adverse outcomes following falls, such as fracture, hospitalisation and death, among residents of 88 aged-care facilities in the Lower Hunter region of NSW from July to December 2005. A high rate of falls was observed with a crude incidence of 171 falls per 1000 beds per month. Around 40% of the falls resulting in hospitalisation were for fractured n...

We report a case involving a 64 year old lady with bilateral pathological fractures of the neck of the femur secondary to Low Grade Splenic Marginal Zone Lymphoma, a pathology that has not previously been described in clinical literature. This particular case also highlights the value of the diagnosis and management of patients presenting with subtle and unusual symptoms, and supports the curre...

OBJECTIVE To examine trends in hospital admission for hip fracture in New South Wales between July 1990 and June 2000. DESIGN Analysis of routinely collected hospital separation data. SETTING Public and private acute-care hospitals in NSW. PARTICIPANTS Admissions of patients aged 50 years and over with a primary diagnosis of fracture of the neck of femur (International classification of d...

A clinical, radiological and histopathological study of femoral heads from 125 patients with fracture of the neck of the femur and from 30 cadavers was carried out to identify various risk factors. The findings showed that the Singh index was unreliable as a radiological indicator of the bone content of the femoral heads; that the bone content of the femoral head in patients sustaining a fractu...

INTRODUCTION Neglected hip dislocation is rare in today's world and after prosthesis replacement even rarer finding. However such patients may not report to surgeons until they develop secondary complications. Management of such patient's is a challenge to the treating surgeon and need to be tailored suiting to patient's demands, expectations and constraints of financial resources. We did not f...

According to the National Hip Fracture Database, over 64,000 patients were admitted with a hip fracture across England, Wales, and Northern Ireland in 2013, but very few are bilateral, and there are no current cases in the literature of bilateral neck of femur fractures in a patient with bilateral below-knee amputations. We present a case of a 69-year-old bilateral below-knee amputee male admit...

From 1959 to 1977 the numbers of hospital admissions for fracture of the neck of the femur increased by a factor of 2.7. Detailed analysis of data from the Hospital In-Patient Enquiry for 1968-77 showed that the increase applied to both sexes and at all ages over 45. The true incidence rate increased in parallel with the admission rate, and only a small part of the increased number of admission...

INTRODUCTION Pathological bilateral femoral neck fracture due to renal osteodystrophy is rare. This is a report of a chronic renal failure patient who had sustained bilateral intra-capsular displaced fracture neck of femur following an episode of convulsion and the difficulties encountered in early diagnosis and treatment. The pathophysiology of renal osteodystrophy and the treatment of hip fra...