background:  due to difficulty in obtaining anatomical reduction, management of the unstable intertrochanteric fractures in elderly osteoporotic patients is challenging. the purpose of this study is to compare the results of hip arthroplasty (total, hemi, or bipolar) with dhs in the elderly patients with unstable intertrochanteric fractures.   methods:  we prospectively studied and followed-up ...

OBJECTIVE to assess whether the use of Safehip hip protectors would prevent second hip fractures among men and women living in the community. DESIGN pragmatic randomised controlled trial. SETTING people living in the community. PARTICIPANTS men and women aged 70 years and over who had sustained one hip fracture and who were living in the community. RESULTS 366 men and women who were eit...

conclusions a neglected hip dislocation with acetabular fracture can be managed satisfactorily with uncemented thr. bone reconstruction using chunk grafts and use of cementless components ensures long-term survival and also preserves adequate bone stock for revision, especially in young patients. introduction posterior hip dislocation of the hip with acetabular fracture is a challenging problem...

OBJECTIVE : A previous hip fracture more than doubles the risk of a contralateral hip fracture. Pharmacologic and environmental interventions to prevent hip fracture have documented poor compliance. The purpose of this study was to examine the cost-effectiveness of prophylactic fixation of the uninjured hip to prevent contralateral hip fracture. METHODS : A Markov state-transition model was u...

background : there is no data available regarding vitamin d status among patients with hip fractures in iran. this study aimed to determine whether postmenopausal women with low trauma hip fractures have lower vitamin d levels comparing to the control group.   materials and methods: vitamin d (25-ohd) level and the prevalence of hypovitaminosis d among 73 postmenopausal women with fracture of t...

abstract we report a 71 year-old patient with intertrochanteric fracture who had been managed with dhs and her healed fracture complicated by a subcapital femoral neck fracture. a subcapital femoral neck fracture complicating a healed intertrochanteric fracture is rare but catastrophic event. such cases are managed in a hetereogenous manner, i.e. there exists a mixture of cases treated by eithe...

during fixation of a femoral neck fracture in a 23-year-old male patient with cannulated screws, a broken guide wire fragment inadvertently advanced through the hip joint and protruded into the pelvis. a second surgical approach was needed to remove the broken fragment from the pelvis. awareness of such a potentially devastating complication will make surgeons more cautious during implementatio...

Nonsteroidal anti-inflammatory drugs (NSAIDs) control musculoskeletal pain, but they also cause adverse side effects. The aim of this study is to explore the impact of chronic NSAIDs use on the risk of a second hip fracture (SHFx) after hip fracture surgery. This population-based case-cohort study used the Taiwan National Health Insurance Research Database (NHIRD), which contains data from >99%...