TITLE

Evidence Summary: Systematic Review of Surgical Treatments for Geriatric Hip Fractures

AUTHOR(S)
Butler, Mary; Forte, Mary L.; Joglekar, Siddharth B.; Swiontkowski, Marc F.; Kane, Robert L.
PUB. DATE
June 2011
SOURCE
Journal of Bone & Joint Surgery, American Volume;6/15/2011, Vol. 93-A Issue 12, p1104
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: There is a growing body of literature on surgical treatments for elderly patients with a hip fracture and the effects of various surgical procedures on complications and postoperative outcomes. No single review has previously summarized the literature on the effects of surgical procedures on outcomes after treatment across all types of hip fractures. We conducted a comprehensive systematic literature review to organize the clinical evidence for patient-centered outcomes across all types of geriatric hip fractures. Methods: We searched MEDLINE, the Cochrane Database of Systematic Reviews, Scirus, and ClinicalTrials.gov for randomized clinical trials and observational studies published between 1985 and 2008. We also manually searched reference lists from relevant systematic reviews. Results: We found eighty-one articles representing seventy-six unique,' randomized, controlled trials, including thirty-five on femoral neck fractures, forty on intertrochanteric fractures, and one on subtrochanteric fractures. Nine observational studies addressed the link between patient characteristics and outcome variables by fracture type. Age, sex, prefracture functioning, and cognitive impairment are related to mortality and functional outcomes. Fracture type does not appear to be independently related to patient outcomes. Mortality, pain, function, and quality of life did not differ by surgical implant class, or by implants within a class. Neither the randomized controlled trials nor the observational literature include the full complement of potential covariates that can impact treatment outcomes after treatment. Conclusions: The broader questions about the relationship of patient factors, fracture type, and specific treatments to the outcomes of mortality, functional status, and quality of life cannot be addressed with the existing literature. Research should include comprehensive conceptual models that capture complete sets of important independent variables. Studies of musculoskeletal outcomes, including hip fracture, require well-defined patient groups and consistent use of validated outcome measures.
ACCESSION #
62084859

 

Related Articles

  • Outcome of one-stage treatment of developmental dysplasia of hip in older children. Bhuyan, Basant Kumar // Indian Journal of Orthopaedics;Sep/Oct2012, Vol. 46 Issue 5, p548 

    Background: The principles of treatment of congenital dislocation of hip in old children are different than those of infants and neonates. The purpose of this study is to evaluate the radiographic and functional results of one-stage treatment (open reduction, femoral shortening derotation, and...

  • The Effect of the Femoral Head Ossific Nucleus in the Treatment of Developmental Dysplasia of the Hip: A Meta-Analysis. Roposch, Andreas; Stöhr, Kuldeep K.; Dobson, Michael // Journal of Bone & Joint Surgery, American Volume;Apr2009, Vol. 91-A Issue 4, p911 

    Background: The role of the presence of the femoral head ossific nucleus as a risk factor for the development of osteonecrosis of the femoral head in infants with developmental dysplasia of the hip has been investigated in several small studies, but the results have been inconsistent. The...

  • Outcome of surgical management of developmental dysplasia of hip in children between 18 and 24 months. Ramani, Narasimhan; Patil, Mithun S.; Mahna, Madhur // Indian Journal of Orthopaedics;Sep-Oct2014, Vol. 48 Issue 5, p458 

    Background: Developmental dysplasia of hip (DDH) is a common condition presenting to a pediatric orthopedic surgeon. There is a consensus on the surgical treatment of children with ages ranged from 18 to 24 months where majority agree on open reduction and hip spica. Open reduction was done with...

  • Long-term outcomes of shelf acetabuloplasty for developmental dysplasia of the hip in adults: a minimum 20-year follow-up study. Hirose, Shiro; Otsuka, Hiromi; Morishima, Takkan; Sato, Keiji // Journal of Orthopaedic Science;Nov2011, Vol. 16 Issue 6, p698 

    Background: Shelf acetabuloplasty has been applied to secondary osteoarthritis of the hip due to congenital dislocation or acetabular dysplasia; however, there are few reports on the long-term outcomes of this operation. Here, we aimed to investigate the long-term effects of our shelf...

  • Femoral Nerve Palsy in Pavlik Harness Treatment for Developmental Dysplasia of the Hip. Lucas Murnaghan, M.; Browne, Richard H.; Sucato, Daniel J.; Birch, John // Journal of Bone & Joint Surgery, American Volume;3/2/2011, Vol. 93-A Issue 5, p493 

    Background: Transient femoral nerve palsy is a potential complication of the use of a Pavlik harness to treat developmental dysplasia of the hip. Our hypothesis was that patients who develop a femoral nerve palsy while undergoing Pavlik harness treatment for developmental dysplasia of the hip...

  • Congenital Hip Dysplasia.  // Clinical Pediatrics;May1964, Vol. 3 Issue 5, p279 

    Discusses topics and issues about congenital hip dysplasia. Influence of early diagnosis on the outcome of the disease; Association of the occurrence of this disease in children with asymmetrical skin folds; Development of methods that can prevent a complication such as relative ischemia of the...

  • Total hip arthroplasty in developmental hip dysplasia using cementless tapered stem. Results after a minimum 10-year follow-up. Faldini, Cesare; Nanni, Matteo; Leonetti, Danilo; Miscione, Maria Teresa; Acri, Francesco; Giannini, Sandro // Hip International;Oct-Dec2011, Vol. 21 Issue 4, p415 

    Acetabular and femoral abnormalities make total hip arthroplasty in developmental hip dysplasia a challenging procedure. We present details of long-term follow-up of a series of patients affected by developmental hip dysplasia treated with total hip arthroplasty using a cementless tapered stem....

  • Functional treatment of developmental hip dysplasia with the Tübingen hip flexion splint. Gunay, Cuneyd; Atalar, Hakan; Komurcu, Mahmut // Hip International;2014, Vol. 24 Issue 3, p295 

    Objective: Developmental dysplasia of the hip (DDH) is a deformity that may cause to serious disability. Early diagnosis and early treatment are very important. Our aim is to report the outcomes of infants with DDH who were treated with the Tübingen hip flexion splint. Materials and methods:...

  • Total Hip Arthroplasty with Bulk Femoral Head Autograft for Acetabular Reconstruction in Developmental Dysplasia of the Hip. Pizarro, Fernando Claros; Young, SimonW.; Blacutt, Jorge H.; Mojica, Rolando; Cruz, Juan C. // ISRN Orthopedics;2013, p1 

    Developmental hip dysplasia (DDH) presents considerable technical challenges to the primary arthroplasty surgeon. Autogenous bulk grafting using the femoral head has been utilised to achieve anatomic cup placement and superolateral bone coverage in these patients, but reported outcomes on this...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics