hip fracture

International Fragility Fracture Network Delphi consensus statement on the principles of anaesthesia for patients with hip fracture

Globally, the number of hip fractures is expected to double between 2017 and 2050, from ~2.2 million to ~4.5 million. For the purposes of analgesia and remobilisation, ~ 99% of hip fractures should be fixed surgically, requiring anaesthesia. Surgery for hip fracture has become increasingly standardised, but peri‐operative medical and anaesthetic care varies considerably. Peri‐operative morbidity and mortality remain high. Guidelines exist for the anaesthetic management of patients with hip fracture, but are specific to the healthcare systems of Western nations.

Outcome and technical consideration of conversion total hip arthroplasty after failed fixation of intracapsular and extracapsular hip fractures: are they really that different?

Introduction: Conversion Total Hip Arthroplasty (cTHA) is a rescue strategy for proximal femur osteosynthesis failures. However, it is unclear whether cTHAs performed for extra-capsular fracture fixation failures (ECF) or for intra-capsular fracture fixation failures (ICF) share the same complexity and efficacy. The purpose of our study was to compare cTHAs performed on pre-existing ICFs and pre-existing ECFs, focusing on surgical complications and functional outcomes in both groups.

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