Journal of orthopaedic trauma
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The purpose of this study was to determine factors, including day of week of hospital admission, associated with delay to surgery (DTS) and increased length of stay (LOS) in patients with hip fractures. ⋯ Prognostic level II. See Instructions for Authors for a complete description of levels of evidence.
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To determine whether geriatric hip fractures can be managed effectively within a level 1 trauma center. ⋯ Therapeutic level III. See Instructions for authors for a complete description of levels of evidence.
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Our purpose was to identify the impact of the physical status of the American Society of Anesthesiologists (ASA) on the 30-day readmission of patients receiving operative management of orthopaedic fractures using the National Surgical Quality Improvement Program (NSQIP) database. ⋯ Prognostic level II. See Instructions for authors for a complete description of levels of evidence.
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Failure to rescue (FTR)--death after a major adverse event--has recently been identified as an important determinant of variation in surgical mortality. We sought to identify patient and hospital characteristics associated with FTR after proximal femur fracture surgery, and to determine whether they are different from the predictors of the occurrence of adverse events. We also identified which adverse events are most highly associated with FTR. ⋯ Prognostic level II. See Instructions for Authors for a complete description of levels of evidence.
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Successful treatment of periprosthetic femur fractures, like all fractures, requires careful attention to understand the fracture pattern nuances, identifying and executing a rational treatment approach, and providing an appropriate postoperative recovery protocol. Unlike most other fractures, modification of standard techniques is often required to obtain a stable fixation construct, and there is a greater role for revision arthroplasty in the treatment of periprosthetic fractures. Optimal indications for surgical repair versus revision arthroplasty and optimal postoperative weight-bearing protocols remain uncertain. ⋯ Results for periprosthetic distal femur fractures, however, are less good and more inconsistent. Both periprosthetic femoral shaft and distal femur fractures are associated with relatively high mortality rates, approaching that of patients with hip fractures. This review should provide insight into the current solutions and challenges for the treatment of patients with periprosthetic femur fractures.