Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Mar 2014
Factors that influence the choice to undergo surgery for shoulder and elbow conditions.
Knowledge of the factors that influence the willingness of patients considering elective orthopaedic surgery is essential for patient-centered care. To date, however, these factors remain undefined in the orthopaedic population with shoulder and elbow disorders. ⋯ Level II, prognostic study. See the Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Mar 2014
High-energy femur fractures increase morbidity but not mortality in elderly patients.
Trauma centers are projected to have an increase in the number of elderly patients with high-energy femur fractures. Greater morbidity and mortality have been observed in these patients. Further clarification regarding the impact of high-energy femur fractures is necessary in this population. ⋯ Level III, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Mar 2014
Association of a modified frailty index with mortality after femoral neck fracture in patients aged 60 years and older.
Frailty, a multidimensional syndrome entailing loss of energy, physical ability, cognition, and health, plays a significant role in elderly morbidity and mortality. No study has examined frailty in relation to mortality after femoral neck fractures in elderly patients. ⋯ Level IV, prognostic study. See Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Mar 2014
Long-term results and bone remodeling after THA with a short, metaphyseal-fitting anatomic cementless stem.
Long-term results of standard total hip arthroplasty (THA) in young patients were not optimal. There are a number of reported disadvantages to longer cementless stems in THA including thigh pain and proximal stress shielding. However, it is unknown whether a short, metaphyseal-fitting anatomic stem without diaphyseal fixation, which represents a possible alternative, will maintain fixation over the longer term. ⋯ Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.