39 papers, newest 30 shown · updated 2026-09-26 · Orthopaedic Trauma · All topics
The newest papers on hip fractures from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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RCTs comparing cemented versus press-fit hemiarthroplasty are statistically fragile, with outcomes easily altered by modest event reversals.
A new 8-point scoring system (FNF-ON8) using five preoperative variables better predicted osteonecrosis risk after femoral neck fracture fixation in patients under 65 than the Garden classification.
In basicervical femoral neck fractures, PFNA resulted in fewer implant-related complications and better Harris Hip Scores than the femoral neck system, despite FNS having shorter surgery and less blood loss.
An international 31-expert Delphi panel created the WAIT-Free Consensus, offering 13 practical recommendations to help low-adoption regions safely implement immediate weight-bearing after hip fracture surgery.
In fragility hip fracture patients, any TXA dosing reduced transfusion rates versus none, but doses beyond two showed no added benefit, with no increase in VTE, infection, or mortality.
Fix or Replace: Evidence for Treatment Options in the Management of Femoral Neck Fractures.
This review weighs evidence for internal fixation versus arthroplasty in femoral neck fractures, noting a growing trend toward arthroplasty based on injury and patient factors.
Effects of Capacity-Related Delay to Hip Fracture Surgery on Mortality: A Matched-Cohort Study.
In a UK cohort, capacity-related surgical delay beyond 36 hours for hip fracture raised 30- and 365-day mortality, especially in frailer patients, supporting prioritized timely surgery for vulnerable patients.
Indwelling urinary catheters did not significantly increase UTI risk in elderly hip fracture patients and may prevent dehydration-related renal dysfunction.
Early postoperative anxiety independently associated with lower odds of clinically meaningful recovery in physical function and pain after hip fracture surgery.
This ethnographic study found that inconsistent hip fracture patient mobilization stems from differing professional cultures, unclear responsibilities, and organizational/environmental barriers despite existing guidelines.
In patients under 50 with displaced femoral neck fractures, open versus closed reduction showed similar overall complication rates, suggesting reduction method alone doesn't predict failure.
In femoral neck fracture arthroplasty, cementless collared metadiaphyseal-filling stems carried higher periprosthetic fracture revision risk than cemented stems, though with lower aseptic loosening revision rates, supporting cemented fixation.
In a two-center study of 391 older femoral neck fracture patients undergoing THA, a validated nomogram using anticoagulant use, TXA administration, surgical duration, and preoperative hemoglobin accurately predicted postoperative transfusion risk (AUROC 0.90).
In 151 patients with intertrochanteric fractures treated with PFNA, the intramedullary canal occupying ratio did not predict bone healing or fixation stability, suggesting smaller nails are not inferior.
Non-medical surgical delay increases one-year mortality following hip fracture.
In over 5,400 hip fracture patients, surgical delay beyond 36 hours due to lack of theatre capacity (not medical reasons) independently raised one-year mortality by 20% and lengthened hospital stay, showing a dose-response effect.
In an Ontario population-based cohort of over 124,000 hip fracture patients, nearly 1 in 5 experienced preventable hospital harm, with higher risk among male, older, frail, urban, and marginalized patients and at teaching hospitals.
For elderly patients with displaced femoral neck fractures, THA offers no clinically important functional benefit over hemiarthroplasty and increases dislocation risk; hemiarthroplasty is preferred.
Displaced femoral neck fractures in young patients (18-60 years) achieved 30% overall failure rate; increased displacement, cannulated screws, and suboptimal reduction independently increased nonunion risk.
Further fractures and reoperations after hip fracture double inpatient costs; preventing complications could reduce national hip fracture expenditure by £265 million annually.
Medical complications occur in 23% of hip fracture patients with threefold higher 60-day mortality; early detection of pneumonia, UTI, and delirium is essential.
Persistent or non-resolving postoperative neutrophil-lymphocyte ratio elevation after hip fracture hemiarthroplasty is strongly associated with higher mortality and medical complication rates.
Liposomal bupivacaine incisional infiltration did not reduce resting pain at 48 hours in geriatric hip fracture surgery, not supporting routine use over multimodal analgesia alone.
Cemented femoral fixation reduced periprosthetic fractures but increased minor bone-cement syndrome; both fixation methods showed comparable overall safety for femoral neck fractures.
Increasing mobility in hospital after hip fracture.
Describes the WHiTE 15 INITIATE trial protocol testing whether increased frequency and duration of postoperative physiotherapy improves mobility and discharge outcomes after hip fracture surgery.
CT overestimates posterior tilt in Garden I/II femoral neck fractures compared to radiographs, potentially increasing arthroplasty recommendations without evidence-based support.
This review summarizes perioperative best practices for cemented femoral stem fixation in geriatric femoral neck fracture arthroplasty, addressing technique, communication, and mitigation of cement-related complications.
Understanding governance for a national hip fracture clinical audit: a scoping review.
This scoping review identifies 11 recurring governance components across published national hip fracture clinical audits to guide development of new or existing audits.
Latest developments in arthroplasty for hip fractures.
This review covers current evidence on arthroplasty implant choice, cemented versus uncemented fixation, and perioperative care advances for treating hip fractures.
Looking after patients with hip fracture in low- and middle-income countries.
The HIPCARE trial will test multidisciplinary care pathways for hip fracture patients in low- and middle-income countries to improve outcomes and reduce healthcare costs.
This review explains the anteromedial cortical support concept and Chang reduction quality criteria as tools to guide and evaluate intraoperative reduction of trochanteric hip fractures.
This landmark study established that a tip-apex distance over 25 mm strongly predicts lag screw cutout failure in peritrochanteric hip fracture fixation.
Orthogeriatric Care Models and Outcomes in Hip Fracture Patients
Meta-analysis of 18 studies (9094 patients) shows orthogeriatric co-management reduces in-hospital and long-term mortality and shortens length of stay after hip fracture, supporting shared-care models.
This review discusses classification (Garden, Pauwels) and treatment options—fixation, hemiarthroplasty, or THA—for femoral neck fractures, noting variability in surgeon practice patterns.
RCT of 400 intertrochanteric fractures found Gamma nail had higher but nonsignificant complication risk versus sliding hip screw, with no functional difference, so DHS remains standard.
Cadaveric biomechanical testing shows the Femoral Neck System performs comparably to DHS constructs and superior to cannulated screws for fixing unstable Pauwels III femoral neck fractures.
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