Total hip replacement for hip fracture: Surgical techniques and concepts.

2.50
Hdl Handle:
http://hdl.handle.net/11287/617933
Title:
Total hip replacement for hip fracture: Surgical techniques and concepts.
Authors:
Coomber, R.; Porteous, M.; Hubble, Matthew J.; Parker, M. J.
Abstract:
When treating a hip fracture with a total hip replacement (THR) the surgical technique may differ in a number of aspects in comparison to elective arthroplasty. The hip fracture patient is more likely to have poor bone stock secondary to osteoporosis, be older, have a greater number of co-morbidities, and have had limited peri-operative work-up. These factors lead to a higher risk of complications, morbidity and perioperative mortality. Consideration should be made to performing the THR in a laminar flow theatre, by a surgeon experienced in total hip arthroplasty, using an anterolateral approach, cementing the implant in place, using a large head size and with repair of the joint capsule. Combined Ortho-geriatric care is recommended with similar post-operative rehabilitation to elective THR patients but with less expectation of short length of stay and consideration for fracture prevention measures.
Citation:
Total hip replacement for hip fracture: Surgical techniques and concepts. 2016 Oct;47(10):2060-2064. Injury
Publisher:
Elsevier
Journal:
Injury
Issue Date:
16-Jul-2016
URI:
http://hdl.handle.net/11287/617933
DOI:
10.1016/j.injury.2016.06.034
PubMed ID:
27451289
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S0020-1383(16)30275-3
Type:
Journal Article
Language:
en
ISSN:
1879-0267
Appears in Collections:
Exeter Hip Unit; 2016 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorCoomber, R.en
dc.contributor.authorPorteous, M.en
dc.contributor.authorHubble, Matthew J.en
dc.contributor.authorParker, M. J.en
dc.date.accessioned2016-08-04T09:34:25Z-
dc.date.available2016-08-04T09:34:25Z-
dc.date.issued2016-07-16-
dc.identifier.citationTotal hip replacement for hip fracture: Surgical techniques and concepts. 2016 Oct;47(10):2060-2064. Injuryen
dc.identifier.issn1879-0267-
dc.identifier.pmid27451289-
dc.identifier.doi10.1016/j.injury.2016.06.034-
dc.identifier.urihttp://hdl.handle.net/11287/617933-
dc.description.abstractWhen treating a hip fracture with a total hip replacement (THR) the surgical technique may differ in a number of aspects in comparison to elective arthroplasty. The hip fracture patient is more likely to have poor bone stock secondary to osteoporosis, be older, have a greater number of co-morbidities, and have had limited peri-operative work-up. These factors lead to a higher risk of complications, morbidity and perioperative mortality. Consideration should be made to performing the THR in a laminar flow theatre, by a surgeon experienced in total hip arthroplasty, using an anterolateral approach, cementing the implant in place, using a large head size and with repair of the joint capsule. Combined Ortho-geriatric care is recommended with similar post-operative rehabilitation to elective THR patients but with less expectation of short length of stay and consideration for fracture prevention measures.en
dc.languageENG-
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0020-1383(16)30275-3en
dc.rightsArchived with thanks to Injuryen
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleTotal hip replacement for hip fracture: Surgical techniques and concepts.en
dc.typeJournal Articleen
dc.identifier.journalInjuryen
dc.type.versionIn press (epub ahead of print)en

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