Fractured neck of femur: a review of three seminal papers and their implications to clinical management
| Autor: | Peter M Lewis, James P. Waddell |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
hip fracture fixation
medicine.medical_specialty General Orthopaedics business.industry General surgery General Engineering surgical timing for hip fracture Femoral Neck Fractures femoral neck fractures law.invention New england total hip replacement for hip fracture Randomized controlled trial law medicine Femur Fast track business Total hip arthroplasty |
| Zdroj: | Bone & Joint Open |
| ISSN: | 2633-1462 |
| Popis: | It is unusual, if not unique, for three major research papers concerned with the management of the fractured neck of femur (FNOF) to be published in a short period of time, each describing large prospective randomized clinical trials. These studies were conducted in up to 17 countries worldwide, involving up to 80 surgical centers and include large numbers of patients (up to 2,900) with FNOF. Each article investigated common clinical dilemmas; the first paper comparing total hip arthroplasty versus hemiarthroplasty for FNOF, the second as to whether ‘fast track’ care offers improved clinical outcomes and the third, compares sliding hip with multiple cancellous hip screws. Each paper has been deemed of sufficient quality and importance to warrant publication in The Lancet or the New England Journal of Medicine. Although ‘premier’ journals, they only occationally contain orthopaedic studies and thus may not be routinely read by the busy orthopaedic/surgical clinician of any grade. It is therefore our intention with this present article to accurately summarize and combine the results of all three papers, presenting, in our opinion, the most important clinically relevant facts. Cite this article: Bone Joint Open 2020;1-6:198–202. |
| Databáze: | OpenAIRE |
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