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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
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Related Experiment Video

Updated: May 18, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Resident work hour reforms: implications regarding hip fracture surgery.

Rizwan Haroon Rashid1, Adil Aijaz Shah, Amarah Shakoor

  • 1Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi 75600, Pakistan. rizwan.haroonrashid@aku.edu

International Journal of Surgery (London, England)
|September 18, 2012
PubMed
Summary

Resident work hour reforms reduced operative time for hip fracture surgery. However, these reforms did not decrease patient morbidity or mortality following Dynamic Hip Screw fixation.

Related Experiment Videos

Last Updated: May 18, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Area of Science:

  • Orthopedic Surgery
  • Medical Education Reform

Background:

  • Aga Khan University implemented resident work hour reforms in 2005.
  • The Orthopedics section adopted these reforms in 2006.
  • This study evaluates the impact of these reforms on patient outcomes.

Purpose of the Study:

  • To determine if resident work hour reforms affect morbidity and mortality in intertrochanteric fracture patients.
  • To compare outcomes before and after the implementation of work hour reforms.

Main Methods:

  • Retrospective study of patients undergoing Dynamic Hip Screw (DHS) fixation for intertrochanteric fractures (2005-2008).
  • Patients were divided into two groups: pre-reform (Group A) and post-reform (Group B).
  • Outcomes assessed included operative time, wound infection, hospital stay, ambulation, fixation adequacy, repeat surgeries, and mortality.

Main Results:

  • Mean operative time significantly decreased in Group B (1.3±0 h) compared to Group A (1.6±0.6 h).
  • No significant differences were observed in wound infection, length of hospital stay, post-operative ambulation, fixation adequacy, repeat surgeries, or mortality between the groups.

Conclusions:

  • Resident work hour reforms led to a significant reduction in operative time for DHS fixation.
  • Morbidity and mortality rates for intertrochanteric fractures did not improve after the implementation of these reforms.
  • Further research is needed to assess orthopedic surgery patient outcomes and the impact on resident education and research activities.