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Fractures: Bone Repair

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...

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Related Experiment Video

Updated: Mar 1, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

The weekend effect for hip fracture surgery.

Leontien M G Nijland¹, Julian Karres², Anouk E Simons¹

¹Department of Surgery, OLVG Hospital, Amsterdam, The Netherlands.

|May 26, 2017

Summary

This summary is machine-generated.

This study found no increased mortality for hip fracture patients admitted or operated on during weekends. Hip fracture care appears consistent regardless of admission or surgery timing.

Keywords:

Hip fracture Mortality Surgery Weekend effect

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The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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

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
Geriatric Medicine
Health Services Research

Background:

Weekend admissions and surgeries are associated with increased mortality in emergency care.
Limited and conflicting research exists on the weekend effect in hip fracture patients.
This study addresses the impact of weekend care on hip fracture patient outcomes.

Purpose of the Study:

To investigate the effect of weekend admission and surgery on 30-day and 1-year mortality in hip fracture patients.
To determine if the timing of hip fracture care influences patient survival rates.

Main Methods:

Retrospective analysis of 1803 hip fracture patients (2004-2015).
Collected patient demographics, fracture details, comorbidity scores (ASA, NHFS, CCI), and mortality data.
Used multivariable logistic regression to identify predictors of mortality.

Main Results:

Weekend admission occurred in 30.3% of patients, with no difference in characteristics compared to weekday admissions.
Surgical delays were less frequent for weekend surgeries.
Neither weekend admission nor weekend surgery was associated with increased 30-day or 1-year mortality.

Conclusions:

No weekend effect was observed for hip fracture patients in this study.
Perioperative care for hip fracture patients is adequate outside of regular office hours.
Healthcare systems may provide consistent quality of care irrespective of admission or surgery timing.