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Fractures: Bone Repair01:27

Fractures: Bone Repair

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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: Jul 8, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:42

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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In-Hospital Hip Fractures in a Large Irish Teaching Hospital: Patient Risk Factors and Outcomes.

Matthew Condon1, Alex Tofan1, Tom McCarthy1

  • 1Department of Orthopaedics, St. James' Hospital, Dublin, IRL.

Cureus
|December 18, 2023
PubMed
Summary
This summary is machine-generated.

In-hospital hip fractures are a significant concern, representing 11.5% of all hip fractures. These patients experience high mortality and loss of independence, necessitating improved hospital protocols for fall prevention.

Keywords:
hip fracturein-patientmortalityoutcomesrisk factors

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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Area of Science:

  • Geriatric Medicine
  • Trauma Surgery
  • Hospital Quality Improvement

Background:

  • In-hospital hip fractures occur in patients admitted for other reasons, often following falls.
  • Limited data exists on the incidence, risk factors, and outcomes of this vulnerable patient group in Ireland.
  • Understanding these fractures is crucial for developing targeted prevention and management strategies within healthcare settings.

Purpose of the Study:

  • To determine the incidence of in-hospital hip fractures in an Irish hospital.
  • To identify associated risk factors and patient characteristics.
  • To evaluate the outcomes, including survival and discharge destinations.

Main Methods:

  • A retrospective observational study was conducted.
  • Data was collected from St. James' Hospital records (Hospital In-Patient Enquiry database and Electronic Patient Records) between February 2017 and April 2020.
  • Key data points included patient demographics, comorbidity, fall details, survival status, and discharge destination.

Main Results:

  • 40 in-hospital hip fractures were identified, constituting 11.5% of all hip fractures during the study period.
  • Patients frequently had a history of falls (67.5%), dementia (52.5%), and delirium (42.5%). Vascular/coagulation disorders were present in 75%.
  • 12-month mortality was high (51.4%), with a significant shift in discharge destination from home (70% admission) to nursing home (30% discharge).

Conclusions:

  • In-hospital hip fractures represent a substantial proportion of all hip fractures, highlighting the need for robust hospital protocols.
  • Patients are often elderly with multiple comorbidities, including cognitive impairment and a history of falls.
  • Outcomes are poor, characterized by high mortality and a significant loss of independent living, underscoring the need for improved care pathways.