Orthopedics最新文献

{"title":"Knee Injury and Osteoarthritis Outcome Score for Tibial Shaft Fractures: Validity, Reliability, Responsiveness, and Minimal Clinically Important Difference.","authors":"Rasmus Stokholm, Peter Larsen, Juozas Petruskevicius, Jan Duedal Rölfing, Morten Kjerri Rasmussen, Steffen Skov Jensen, Rasmus Elsoe","doi":"10.3928/01477447-20250319-01","DOIUrl":"10.3928/01477447-20250319-01","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the relevance, construct validity, test-retest reliability, and responsiveness and estimate the minimal clinically important difference in the Knee Injury Osteoarthritis outcome score (KOOS) for patients with tibial shaft fractures.</p><p><strong>Materials and methods: </strong>This prospective cohort study included adult patients who were surgically treated after tibial shaft fracture (AO 42-). The primary outcome measure was the score on the KOOS subscales of pain, symptoms, activities of daily living, sport and recreational activities, and knee-related quality of life. Scores were obtained at 14 days, 15 days, 6 weeks, and 3, 6, and 12 months postoperatively. Relevance was evaluated by patients' ranking all KOOS items; construct validity was evaluated by comparing KOOS scores with the Health-Related Quality of Life questionnaire; test-retest reliability was evaluated by comparing KOOS scores over a 24-hour period; and responsiveness was evaluated based on predefined hypotheses and effect size.</p><p><strong>Results: </strong>Sixty patients (mean age, 47.1 years; range, 18-84 years) were included. Results showed acceptable relevance and construct validity for all KOOS subscales. Test-retest reliability was high for all 5 subscales, with an intraclass correlation coefficient of 0.9. Responsiveness was observed with moderate to high correlations (r≥0.3) for the predefined hypotheses and moderate to large effect sizes, ranging from 0.5 to 1.3, for the subscales of pain, activities of daily living, symptoms, and sport and recreational activities.</p><p><strong>Conclusion: </strong>The KOOS showed acceptable relevance, construct validity, and responsiveness and moderate to high test-retest reliability for patients with tibial shaft fractures. Further validation of the psychometric properties of the KOOS for tibial shaft fractures may expand its usefulness for this patient group. [<i>Orthopedics.</i> 2025;48(3):146-152.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"146-152"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic Efficacy of Percutaneous Curved Kyphoplasty Compared With Percutaneous Kyphoplasty in Treatment of Osteoporotic Vertebral Compression Fractures.","authors":"Jing He, Haitao Zhu, Wanran Gong, Xiaofeng Dai","doi":"10.3928/01477447-20250422-02","DOIUrl":"https://doi.org/10.3928/01477447-20250422-02","url":null,"abstract":"<p><strong>Background: </strong>Osteoporotic vertebral compression fractures (OVCFs) frequently occur in older adults. Appropriate surgical treatment of these fractures is still not well understood. This study sought to evaluate the therapeutic effectiveness of percutaneous curved kyphoplasty (PCKP) compared to percutaneous kyphoplasty (PKP) for OVCFs.</p><p><strong>Materials and methods: </strong>This study retrospectively analyzed 68 OVCF patients who underwent surgeries from July 2021 to June 2022 in Sheyang County People's Hospital. Patients were categorized into two groups based on surgical procedure (PCKP group = 35 patients, PKP group = 33 patients). Surgery duration, amount of x-ray imaging sessions conducted intraoperatively, bone cement injection dose, and outflow rate were compared between the two groups. Visual analogue scale (VAS), anterior vertebral height (AVH), and Cobb angle were measured at 1 week and 12 months after surgery.</p><p><strong>Results: </strong>Compared with the PKP group, the amount of intraoperative x-ray imaging sessions (<i>P</i><0.05) and bone cement outflow rate (<i>P</i><0.05) were noticeably reduced in the PCKP group. The results identified no variation between groups in cement injection dose (<i>P</i>>0.05). No meaningful statistical variation was found in VAS scores (<i>P</i>>0.05), anterior border height of the injured vertebra (<i>P</i>>0.05), or Cobb angle (<i>P</i>>0.05) between two groups at 1 week and 12 months.</p><p><strong>Conclusion: </strong>This research suggests both PKP and PCKP are efficient and secure for pain relief, restoring vertebral body height, and correcting the Cobb angle. However, PCKP has advantages in reducing surgery duration, amount of intraoperative x-ray imaging sessions, and bone cement outflow rate. [<i>Orthopedics</i>. 202x;4x(x):xx-xx.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-reported Outcomes of Direct Anterior Approach Hip Arthroplasty After Previous Hip Arthroscopy: A Matched Case-control Study With a Minimum 5-year Follow-up.","authors":"Roger Quesada-Jimenez, Ady H Kahana-Rojkind, Elizabeth G Walsh, Drashti Sikligar, Benjamin G Domb","doi":"10.3928/01477447-20250409-02","DOIUrl":"https://doi.org/10.3928/01477447-20250409-02","url":null,"abstract":"<p><strong>Background: </strong>The primary aim of this study was to evaluate the impact of prior hip arthroscopy on direct anterior approach (DAA) total hip arthroplasty (THA) midterm outcomes, with a secondary analysis based on time to conversion to THA.</p><p><strong>Materials and methods: </strong>Data were retrospectively reviewed for all patients who underwent THA by the DAA from 2009 to 2018. Eligible patients completed minimum 5-year follow-up patient-reported outcomes (PROs) questionnaires. Patients with a previous hip arthroscopy (THA-PA) were propensity matched in a 1:2 ratio to a control group of primary arthroplasty patients (THA-N-PA). A secondary analysis based on time to conversion to THA from the previous hip arthroscopy was conducted within the study group.</p><p><strong>Results: </strong>A total of 402 patients were included. Favorable and comparable (<i>P</i>>0.05) outcomes were observed at minimum 5-year follow-up for all PROs evaluated except Visual Analogue Scale pain scale, where the THA-PA group had significantly higher scores (<i>P</i><0.05). Importantly, the groups reported similar complications and revision surgery rates. Furthermore, the secondary analysis found patients that converted within one year from the previous hip arthroscopy showed significantly lower patient satisfaction.</p><p><strong>Conclusion: </strong>Patients with a history of hip arthroscopy who underwent THA using the DAA demonstrated comparable and sustainable outcomes across all PROs, with similar complication and revision rates to the control group at midterm follow-up. However, patients who underwent THA within one year of prior hip arthroscopy reported significantly lower satisfaction levels. Careful patient selection and indication for hip arthroscopy are essential to avoid early conversion to THA. [<i>Orthopedics</i>. 202x;4x(x):xx-xx.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fragility of Statistical Differences Between Surgical Approaches in Total Hip Arthroplasty.","authors":"Alec M Giakas, Alexandra L Hohmann, Emma Boyajieff, Mason Sellig, Jess H Lonner","doi":"10.3928/01477447-20250401-01","DOIUrl":"10.3928/01477447-20250401-01","url":null,"abstract":"<p><strong>Background: </strong>Total hip arthroplasty (THA) is a successful treatment for hip osteoarthritis, but the optimal surgical approach for this procedure is a topic of debate. This review uses fragility analysis to determine the statistical fragility of randomized controlled trials (RCTs) comparing the 3 most common surgical approaches for THA: direct anterior, direct lateral, and posterior.</p><p><strong>Materials and methods: </strong>A systematic review was conducted to identify RCTs comparing 2 of the 3 surgical approaches for THA. Dichotomous outcomes and study characteristics were extracted from each study that met the inclusion criteria. Fragility index (FI) and fragility quotient (FQ) were calculated for each significant outcome (<i>P</i>≤.05), and reverse fragility index and quotient (rFI and FQ) were calculated for each nonsignificant outcome (<i>P</i>>.05).</p><p><strong>Results: </strong>Our search yielded 20 studies in total, with 146 identified dichotomous outcomes. In total, the outcomes had a median FI of 5 and a median rFI of 5. Significant outcomes that favored the anterior approach had a median FI of 6, and significant outcomes that favored the posterior or lateral approach both had a median FI of 1.</p><p><strong>Conclusion: </strong>The RCTs comparing approaches to THA had a median FI of 5, signifying that the reversal of 5 events would be sufficient to change the significance of the entire outcome. This value is comparable to other FI values within the orthopedic literature, but subgroup analyses elucidated areas of greater statistical fragility, particularly in outcomes favoring either the lateral or posterior approach in THA. [<i>Orthopedics.</i> 2025;48(3):166-173.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"48 3","pages":"166-173"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pinch Strength and Electromyography in Cubital Tunnel Syndrome: Nerve Stability Pre- and Postsurgery.","authors":"Joo Young Cha, Ki Jin Jung, Jae-Hwi Nho, Sung Hwan Kim, Kun Il Seo, Seung Won Choi, Ji Eun Moon, Byung Sung Kim","doi":"10.3928/01477447-20250414-02","DOIUrl":"https://doi.org/10.3928/01477447-20250414-02","url":null,"abstract":"<p><strong>Background: </strong>Cubital tunnel syndrome (CuTS) is a prevalent compressive neuropathy with various surgical treatments but no established consensus on the optimal technique. This study compared outcomes and electromyography (EMG) findings between in situ decompression (ISD) and anterior ulnar nerve transposition (AT) and assessed correlations between preoperative EMG parameters and muscle strength.</p><p><strong>Materials and methods: </strong>We retrospectively analyzed 81 patients with unilateral idiopathic CuTS. Thirty-three underwent ISD and 48 underwent AT, determined by intraoperative ulnar nerve stability. Outcomes included pinch strength, 2-point discrimination, and functional scores (disabilities of the arm, shoulder and hand [DASH], visual analog scale, Bishop). Preoperative EMG measures were compound muscle action potential (CMAP) amplitude and conduction velocity. Correlations were analyzed with adjustment for age.</p><p><strong>Results: </strong>Both ISD and AT improved DASH scores, pinch strength, and 2-point discrimination (<i>P</i><.05), with no significant differences in postoperative outcomes. Preoperative CMAP amplitude correlated moderately with pinch strength in ISD (<i>P</i><.05) but weakly or not at all in AT. Postoperatively, no strong correlations between EMG and pinch strength were observed.</p><p><strong>Conclusion: </strong>Both ISD and AT yield comparable improvements in CuTS. Preoperative EMG, particularly CMAP amplitude, may predict muscle strength in ISD but is less predictive in AT, emphasizing the role of pathophysiology in interpreting results. Larger prospective studies are needed to refine surgical decision-making. [<i>Orthopedics.</i> 2025;48(3):159-165.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"48 3","pages":"159-165"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Sidelines to Center Stage: Increasing Public Interest in Anterior Cruciate Ligament Reconstruction.","authors":"Irfan A Khan, Saad Siddiqui, Gautam P Yagnik","doi":"10.3928/01477447-20250307-01","DOIUrl":"10.3928/01477447-20250307-01","url":null,"abstract":"<p><strong>Background: </strong>Anterior cruciate ligament reconstruction (ACLR) is being performed at increasing volumes. However, it is unknown whether public interest in ACLR has also increased over time. Google Trends provides the relative search volume (RSV) for Google search terms. This study was performed to evaluate through Google Trends whether public interest in ACLR has increased over time and to evaluate the readability of articles obtained through Google searches.</p><p><strong>Materials and methods: </strong>A retrospective longitudinal study of public interest in anterior cruciate ligament (ACL) reconstruction was conducted from January 2004 to April 2023 with Google Trends. The RSV ranges from 0 to 100 and represents interest in a keyword at a specific point during the selected time frame; 0 indicates minimal interest and 100 indicates peak interest. Four terms were evaluated: \"ACL surgery,\" \"ACL reconstruction,\" \"ACL repair,\" and \"ACL procedure.\" Additionally, a Google search with the term \"ACL surgery\" was conducted and the readability of the first 25 articles was assessed.</p><p><strong>Results: </strong>Between 2004 and 2023, there was a significant increase in mean RSV for \"ACL surgery\" (2004, 33.7; 2023, 93.6). Among the 4 search terms explored (\"ACL surgery,\" \"ACL reconstruction,\" \"ACL repair,\" and \"ACL procedure\"), \"ACL surgery\" had a significantly higher mean RSV (57.7 vs 20.7 vs 9.7 vs 0, respectively). Among 25 articles, the mean Flesch-Kincaid reading level was 9.4, and only 12% of the articles were at or below the recommended 6th grade reading level.</p><p><strong>Conclusion: </strong>Public interest in ACLR is increasing significantly. Despite this increase, articles in Google searches do not adhere to recommended reading levels. Virtual patient resources must be optimized to improve education and facilitate improved outcomes. [<i>Orthopedics.</i> 2025;48(3):133-138.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":" ","pages":"133-138"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Outcomes for Elderly Patients After ORIF for Distal Femur Fractures Are Similar to Outcomes for Patients After Primary Total Knee Arthroplasty.","authors":"Nicolas Zingas, Jennifer Munley, Robert V O'Toole, Theodore T Manson","doi":"10.3928/01477447-20250305-02","DOIUrl":"https://doi.org/10.3928/01477447-20250305-02","url":null,"abstract":"<p><strong>Background: </strong>The long-term clinical outcomes after open reduction and internal fixation (ORIF) for distal femoral fractures, both native and peri-prosthetic, are not yet well established in the literature.</p><p><strong>Materials and methods: </strong>We used the clinically validated Western Ontario and McMaster Universities Arthritis Index (WOMAC) score to make the functional outcomes after ORIF comparable with the well-characterized results achieved after total knee arthroplasty (TKA) for osteoarthritis. After long-term clinical follow-up and prospectively collected WOMAC scores were obtained, pain, stiffness, and function were evaluated for 68 elderly patients with distal femur fractures (34 periprosthetic, 34 native; median follow-up time, 2.43 years).</p><p><strong>Results: </strong>Although pain and stiffness scores were significantly lower than those achieved after TKA, functional and total WOMAC scores were similar. Pain and function continued to improve with greater time to follow-up. Although 32% (22/68) of patients had a return to the operating room (3 for infection, 11 for nonunion, and 7 for implant prominence), total WOMAC scores at long-term follow-up were not different for the patients who returned to the operating room. Although stiffness may persist for some patients, the functional outcomes after this procedure are similar to outcomes for patients after primary TKA. The rate of fracture-related re-operations was 32%, but was not associated with poor clinical outcomes.</p><p><strong>Conclusion: </strong>The 91% rate of good to excellent outcomes seen in our cohort suggests ORIF is likely to provide a favorable result for distal femur fractures, both native and periprosthetic, among elderly patients. [<i>Orthopedics.</i> 2025;48(3):e124-e130.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"48 3","pages":"e124-e130"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gardner-Wells Tongs Are a Safe Alternative for Intraoperative Positioning and Spine Surgery.","authors":"Hikmat R Chmait, Dhiraj Patel, Gregory Roy, Chason Ziino","doi":"10.3928/01477447-20250410-01","DOIUrl":"https://doi.org/10.3928/01477447-20250410-01","url":null,"abstract":"<p><strong>Background: </strong>Gardner-Wells tongs (GWT) are commonly used in cervical spine trauma for closed and open treatment of the cervical spine and for patient positioning and reduction, aiding in fracture reduction and providing temporary stabilization. Tongs are less commonly used for nontraumatic spine surgery, and a paucity of literature exists assessing the rates of complications associated with the use of GWT. The purpose of this study was to elucidate the incidence of major and minor complications associated with the use of GWT in traumatic and nontraumatic spine surgeries performed by a single surgeon at a single tertiary care academic institution.</p><p><strong>Materials and methods: </strong>Adult patients who underwent traumatic or nontraumatic spinal surgery at any spine level with the use of GWT from a single surgeon between 2020 and 2023 met inclusion criteria for this retrospective case series. Major complications were defined as medial table breech, deep infection/abscess, pin pullout, neurovascular injury, and vision disturbances (ie, increased intraocular pressure) at any time point. Minor complications were defined as pin loosening, minor bleeding requiring staples, and superficial infection at any time point.</p><p><strong>Results: </strong>Data from 322 patients, including 171 (53.1%) men and 151 (46.9%) women, were reviewed and analyzed. Mean patient age at the time of surgery was 57 years (range 18 to 89). Mean operative time was 165 minutes, and average traction weight applied was 14.7 pounds. Incidence of major complications was 0.3% and included just one instance of visual disturbance 6 weeks postoperatively that spontaneously resolved. Incidence of minor complications was 4.66% (15/322) and involved 14 cases (4.35%) of minor bleeding managed with staples and one occurrence of pin loosening.</p><p><strong>Conclusion: </strong>The use of GWT in a variety of traumatic and nontraumatic spine surgeries was found to be safe and effective in this single-surgeon, single-institution study cohort. Only one patient developed a major complication, and the incidence of minor complications was less than 5%. [<i>Orthopedics</i>. 2025;48(3):153-158.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"48 3","pages":"153-158"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the USMLE Step 1 Grading Change on Orthopedic Surgery Residency Applications: National Resident Matching Program Charting Outcomes From 2011 to 2024.","authors":"Eric H Lin, Cailan L Feingold, Aidan A Jagasia, Samuel C Tercyak, Avinesh Agarwalla, Joseph N Liu","doi":"10.3928/01477447-20250414-01","DOIUrl":"https://doi.org/10.3928/01477447-20250414-01","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated differences in orthopedic surgery residency applicant statistics in the 2024 National Resident Matching Program (NRMP) Charting Outcomes, the first report to include applicants with a pass/fail designation on the United States Medical Licensing Examination (USMLE) Step 1.</p><p><strong>Materials and methods: </strong>Data were collected from the NRMP reports, which are released every 2 to 3 years, for 2011, 2014, 2016, 2018, 2020, 2022, and 2024. The number of research items (abstracts, presentations, and publications), USMLE Step 2 scores, volunteer experiences, and work experiences for matched and unmatched applicants were recorded. Linear regression analyses were performed with data from before 2024 to predict expected outcomes for the 2024 match. The percentage of change was calculated for each characteristic of matched and unmatched applicants.</p><p><strong>Results: </strong>In 2024, a statistically significant increase was seen in the observed number of research items per matched applicant (23.8) compared with the predicted number (18.4; <i>P</i>=.009). The observed mean USMLE Step 2 score (257) for matched applicants was lower than the expected score (259.3), but was still higher than the 2022 score of 256 and the unmatched applicant score of 246. Volunteer and work experiences decreased to the lowest of any report since 2011.</p><p><strong>Conclusion: </strong>Since the USMLE Step 1 examination became pass/fail, research productivity significantly increased and work and volunteer experiences decreased. These changes may reflect a perceived increased emphasis on research productivity because of the grading change or may be the result of various causes, including an increase in the number of applicants who take research gap years. [<i>Orthopedics.</i> 2025;48(3):e139-e146.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"48 3","pages":"e139-e146"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Incidence of Preoperative Deep Vein Thrombosis and Coagulation Function at Admission in Younger and Older Adults With Hip Fracture.","authors":"Li-Tao Shi, Rui Gu, Li-Juan Duan","doi":"10.3928/01477447-20250421-01","DOIUrl":"https://doi.org/10.3928/01477447-20250421-01","url":null,"abstract":"<p><strong>Background: </strong>The objectives of this study were to analyze differences in deep vein thrombosis (DVT) incidence in both lower extremities before operation and blood coagulation function at admission in younger and older adults with hip fracture and to guide DVT prevention in these patients.</p><p><strong>Materials and methods: </strong>The 505 hip fracture patients enrolled in this research were sorted into an older adult (≥60 years) group (424 cases) and a younger adult group (81 cases) based on age. Preoperative DVT incidence in both lower extremities was analyzed. Differences in demographic characteristics, comorbidities, and preoperative DVT incidence in both lower extremities, blood coagulation function, and platelet count at admission were compared.</p><p><strong>Results: </strong>Preoperative DVT incidence in both lower extremities in hip fracture patients increased with age. Compared with the younger adult group, preoperative DVT incidence in both lower extremities was higher, the ratio of women was higher, the ratio of patients with comorbidities (eg, hypertension, diabetes) was higher, fibrinogen was higher, and antithrombin III was lower in the older adult group.</p><p><strong>Conclusion: </strong>Preoperative DVT incidence in both lower extremities in these patients increased with age. Compared with the younger adult group, preoperative DVT incidence was higher, hypercoagulable state was more obvious, and anticoagulant activity was weaker in the older adult group. This may be related to more patients of advanced age, a higher ratio of female patients, and more comorbidities. Advanced age (≥60 years) is the independent risk factor for preoperative DVT. [<i>Orthopedics</i>. 2025;48(3):139-145.].</p>","PeriodicalId":19631,"journal":{"name":"Orthopedics","volume":"48 3","pages":"139-145"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}