International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Impact of self-management training on quality of life, medication adherence, and self-efficacy among rheumatoid arthritis patients","authors":"Puvaneswari Kanagaraj","doi":"10.1016/j.ijotn.2025.101178","DOIUrl":"10.1016/j.ijotn.2025.101178","url":null,"abstract":"<div><h3>Introduction</h3><div>Rheumatoid Arthritis(RA) can result in significant joint destruction and work disability which needs physical and psychosocial adjustment to deal with pain, and fatigue.</div></div><div><h3>Methods</h3><div>True experimental parallel arm design with a pre-test post-test wait-listed control group was used to assess the impact of self-management training on Quality of life, medication adherence and self-efficacy among patients with RA. Participants were randomly allocated to the study(70) or control(70)group by simple randomization by the researcher. The study group underwent a self-management training consisting of six sessions over a 12-week period, while the control group received routine care. Importantly, the research assistant responsible for outcome assessment remained blinded to the treatment allocation at 1st, 3rd and 5th month post intervention using Short form- 36, Compliance Questionnaire, Rheumatology and Arthritis self efficacy scale.</div></div><div><h3>Results</h3><div>The SMT led to significant improvements in QoL-physical components including Pain (p = 0.001, partial eta squared(η²) = 0.372) and General Health (p = 0.001, η² = 0.320). Significant between-group differences were observed for Pain (p = 0.007), while other measures showed no differences. Mental health components also improved significantly in the study group, particularly in Energy (p = 0.001, η² = 0.344). Medication adherence improved initially but stabilized over time. The study group showed significant improvements in self-efficacy for pain, function, and other symptoms (p &lt; 0.009), with large effect sizes and sustained progress.</div></div><div><h3>Conclusion</h3><div>By empowering patients with knowledge, skills, and confidence to effectively manage their condition, such health educations can contribute significantly improve overall health outcomes.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101178"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of surgical treatment on mental health, disability and quality of life in active military and law enforcement personnel with non-specific chronic low back pain: A retrospective study","authors":"Christos Karampalis ,&nbsp;Stavros Stamiris ,&nbsp;Athanasios Sarridimitriou ,&nbsp;Dimitrios Stamiris ,&nbsp;Elissavet Anestiadou ,&nbsp;Panagiotis Kakoulidis ,&nbsp;Pavlos Sarafis ,&nbsp;Christiana Chatzianestiadou ,&nbsp;Pavlos Christodoulou ,&nbsp;Vasileios Vrangalas ,&nbsp;Maria Malliarou","doi":"10.1016/j.ijotn.2025.101183","DOIUrl":"10.1016/j.ijotn.2025.101183","url":null,"abstract":"<div><h3>Background</h3><div>Military and law enforcement personnel face an increased risk of chronic low back pain (CLBP), yet evidence on the outcomes of surgical treatment in these high-risk groups remains limited. This study aims to evaluate the effect of spinal fusion on quality of life (QOL), disability, and mental health in military and law enforcement personnel with CLBP.</div></div><div><h3>Methods</h3><div>The study included 39 patients who underwent spinal fusion for CLBP. Quality of life, disability, and mental health were assessed using the 36-Item Short Form Survey (SF-36), Oswestry Disability Index (ODI), and Depression-Anxiety-Stress Scale (DASS-21), respectively. Patients completed the questionnaires preoperatively and two years postoperatively. The primary outcome was the change in scores after surgery. Subgroup analyses were conducted based on sex, marital status, education level, smoking, alcohol consumption, and employment sector.</div></div><div><h3>Results</h3><div>Significant improvements were observed in seven of eight SF-36 subscales: Physical Health Role Limitation (p = 0.005), Emotional Health Role Limitation (p = 0.008), Energy (p = 0.004), Emotional Well-Being (p = 0.006), Social Function (p = 0.004), Physical Pain (p &lt; 0.001), and General Health (p = 0.005). Physical (p = 0.002) and mental health components (p = 0.002) also improved. ODI decreased significantly (p = 0.014). Finally, improvement was observed only for the stress subcategory of the DASS-21 (p = 0.033). In subgroup analysis, Married patients showed greater improvements in emotional health (p = 0.008), while patients with lower educational levels experienced greater relief in physical pain (p = 0.028) and functionality (p = 0.010).</div></div><div><h3>Conclusions</h3><div>Spinal fusion in military and law enforcement personnel with CLBP led to significant improvements in QOL and disability, though mental health benefits are more limited.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101183"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of repeated early mobilization in orthostatic intolerance after total hip arthroplasty","authors":"Mikkel Nicklas Frandsen ,&nbsp;Jesper Mehlsen ,&nbsp;Claus Varnum ,&nbsp;Martin Lindberg-Larsen ,&nbsp;Nicolai Bang Foss ,&nbsp;Henrik Kehlet","doi":"10.1016/j.ijotn.2025.101187","DOIUrl":"10.1016/j.ijotn.2025.101187","url":null,"abstract":"<div><h3>Introduction</h3><div>Orthostatic intolerance (OI) is a barrier for early mobilization and same-day discharge after total hip arthroplasty (THA), with an estimated 30 % of patients affected within the first 6 h after surgery. Since repeated mobilization is known to be valuable in non-surgical OI conditions, we aimed to evaluate the feasibility of an early standardized repeated mobilization procedure as treatment of postoperative OI after THA.</div></div><div><h3>Methods</h3><div>This study was a single-arm, two-center hypothesis-generating feasibility study in patients undergoing THA. At first mobilization 4 h after surgery patients were categorized as having orthostatic tolerance (OT) or OI. Patients with OI underwent an hourly standardized repeated mobilization procedure until achieving OT or reaching 8 h post-surgery.</div></div><div><h3>Results</h3><div>Of 84 patients screened for OI, 25 (30 %) had OI 4 h postoperatively. Four patients left the study before achieving OT. Of the 21 completing the study per protocol, 16 patients achieved OT at 5 h and the remaining 5 achieved OT at 6 h postoperatively.</div></div><div><h3>Discussion</h3><div>Early repeated mobilization in patients with postoperative OI was feasible and potentially valuable after THA. This hypothesis-generating study calls for future large-scale studies in surgical patients with OI.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101187"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Feasibility of repeated early mobilization in orthostatic intolerance after total hip arthroplasty” [International J. Orthopaedic Trauma Nurs. 57 (2025) 101187]","authors":"Mikkel Nicklas Frandsen ,&nbsp;Jesper Mehlsen ,&nbsp;Claus Varnum ,&nbsp;Martin Lindberg-Larsen ,&nbsp;Nicolai Bang Foss ,&nbsp;Henrik Kehlet","doi":"10.1016/j.ijotn.2025.101188","DOIUrl":"10.1016/j.ijotn.2025.101188","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101188"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ijotn 101184:Response letter to comment letter of YJOON-D-24-00130","authors":"Lingli Peng ,&nbsp;Chun Huang","doi":"10.1016/j.ijotn.2025.101184","DOIUrl":"10.1016/j.ijotn.2025.101184","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101184"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of an Iranian herbal medicine formula for postoperative constipation in trauma patients with hip and lower limb fractures: A triple-blind, placebo-controlled randomized clinical trial","authors":"Rezvan Ghafarzadegan ,&nbsp;Mohammadreza Zarei ,&nbsp;Nahid Norouzi ,&nbsp;Neda Mirbagher Ajorpaz ,&nbsp;Seyedeh Mahsa Lotfi ,&nbsp;Sayyed Mehdi Rasooli Manesh ,&nbsp;Hossein Akbari ,&nbsp;AliReza Abedi","doi":"10.1016/j.ijotn.2025.101163","DOIUrl":"10.1016/j.ijotn.2025.101163","url":null,"abstract":"<div><h3>Aim of the study</h3><div>This trial aimed to evaluate the efficacy of the “Herbal Laxative Capsule” (HLC) formulation in alleviating symptoms of postoperative constipation (POC) in patients undergoing surgeries for traumatic fractures of the hip or lower extremities. The HLC is a novel polyherbal formulation that integrates both scientifically validated botanicals, such as <em>Cassia angustifolia</em> and <em>Aloe barbadensis</em>, with traditionally employed herbs like <em>Foeniculum vulgare</em>, <em>Coriandrum sativum</em>, and <em>Carum carvi</em>, all of which are recognized for their laxative properties.</div></div><div><h3>Materials and methods</h3><div>A triple-blind, placebo-controlled, randomized clinical trial was conducted at an academic hospital in Kashan, Iran. A total of 61 orthopedic patients with POC were randomized to receive either HLC (n = 31) in the treatment group or a placebo (n = 30) in the placebo group. Both were administered as 520 mg capsules, taken twice daily for one week. The primary outcomes included assessments of constipation severity and stool consistency, while the secondary outcomes evaluated patient satisfaction using validated clinical scales.</div></div><div><h3>Results</h3><div>The treatment group demonstrated a statistically significant reduction in constipation severity and improvement in stool consistency compared with the placebo group (P &lt; 0.001). No significant adverse effects were reported. Additionally, patient satisfaction was notably higher in the treatment group (P &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The HLC formulation demonstrated significant efficacy in effectively managing POC, which is often opioid-induced constipation (OIC), in orthopedic patients. These findings suggest that HLC could serve as a promising alternative to conventional laxatives, warranting further investigation in larger-scale clinical trials.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101163"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-operative outcomes among knee osteoarthritis patients undergoing simultaneous bilateral total knee arthroplasty","authors":"Dalathorn Wathsuleelanond,&nbsp;Phichpraorn Youngcharoen,&nbsp;Suchira Chaiviboontham","doi":"10.1016/j.ijotn.2025.101175","DOIUrl":"10.1016/j.ijotn.2025.101175","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Simultaneous bilateral total knee arthroplasty (SBTKA) can improve post-surgical outcomes and reduce complications and cost of care. This study aimed to compare: (a) pain intensity levels in patients undergoing SBTKA between and before discharge, and 6 weeks after surgery, and (b) activities of daily living (ADL) and quality of life between the pre-operative period and 6 weeks after surgery.</div></div><div><h3>Material and methods</h3><div>Forty patients who were scheduled for SBTKA at inpatient units in a university-affiliated hospital in Bangkok, Thailand were recruited on the first day of admission using the face-to-face method. The research instruments included a demographic questionnaire, the Numeric Rating Scale (NRS), and the Knee and Osteoarthritis Outcome Score (KOOS): ADL, and knee-related quality of life subscales. The data were analyzed using descriptive statistics, paired <em>t</em>-test, and Wilcoxon Signed Rank Test.</div></div><div><h3>Results</h3><div>The results showed that the pain intensity level at six weeks after surgery was statistically significantly reduced when comparing the pre-discharge from the hospital (p = 0.000). Patients had improvements in their ADL (p = 0.000) and their quality of life (p = 0.000) at six weeks after surgery compared to before surgery.</div></div><div><h3>Conclusions</h3><div>Patients who underwent SBTKA had clinical improvement in terms of pain intensity reduction and enhancement of their ADL and quality of life.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101175"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability of the Italian version of painad for postoperative pain assessment in geriatric patients with proximal femur fractures","authors":"Massimo Guasconi ,&nbsp;Margherita Marchioni ,&nbsp;Melania Miedico ,&nbsp;Alessia Brusca ,&nbsp;Giulia Guarnaccia ,&nbsp;Marina Bolzoni ,&nbsp;Pietro Maniscalco ,&nbsp;Corrado Ciatti ,&nbsp;Antonio Bonacaro ,&nbsp;Andrea Contini ,&nbsp;Fabrizio Quattrini","doi":"10.1016/j.ijotn.2025.101181","DOIUrl":"10.1016/j.ijotn.2025.101181","url":null,"abstract":"<div><h3>Background</h3><div>Pain assessment is essential in nursing care. The Numerical Rating Scale (NRS) is widely used but may not fully capture pain's multidimensional nature. The Pain Assessment in Advanced Dementia (PAINAD) scale is reliable for assessing pain in cognitively impaired patients. This study aims to evaluate the validity of the Italian version of PAINAD (PAINAD-IT) for postoperative pain assessment in geriatric patients with femur fractures.</div></div><div><h3>Methods</h3><div>This study employs the PAINAD-IT, which was translated and validated for the Italian context by Costardi et al. (2007). Face and content validity (I-CVI and S-CVI) for non-cognitively impaired patients were evaluated by experts. Pain assessments were conducted at rest (T0) and during movement (T1). Convergent validity was tested using Spearman correlation, discriminant validity with the Wilcoxon test, and inter-rater reliability with Cohen's kappa. Sensitivity and specificity were calculated.</div></div><div><h3>Results</h3><div>I-CVIs were ≥0.90 and S-CVI was 0.96. 75 patients were included. Cohen's kappa was 0.918 at T0 and 0.881 at T1. Both PAINAD and NRS detected a significant increase in pain from T0 to T1 (Wilcoxon p &lt; 0.001). Sensitivity was 26 % and specificity was 99 % for PAINAD-IT scores ≥3.</div></div><div><h3>Conclusion</h3><div>PAINAD showed strong reliability and correlation with NRS, effectively distinguishing between rest and pain stages, these results suggest that PAINAD-IT may be a useful tool for pain assessment in geriatric patients operated for femur fracture. PAINAD-IT scores ≥3 may suggest severe pain. Further multi-centre studies with larger sample sizes are needed to fully validate PAINAD-IT for postoperative pain assessment in geriatric patients with.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101181"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative recovery in orthopedic surgery: Exploring the roles of pain intensity, opioid consumption, pain catastrophizing, and emotional distress","authors":"Heba Khalil ,&nbsp;Abedalmajeed Shajrawi ,&nbsp;Fatma Refaat Ahmed ,&nbsp;Wegdan Bani-Issa ,&nbsp;Nabeel Al-Yateem ,&nbsp;Loai Abu Shahrour ,&nbsp;Alham Al-Sharman ,&nbsp;Muhammad Arsyad Subu ,&nbsp;Richard Mottershead ,&nbsp;Ahmed Mohammad Al-Smadi ,&nbsp;Khalil Yousef","doi":"10.1016/j.ijotn.2025.101185","DOIUrl":"10.1016/j.ijotn.2025.101185","url":null,"abstract":"<div><h3>Background</h3><div>Quality of Recovery (QoR) is a multidimensional construct that includes physical, psychological, and functional domains and is a key indicator of surgical outcomes. Better QoR is linked to shorter hospital stays, fewer complications, and greater patient satisfaction.</div></div><div><h3>Purpose</h3><div>This study evaluates the QoR of postoperative orthopedic patients in Jordan, focusing on the impact of pain, pain management, and emotional distress on recovery.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 300 postoperative orthopedic patients within 24 h of surgery. Data included demographic and clinical information, preoperative and postoperative pain, and patient-reported outcomes using the Depression Anxiety and Stress Scale (DASS), Pain Catastrophizing Scale (PCS), and the Quality of Recovery-40 (QoR-40) questionnaire. Statistical analyses included t-tests, ANOVA, correlation, and linear regression.</div></div><div><h3>Results</h3><div>The mean QoR-40 score was 156.48 ± 19.65, with 61 % reporting a \"good recovery\", 36.7 % an \"excellent recovery\", and 2.6 % a \"poor recovery\". Higher preoperative and postoperative pain correlated with lower QoR scores (r = −0.26 and −0.46, p &lt; 0.001). Greater opioid consumption in the first 24 h post-surgery correlated with better recovery (B = 0.28, p = 0.00). Emotional distress, particularly pain catastrophizing (B = −0.22, p = 0.01) and stress (B = −0.48, p = 0.00), was associated with a negative impact on QoR. Additionally, nonsmokers, married individuals, unemployed patients, and those undergoing arthroscopy reported better recovery (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Findings highlight the importance of integrated physical and emotional management strategies to optimize QoR, reduce complications, and enhance patient satisfaction.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101185"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of specialised orthopaedic surgical nurses on operating room time.","authors":"Di Costa Doriana ,&nbsp;El Motassime Alessandro ,&nbsp;Mazzella Giovan Giuseppe ,&nbsp;Alfano Massimo ,&nbsp;Addei Rossana ,&nbsp;Arras Domizia ,&nbsp;Fontana Marika ,&nbsp;El Ezzo Omar ,&nbsp;Maccauro Giulio ,&nbsp;Vitiello Raffaele","doi":"10.1016/j.ijotn.2025.101179","DOIUrl":"10.1016/j.ijotn.2025.101179","url":null,"abstract":"<div><h3>Objective</h3><div>Proximal femur fractures (PFF) have been widely recognised as a significant social and health issue due to their costs and their impact on patient mortality, representing one of the most common types of fracture in the elderly population. The most commonly used procedures for this type of fracture are intramedullary nailing or endoprosthesis, depending on the fracture pattern. There is limited research on dedicated surgical teams in the fields of orthopedics surgery. The purpose of this study is to evaluate the importance of having a specialised surgical nurse and the impact this can have on surgical timings.</div></div><div><h3>Methods</h3><div>This study was conducted in a level - 2 trauma center. We evaluated all patients who underwent surgery at our hospital from January 1st, 2021, to January 1st, 2022. We divided the patients into two groups, based on the type of treatment performed, then further subdivided based on the presence or absence of a specialised surgical nurse in the operating room.</div></div><div><h3>Results</h3><div>A total of 167 patients were categorized into two groups: those treated with an intramedullary nail (n=72) and those receiving an endoprosthesis (n=95). Each group was further divided based on the presence or absence of a specialised surgical nurse. We noticed significantly shorter operative times in procedures assisted by specialised nurses: 55.37 min (σ 12.97) vs. 81 min (σ 32) for intramedullary nailing (p=0.0001) and 80.2 min (σ 27) vs. 91.48 min (σ 27) for endoprosthesis (p=0.04).</div></div><div><h3>Conclusions</h3><div>In conclusion, surgical time has a significant impact on elderly patients undergoing surgery for hip fractures. Therefore, a specialised team, including a specialist orthopedic nurse, which helps reduce operative time, is essential.</div></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"57 ","pages":"Article 101179"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}