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American Academy of Orthopaedic Surgeons 2011 Annual Meeting tip sheet
Date:2/17/2011

Treating Hip Fractures

Delaying Hip Fracture Surgery Appears Detrimental (Embargo: February 15)
Reduction of wait time encouraged for both economic and humanitarian reasons

Patients who wait more than 36 hours for surgery to correct a hip fracture have a 39 percent rate of medical complication and those who wait 48 hours have a 46 percent complication rate. Patients who receive surgical treatment within 24 hours have a lower complication rate of 25 percent and a shorter hospital stay. Each day the surgery was delayed added an additional two days to hospital stay.

High Rates of Adverse Events Associated With Partial Hip Replacement (Embargo: February 15)
Researchers recommend working to improve patient safety

Like other hip fracture populations, Medicare beneficiaries who underwent a partial hip replacement (clinically known as a hemiarthroplasty) for a hip fracture experienced high rates of adverse events. While in the hospital, 14 percent of patients sustained an adverse event including urinary tract infections, pneumonia, major bleeding or cardiovascular events. Medicare beneficiaries who underwent hemiarthroplasty for hip fracture and experienced an adverse event were more than twice as likely to die during hospitalization. This data demonstrates that employing a chart abstraction technique can help to quantify adverse events in a Medicare population sustaining a hip fracture. This study may help standardize adverse event reporting in this population to improve patient care and to guide national quality of care initiatives.

Treating Children and Adolescent

High School Athletes at Significant Risk of Stress Fracture (Embargo: February 15)
Sport-related stress fractures differ by sex

Female high school athletes have more (61 percent) stress fractures than males (39 percent). Slightly more than half (52 percent) of the stress fractures in femal
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Contact: Lauren Pearson
pearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

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