Facts and fiction in hip fracture treatment

Leiden Repository

Facts and fiction in hip fracture treatment

Type: Doctoral Thesis
Title: Facts and fiction in hip fracture treatment
Author: Embden, Daphne van
Publisher: Department of Trauma Surgery, Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University
Issue Date: 2016-02-17
Keywords: Hip fracture treatment
Fracture classifications
Fracture complications
Radiostereometric analysis
Abstract: As the number of hip fracture patients has increased dramatically over the years, the need for high quality, multidisciplinary and patient centred fracture treatment continues to grow. The first aim of this thesis is to provide better understanding of fracture patterns and classification in hip fractures. Secondly, we investigated what fracture, patient or surgeons' characteristics may lead to improvement of hip fracture care? In Chapters 2 to 6 increased insight in the fracture anatomy was intended and the reliability of the most frequently used classifications for proximal femur fractures were studied. Rotational instability appears to play a significant role in fixation failure. In Chapter 7 the amount of rotational instability in hip fractures, related to type of fracture and modern implants was studied with the use of radiostereometric analysis (RSA). Chapter 8 presents the results of a retrospective cohort study concerning the pre- and post-operative radiographic fracture characteristics in relation to patient age and the occurrence of reoperation. The surgeons’ intra-operative estimations of the femoral anteversion angle during placement of a hemi-arthroplasty for femoral neck fractures was studied in Chapter 9 and in Chapter 10 a systematic review regarding the treatment dilemmas in non-displaced femoral neck fracture is described.
Description: Promotor: I.B. Schipper, Co-Promotores: S.A.G. Meylaerts, S.J. Rhemrev
With Summary in Dutch
Faculty: LUMC
Citation: Embden, D. van, 2016, Doctoral Thesis, Leiden University
ISBN: 9789461697868
Sponsor: Grants: Part of thesis was funded by a grant of the Anna Fonds|NOREF. Printing of this thesis has been financially supported by: Nederlandse Vereniging voor Traumachirurgie, Raad van Bestuur Medisch Centrum Haaglanden-Bronovo, Stiching Extra-Curriculaire Activiteiten Haagse Chirurgen, Traumacentrum West, ChipSoft
Handle: http://hdl.handle.net/1887/38039
 

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application/pdf Chapter 12: Summary in English 660.8Kb View/Open
application/pdf Chapter 13: Summary in Dutch 661.0Kb View/Open
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