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1、1746COPYRIGHTÓ2011BYTHEJOURNALOFBONEANDJOINTSURGERY,INCORPORATEDSpecialtyUpdateWhatsNewinOrthopaedicTraumaWilliamM.Ricci,MD,ChristopherMcAndrew,MD,DavidMerriman,MD,andMichaelJ.Gardner,MDThemanagementofpatientswhohavemusculoskeletaltraumafixationgroup.Functionaloutcomesandsatisfactionc
2、ontinuestoevolve.Evenproceduresthatarewellentrenchedwerehigherinthearthroplastygroup.Therewasnoasgoldstandardssuchasfemoralnailingarebeingrefineddifferencebetweenthegroupsintermsoftheone-yearandimproved.Theliteratureinthepastyearhasprovidedmortalityrate.practicalaswellastheoreticalsol
3、utionstocommonproblems,wThisstudyreaffirmsthatelderlypatientswithdis-methodsforimproveddiagnosisofsubtleinjuries,andinsightplacedfemoralneckfracturesarebesttreatedwithfortherelativeadvantagesofonetreatmentoveranother.Thearthroplastyratherthanwithopenreductionandpresentupdateprovidesas
4、ynopsisofmorethansixtyoftheinternalfixation(ORIF).mostclinicallyrelevanthigh-qualitystudies.Thekeymethods(¤),results(â),andtake-homepoints(w)forthesestudiesareAnemiaandTransfusioninHipFracturePatientspresented.¤TheFunctionalOutcomesinCardiovascularPatientsUndergoingSurgicalHipFracture
5、Repair(FOCUS)trialHipFracturesrandomized>2000patientswithhipfracturetotwoFracturesintheelderlypresentauniquesetofhurdleswith2post-fracturetransfusionprotocols.Thegroupsreceivedregardtoperioperativemanagementandsurgicaltreatment.atransfusionwheneitherthehemoglobinwas<10g/dLRecentstudi
6、eshavereaffirmedtheadvantagesofarthroplastyorwhenanemiasymptomsoccurred.Inthemorere-forthetreatmentofdisplacedfemoralneckfractures,havestrictivegroup,transfusionwaspermittedbutnotre-shednewlightonthesafetyofrestrictedtransfusionprotocolsquiredifthehemoglobinwas<8g/dL.andcomplicationso
7、fironsupplementation,haveindicatedâIn-hospitalmortality,cardiacevents,infections,andthatprovidervolumehasalimitedeffectonmortalityfol-lengthofstaydidnotdifferbetweenthegroups.Thelowinghipfracture,andhaveshowntherelativeequivalencesixty-daymortalitywasalsosimilarbetweenthegroups.ofpla
8、teandnailfixa
