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Patient-reported outcomes in young patients with isolated fracture of the hip

The Bone & Joint Journal Jun 04, 2020

Coughlin TA, Nightingale JM, Myint Y, et al. - This research was undertaken to investigate patient-reported outcomes following isolated hip fracture in patients aged < 60 years and to ascertain a relationship between outcomes and different types of fracture pattern and/or treatment implants. Researchers used all hip fracture patients aged 18 to 60 years admitted to a single centre over a 15-year period to distinguish the study group. They recorded fracture pattern (undisplaced intracapsular, displaced intracapsular, and extracapsular) and type of operation (multiple cannulated hip screws, angular stable fixation, hemiarthroplasty, and total hip replacement). The primary endpoint measures included the Oxford Hip Score, the EuroQol five-dimension questionnaire (EQ-5D-3L), and EQ-visual analogue scale scores. They noted preinjury scores by patient recall and obtained postinjury scores at a mean of 57 months (9 to 118) postinjury. This study enrolled a sum of 72 patients. A significant reduction was found in function and quality of life following injury, with all three patient-reported outcome measures applied, indicating that this is a substantial injury in younger patients. Association was found between treatment with hemiarthroplasty or angular stable devices and a less favourable hip score outcome.

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