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BACKGROUND Patients who survive hip fracture are at high risk of recurrent fractures, but rates of osteoporosis treatment 1 year after sustaining a fracture are less than 10% to 20%. We have developed an osteoporosis case manager intervention. The case manager educated patients, arranged bone mineral density tests, provided prescriptions, and communicated(More)
OBJECTIVE We previously demonstrated that a case manager intervention improved osteoporosis (OP) treatment within 6 months of hip fracture compared with usual care. The second phase of the randomized trial compared a less intensive intervention, facilitated bone mineral density (BMD) testing, with usual care and the case manager intervention. METHODS We(More)
BACKGROUND The treatment of open fractures of the tibial shaft is often complicated by delayed union and nonunion. The objective of this study was to evaluate the safety and efficacy of the use of recombinant human bone morphogenetic protein-2 (rhBMP-2; dibotermin alfa) to accelerate healing of open tibial shaft fractures and to reduce the need for(More)
BACKGROUND Hip fractures, common in the elderly population, result in significant morbidity and mortality. A study was undertaken to determine how an evidence based clinical pathway (CP) for treatment of elderly patients with hip fracture affected morbidity, in-hospital mortality, and health service utilization. METHODS A pre-post study design using two(More)
Sorbothane (I.E.M. Orthopaedics, Aurora, Ohio), a viscoelastic polymer, has been developed for orthopedic application, but there has been little substantiation of the claim that it is capable of absorbing 95% of the impact energy in foot strike. Sorbothane has been used extensively in orthotic insoles in order to minimize the symptoms of joint degeneration,(More)
BACKGROUND Conventional wisdom suggests high-quality care for most patients with hip fractures is surgical fixation within 24 hours to reduce mortality and complications, although there is little evidence to support this standard. OBJECTIVES We sought to determine the relationship between timing of hip fracture surgery and early mortality. DESIGN AND(More)
OBJECTIVE To determine whether standardized early rehabilitation and discharge planning increase risk-adjusted function and reduce risk-adjusted institutionalization in the first 6 months after hip fracture. DESIGN Pre-post study of 2 independent population-based inception cohorts. SETTING Two tertiary hospitals in an urban health region. PARTICIPANTS(More)
OBJECTIVE To determine if the use of an antifibrinolytic agent (epsilon aminocaproic acid [EACA]) decreased perioperative and postoperative blood loss in patients who underwent total hip arthroplasty (THA). DESIGN A prospective, double-blind, randomized, controlled clinical trial. SETTING A university-affiliated tertiary care hospital with a large joint(More)
BACKGROUND AND PURPOSE The primary purpose of this randomized controlled trial was to determine which method of mobilization - (1) standardized exercises (SE) and continuous passive motion (CPM), (2) SE and slider board (SB) therapy, using an inexpensive, nontechnical device that requires minimal knee active range of motion (ROM), or (3) SE alone-achieved(More)
This paper describes a soft tissue test method and apparatus which determines the constants necessary to characterise the elastic properties of a transversely isotropic material such as the knee joint meniscus. The tensile machine was designed to test small delicate samples in a humidified environment and measure specimen deformation with a CCD video(More)