Hip fracture

This trial compares two surgical techniques for repairing a common type of hip fracture in older adults: dynamic locking, which allows slight movement at the nail's end, versus static locking, which holds it rigidly. The goal is to see which approach leads to less thigh pain and …

This trial tests whether using ultrasound to guide spinal anesthesia is better than the traditional palpation-based method in elderly patients undergoing hip fracture surgery. Participants are randomly assigned to receive either the ultrasound-guided midline approach or the conve…

This trial compares giving zoledronate, a yearly intravenous bone-strengthening drug, within 5 days of hip fracture surgery versus waiting 3 months. The goal is to see if early treatment is as safe and effective at reducing bone turnover and preventing future fractures. Participa…

This study tested whether a physical activity program delivered by mail and website could improve the health of nearly 50,000 older women already in the Women's Health Initiative. The program included aerobic, balance, strength, and flexibility exercises, and encouraged reducing …

This pilot study tested whether giving older adults (ages 65-89) nutritional supplements like Juven and Centrum Silver before and after hip fracture surgery could improve their recovery. The study enrolled 40 participants and tracked complications, hospital readmissions, and qual…

This trial compares two approaches for a specific type of pelvic fracture (LC1) in people aged 60 and older. One group receives a minimally invasive surgery to place screws that stabilize the bone, while the other group gets pain management and physical therapy without surgery. T…

This trial investigates whether a single 4 mg dose of the steroid dexamethasone, given intravenously before hip fracture surgery, can lower the risk and severity of postoperative delirium in adults aged 60 and older. Delirium is a sudden state of confusion that often occurs after…

This study looked at a special metal nail used to fix broken hip and thigh bones. The nail has a coating to help prevent infection. Researchers followed 149 adults for 12 months to see how well the bone healed and if there were any problems. The goal was to confirm the nail is sa…

This study looked at how well the Gamma4 nail system works for fixing thigh bone fractures. 100 adults who needed this surgery were followed for a year to see if their bones healed and to check for any problems. The goal was to see if the nail helps bones heal properly without ca…

This pilot study tested whether adding a bone graft substitute (CERAMENT™) around the metal implant during hip fracture surgery, along with an osteoporosis drug (zoledronic acid), could improve bone density and fixation strength. Twenty patients with osteoporotic hip fractures we…

This study tracked 241 adults and teens with broken thigh or shin bones who received either a retrograde femoral nail or a tibial nail. The goal was to see how well the bones healed and if patients had pain. Researchers measured healing time and pain scores to confirm the nails a…

This study tested an experimental drug called VK5211 in 108 adults aged 65 and older who had recently broken a hip. The goal was to see if the drug could help rebuild muscle mass lost after the injury. Participants took the drug or a placebo daily for 12 weeks, and researchers me…

This study looked at whether giving a single dose of tranexamic acid before surgery can reduce blood loss in adults with broken thigh bones. The trial involved 43 patients in Uganda who had open surgery to fix their fracture. The goal is to see if this common, low-cost drug can l…

This study is testing a portable ultrasound device called POROUS R4C that measures bone in the lower leg without radiation. Researchers want to see if it can estimate bone mineral density as accurately as the standard X-ray method (DXA). The study will include 350 healthy men and…

This trial tests whether a portable ultrasound device, used at the patient's bedside, can accurately detect hip fractures after a fall or injury. Researchers will compare ultrasound findings with standard X-rays in 146 adults with suspected hip fractures. If proven reliable, ultr…

This study tested a Thai version of a simple tool called the Delirium Diagnostic Tool-Provisional (DDT-Pro) to see if it can accurately diagnose delirium in elderly patients with hip fractures. Delirium is a common complication after hip fracture surgery, but current diagnostic m…

This study tests whether giving fluids right after spinal anesthesia, guided by ultrasound, can prevent dangerous drops in blood pressure in elderly patients with heart disease and dehydration. About 60 participants with mild heart failure and signs of dehydration will be monitor…

This study compared two types of nerve blocks (supra-inguinal fascia iliaca block and lumbar erector spinae plane block) for pain relief in 84 adults undergoing hip fracture surgery. The goal was to see which block works better for positioning the patient for spinal anesthesia an…

This study compares two types of nerve blocks—SFIB and PENG—to see which one controls pain better after hip replacement surgery. Sixty patients will be randomly assigned to receive one of the blocks. The main goal is to measure how much morphine they need in the first 24 hours af…

Researchers are studying whether TENS, a device that sends mild electrical pulses through the skin, can lower pain and reduce the need for painkillers after total hip replacement. The trial enrolls 60 adults who have had hip replacement surgery and do not have a pacemaker, heart …

This study looks at whether applying heat and giving abdominal massage soon after hip fracture surgery can improve bowel function and mental well-being. About 75 adults who had hip surgery and haven't had a bowel movement yet will receive these treatments twice a day for three da…

This study looked at whether a Quadro-Iliac nerve block can reduce pain after hip surgery. Researchers reviewed 60 patients who had hip surgery, comparing those who got the block plus standard pain relief to those who only used standard pain relief. They measured opioid use, pain…

This trial tests whether giving spinal anesthesia in small, divided doses through a tiny tube keeps blood pressure more stable than a single standard dose in frail patients over 60 with hip fractures. Researchers will monitor blood pressure during the two-hour surgery and track p…

This study tests a special nursing program based on Snyder Hope Theory for people aged 60 and older who recently had hip fracture surgery. The program includes counseling, goal setting, and rehab training to improve hope, reduce pain and anxiety, and help patients regain function…

This study tests a new nerve block called FRONT for pain relief after hip nail surgery in adults aged 60 and older. The block uses one needle to target two nerves, aiming to reduce pain while preserving leg movement so patients can get up and walk sooner. 60 participants will be …

This study compares two types of nerve blocks—pericapsular nerve block and anterior quadratus lumborum block—for reducing pain during spinal anesthesia positioning and after surgery in people with hip fractures. Researchers will enroll 64 adults aged 30-85 scheduled for hip fract…

This study tests a new method of spinal anesthesia for elderly patients (65+) having hip fracture surgery. The goal is to see if using a mix of two types of anesthetic given in small doses can reduce dangerous drops in blood pressure compared to standard methods. The study involv…

This trial compares two ultrasound-guided nerve blocks—fascia iliaca block and femoral nerve block—for controlling pain in people with a broken hip (proximal femur fracture) before they receive spinal anesthesia. The goal is to see which block provides better pain relief, helping…

This study compares two approaches to pain control in elderly patients having hip fracture surgery: a standard femoral nerve block versus a femoral block plus an additional PENG block. The goal is to see if the combination reduces pain during spinal anesthesia positioning and low…

This study looked at two types of nerve blocks—fascia iliaca block and femoral nerve block—to see which one works better for pain control in people having hip fracture surgery. 80 adults were randomly assigned to receive one of the two blocks before spinal anesthesia. The main go…

This study tested whether a nerve block (fascia iliaca block) given before spinal anesthesia helps patients with hip or upper thigh fractures get into a comfortable position. Forty patients were randomly assigned to receive either the nerve block with bupivacaine or a placebo (sa…

This study looked at whether a nerve block given before spinal anesthesia can reduce pain when positioning hip fracture patients for surgery. 132 older adults took part, with half receiving the block and half not. Researchers measured pain levels at rest, during positioning, and …

This study looked at whether a special nerve block called PENG can help people who have partial hip replacement surgery feel less pain and need fewer painkillers. 48 adults having this surgery were split into two groups: one got the nerve block plus usual care, the other got usua…

This study tested whether a nerve block (lumbar erector spinae plane block) guided by ultrasound works as well as spinal anesthesia for hip and upper thigh surgery. Sixty-six adults received either the nerve block or spinal anesthesia, and researchers measured how long it took be…

This study tested a new hollow cusp fracture reducer for fixing broken thigh and kneecap bones. 142 patients were split into two groups: one got the new device, the other had standard manual reduction. The new tool shortened surgery time, reduced X-ray use, and improved accuracy …

This pilot study tested two ways to manage pain in patients aged 70 and older who had a hip fracture and were waiting for surgery. One method used a continuous pulling technique on the skin, and the other used a pillow placed between the legs. The goal was to see which approach c…

This study looked at whether a home-based rehabilitation program helps older adults (65+) recover walking ability after hip fracture surgery. Instead of staying in the hospital, participants received hospital-level care at home, including physical therapy and wound care. The goal…

This pilot study tested whether a high-density sit-to-stand exercise program is feasible for older adults recovering from a hip fracture. Thirty patients aged 60 and older performed supervised chair rise exercises twice a week for 8 weeks. The goal was to see if the training coul…

This study looked at two types of ultrasound-guided nerve blocks for pain after hip replacement surgery in 62 patients aged 65 and older. One group got a PENG block plus a lateral femoral cutaneous nerve block, the other got a PENG block plus a lumbar erector spinae plane block. …

This study tested whether an ultrasound-guided femoral nerve block (using bupivacaine) works as well as standard opioid painkillers (like morphine) for people with hip fractures in the emergency department. 44 adults with moderate to severe pain were enrolled. The goal was to see…

This study compared two ultrasound-guided nerve blocks—pericapsular nerve group block and quadratus lumborum block—for pain relief when positioning hip fracture patients for spinal anesthesia. 42 adults were randomly assigned to one block. Researchers measured pain scores, need f…

This study tested two types of nerve blocks to control pain after total hip replacement in 93 older adults (65+). The goal was to see which block reduced the need for morphine and improved movement. Results showed which block worked better for pain relief and recovery.

This study compared two types of nerve blocks given before hip fracture surgery to see which provides better pain relief afterward. 77 older adults received either a sacral erector spinae plane block or a supra-inguinal fascia iliaca block. Researchers measured pain scores, opioi…

This study tested two types of nerve blocks (PENG and IPB) in 60 adults having hip surgery to see which one controls pain better while keeping leg muscles strong. Participants received one of the blocks during surgery, and researchers measured pain scores and muscle movement over…

This study looked at whether adding a deep gluteal nerve block to a standard hip block can improve pain relief and reduce the need for strong painkillers after hip fracture surgery. 68 adults having hip surgery under spinal anesthesia took part. Researchers measured pain scores a…

This study tested two different nerve block techniques to control pain and help patients regain muscle strength after hip fracture surgery. 96 adults with a hip fracture received either a PENG block plus lateral femoral cutaneous nerve block or a supra-inguinal fascia iliaca comp…

This study tested a new type of nerve block called the PENG block in 60 adults having hip surgery. The goal was to see if it reduces pain and the need for opioid painkillers after the operation. The block targets nerves around the hip joint while avoiding leg muscle weakness.

This study looked at whether adding relaxation exercises and classical foot massage to standard physical therapy helps people recover after hip fracture surgery. Forty patients aged 50 and older took part. Researchers measured pain, mobility, quality of life, anxiety, depression,…

This study tested whether a PENG nerve block—a targeted injection of anesthetic around the hip—can reduce pain and the need for morphine in adults with hip fractures in the emergency department. 36 patients were randomly assigned to receive either the block plus standard care or …

This study tested whether a numbing injection near the hip (femoral nerve block) works better than IV fentanyl for pain from a broken hip in the emergency room. 104 adults with hip fractures took part. The goal was to see which method provides faster and more effective pain relie…

This study tested whether a single injection of morphine into the spinal fluid can provide better pain relief after hip fracture surgery than standard painkillers. Researchers enrolled 82 older adults (ages 60-90) undergoing surgery for a broken hip. They compared pain levels, ne…

This study tested whether a PENG block (a numbing injection near the hip) can lower inflammation and 30-day death risk in patients over 65 having hip fracture surgery. Researchers measured blood markers of inflammation and pain levels in 60 patients. The goal is to see if this ne…

This study compared two types of nerve blocks—PENG and SFIC—for pain control in 100 adults undergoing hip replacement surgery. The goal was to see which block provides faster and better pain relief. Both techniques are used to reduce the need for opioids and improve recovery.

This study compared two types of nerve blocks for pain relief in 100 people with hip fractures. The goal was to see which block better preserves leg muscle strength while still controlling pain. The PENG block may offer a way to reduce pain without weakening the leg as much as th…

This study looked at whether a special nerve block called PENG can reduce pain when positioning patients with hip fractures for spinal anesthesia. Sixty adults having hip fracture surgery were randomly assigned to receive the block or not. The main goal was to see if the block ma…

This study asks whether a routine blood test measure called the neutrophil-lymphocyte ratio (NLR) can help predict delirium—a state of sudden confusion—in older adults after hip fracture surgery. Delirium is a common and serious complication in elderly patients, and inflammation …

This pilot study tests whether a 15-minute animated video can help scrub nurse students perform better during dynamic hip screw surgery. Thirty operating room technology students are randomly assigned to receive either standard clinical training alone or standard training plus th…

This study tested whether showing older hospitalized patients their own activity levels on a bedside screen could encourage them to move more. 130 adults aged 60+ with conditions like COPD, heart failure, or Parkinson's wore a small sensor and saw real-time feedback on time spent…

This study tested a wearable device called the MOX activity monitor in 40 older adults (70+) recovering from hip fracture, stroke, or frailty in a hospital rehab ward. The goal was to measure how much they walk, stand, or sit during the day and see if that data helps track recove…

This study tested whether an online education and skill-building program is practical and helpful for family caregivers of older adults recovering from hip fracture surgery. Eight caregivers and health providers gave feedback on the program's ease of use, usefulness, and satisfac…

This study followed 53 older adults (65+) who had hip fracture surgery to see how well they recovered over a year. Researchers tracked their mobility and asked about their rehab experience. The goal was to understand the recovery process, not to test a new treatment.

This study looked back at medical records of nearly 1,000 patients who had surgery for a broken hip. Researchers checked how often patients needed medicine to raise their blood pressure during surgery and then tracked survival for up to one year. The goal was to understand if usi…

This study looked at 161 older adults who had hip fracture or joint replacement surgery. Researchers checked if medications with a high 'atropine load' (a measure of anticholinergic effect) were linked to postoperative confusion. They used the Confusion Assessment Method daily an…

This study looked at 80 frail older adults who had hip surgery after a fall. Researchers took small muscle samples to measure fat, protein, and gene activity. The goal was to understand whether muscle amount or muscle function matters more for recovery. This is a knowledge-gather…

This completed study used artificial intelligence to predict the risk of death within 30 days and 1 year after hip fracture surgery. Researchers analyzed data from 1000 patients, including age, health conditions, and lab results. The goal was to see if AI could better identify hi…

This study looks at whether a set of steps to prevent urinary tract infections and bladder swelling in older hip fracture patients still works 9 years after it was first put in place. Researchers will compare infection and bladder problem rates from year 9 to earlier years in 750…

This study looked at 79 older adults with hip fractures to see if the balance of specific muscles around the hip affects the type of fracture. Researchers used CT scans to measure muscle areas and found that regional muscle balance may be more important than overall muscle loss. …

This study followed 404 older adults for 10 years after hip fracture surgery. Researchers checked whether early signs of Alzheimer's in spinal fluid or cognitive tests were linked to how long patients lived. The goal is to understand if hidden Alzheimer's changes affect long-term…

This study looked at whether giving spinal anesthesia quickly (15 seconds) or slowly (90 seconds) changes blood pressure and heart function in elderly patients with hip fractures. Eighty-four patients were randomly assigned to one of the two speeds. The researchers measured blood…

This study reviewed 148 patients who had thigh bone or hip replacement-related fracture surgery using metal wires (cerclage) to hold bone pieces together. Researchers found that using more wires was linked to a higher chance of deep infections and prolonged wound drainage. The fi…

This study looked at 77 adults with an unstable hip fracture to compare two ways of positioning the patient during surgery: lying on the side versus lying flat on a special traction table. The goal was to see which position leads to better bone alignment, less radiation exposure …

This study tested whether deliberately making errors during simulation-based training helps medical students learn better than avoiding errors. 70 medical students practiced placing a dynamic hip screw on a simulator. One group was instructed to make and learn from mistakes, the …

This study reviewed records of 610 older adults (over 65) on blood thinners who had hip fracture surgery. Researchers wanted to see how long surgery was delayed to avoid bleeding risks and whether that delay affected survival. The goal is to find the safest approach to schedule s…

This study looked at how well the Chimaera intramedullary nail works in elderly patients with hip fractures. Researchers tracked 206 people aged 65 and older who had surgery with this device. The main goal was to see how many needed a second surgery due to problems, and they also…

This study looked at 225 older adults with hip fractures to compare two surgical methods: one through the side of the hip and one through the back. The goal was to see which approach leads to fewer dislocations or bone breaks during surgery. Results help surgeons choose the safes…

This study looked back at 686 patients with unstable hip fractures to compare two types of metal nails used in surgery: the Gamma nail and the InterTAN nail. The goal was to see which one led to fewer mechanical problems, better bone alignment, and faster recovery. The study foun…

This study looked at 154 elderly patients (70 years or older) having hip fracture surgery. It compared a special type of spinal anesthesia (low-dose hypobaric lateral spinal anesthesia) with general anesthesia to see which one keeps blood pressure more stable during surgery. The …

This study looked at whether performing hip fracture surgery within 48 hours lowers the risk of death and other problems. Researchers followed 150 adults aged 50 and older for 30 days after surgery. They tracked deaths, blood clots, confusion, hospital stay length, and recovery s…

This study translated the New Mobility Score into Turkish and tested how well it works for elderly people who had hip fracture surgery. 120 participants answered questions about their walking ability and also took other tests. The goal was to see if the Turkish version is a relia…

This study looked at whether a simple, home-based exercise program (the Otago Exercise Program) could lower fall risk in older adults who have both mild cognitive impairment (mild memory problems) and a recent hip fracture from a fall. Sixty participants aged 65 and older were fo…

This study looked at 40 people who had a total hip replacement through a small incision in the front of the hip. Researchers compared two types of metal stems (AMIStem and Quadra) to see how bone density around the implant changed one year after surgery. The goal was to find out …

This study examined 49 older women with hip fractures to understand why some also break a supportive bone called the lateral wall. Researchers found that lower bone density and lower body weight were linked to these more complex fractures. The goal is to help doctors plan better …

This study tracked 255 patients aged 75 and older who had surgery for a broken hip. Researchers wanted to see if low red blood cell counts (anemia) soon after surgery were linked to losing the ability to do daily tasks like dressing and bathing six months later. The goal is to be…

This study looked at how well the CHIMAERA nail, a metal rod placed inside the thigh bone, helps heal certain types of hip and upper thigh fractures. Researchers reviewed medical records of 44 adults who had the surgery to see if the bone healed within a year and if any additiona…

This study tracked 81 adults with pelvic or hip socket fractures to see how often they developed blood clots in their legs or lungs, even while receiving standard clot-preventing medication. All participants got ultrasound scans to find clots that might not cause symptoms. The go…

This study looked at 1,296 patients who had surgery for a broken hip (intertrochanteric fracture). Researchers used three different nutrition scores to see if poor nutrition was linked to the metal implant failing. They found that a simple blood test-based score (CONUT) was the b…

This pilot study tested whether keeping blood pressure within a range that ensures good blood flow to the brain during surgery is feasible and safe compared to usual care. Researchers enrolled 27 older adults having hip, knee, or lung surgery. They measured how often blood pressu…