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Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
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This study shows that hip fractures that are complicated with infection are associated with higher mortality and worse outcomes. Delay in fracture management increases the risk of infection. Hip fractures should be treated with urgency not only to reduce mortality but also to reduce the risk of infection after the operation.
JBJI | Articles | Volume 6, issue 8
J. Bone Joint Infect., 6, 347–354, 2021
https://doi.org/10.5194/jbji-6-347-2021
J. Bone Joint Infect., 6, 347–354, 2021
https://doi.org/10.5194/jbji-6-347-2021

Original full-length article 23 Sep 2021

Original full-length article | 23 Sep 2021

Mortality, functional outcomes and quality of life after hip fractures complicated by infection: a case control study

Antonios A. Koutalos et al.

Cited articles

Bouwstra, H., Smit, E. B., Wattel, E. M., van der Wouden, J. C., Hertogh, C. M. P. M., Terluin, B., and Terwee, C. B.: Measurement Properties of the Barthel Index in Geriatric Rehabilitation, J. Am. Med. Dir. Assoc., 20, 420–425, https://doi.org/10.1016/j.jamda.2018.09.033, 2019. 
Cierny 3rd, G., Mader, J. T., and Penninck, J. J.: A clinical staging system for adult osteomyelitis, Clin. Orthop. Relat. Res., 414, 7–24, https://doi.org/10.1097/01.blo.0000088564.81746.62, 2003. 
Duckworth, A. D., Phillips, S. A., Stone, O., Moran, M., Breusch, S. J., and Biant, L. C.: Deep infection after hip fracture surgery: predictors of early mortality, Injury, 43, 1182–1186, https://doi.org/10.1016/j.injury.2012.03.029, 2012. 
Dyer, S. M., Crotty, M., Fairhall, N., Magaziner, J., Beaupre, L. A., Cameron, I. D., and Sherrington, C.: A critical review of the long-term disability outcomes following hip fracture, BMC Geriatr., 16, 158, https://doi.org/10.1186/s12877-016-0332-0, 2016. 
Edwards, C., Counsell, A., Boulton, C., and Moran, C. G.: Early infection after hip fracture surgery: risk factors, costs and outcome, J. Bone Joint Surg. Br., 90, 770–777, https://doi.org/10.1302/0301-620X.90B6.20194, 2008. 
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Short summary
This study shows that hip fractures that are complicated with infection are associated with higher mortality and worse outcomes. Delay in fracture management increases the risk of infection. Hip fractures should be treated with urgency not only to reduce mortality but also to reduce the risk of infection after the operation.
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