Background: Depression is common among older people with hip fracture. Aim: To assess depression scores and other mental and physical health variables in older people with and without depression, admitted to a traumatology ward for a hip fracture. Material and Methods: Cross sectional study of older patients admitted for surgical treatment of hip fracture. Demographic, clinical and laboratory variables were recorded. Twelve surveys were applied to assess general wellbeing, mental health, fall risk, nutritional status, basic and instrumental activities of daily living, social resources and depression (using Yesavage Depression Scale). Results: We assessed 310 patients aged 78 (72-83) years, 72% women. Overall depression prevalence was 46% and its frequency was significantly higher in women, people over 81 years of age, diabetics and subjects with anxiety. The Yesavage score in patients with and without depression was 6.5 and 3, respectively. The median number of medications used by patients with and without depression was 3 and 2 (p < 0.01). Conclusions: There is a high frequency of depression in these patients, especially in women and subjects older than 81 years of age. Routine geriatric assessments should be performed in hospitalized older patients with hip fracture. (Rev Med Chile 2019; 147: 1005-1012

Closed reduction (CR) as an initial treatment for developmental hip dysplasia of the hip (DDH) in children aged 24 to 36 months is debatable; however, it could have better results than open reduction (OR) or osteotomies, because it is minimally invasive. The purpose of this study was to evaluate the radiological results in children (24–36 months) with DDH initially treated with CR. Initial, subsequent, final anteroposterior pelvic radiological records were retrospectively analyzed. The International Hip Dysplasia Institute was used to classify the initial dislocations. To evaluate the final radiological results after CR (initial treatment) or additional treatment (CR failed), the Ömeroğlu system was used (6 points excellent, 5 good, 4 fair-plus, 3 fair-minus, and ≤2 poor). The degree of acetabular dysplasia was estimated using the initial acetabular index and the final acetabular index, Buchholz–Ogden classification was used to measure avascular necrosis (AVN). A total of 98 radiological records were eligible, including 53 patients (65 hips). Fifteen hips (23.1%) were redislocated, OR with femoral osteotomy and pelvic osteotomy was the preferred surgical treatment 9 (13.8%). The initial acetabular index versus final acetabular index in total population was (38.9º ± 6.8º) and (31.9º ± 6.8º), respectively (t = 6.5, P < .001). The prevalence of AVN was 40%. Overall AVN in OR, femoral osteotomy and pelvic osteotomy were 73.3% versus CR 30%, P = .003. Unsatisfactory results ≤ 4 points on the Ömeroğlu system were observed in hips that required OR with femoral and pelvic osteotomy. Hips with DDH treated with CR initially might had better radiological results than those treated with OR and femoral and pelvic osteotomies. Regular, good, and excellent results, ≥4 points on the Ömeroğlu system, could be estimated in 57% of the cases, in whom CR was successful. AVN is frequently observed in hips with failed CR.

Background Closed reduction (CR) as an initial treatment for developmental hip dysplasia of the hip (DDH) in children aged 24–36 months is debatable; however, it could have better results than open reduction (OR) because it is minimally invasive. The purpose of this study was to evaluate the radiological results in children (24–36 months) with DDH initially treated with CR. Methods Retrospective analysis of initial, subsequent, and final anteroposterior (AP) pelvic radiological records. The International Hip Dysplasia Institute (IHDI) was used to classify the initial dislocations. To evaluate the final radiological results after CR (initial treatment) or additional treatment (CR failed), the Ömeroğlu system was used (6 points excellent, 5 good, 4 fair-plus, 3 fair-minus, ≤2 poor). The degree of acetabular dysplasia was estimated using the initial acetabular index (IAI) and the final acetabular index (FAI), Buchholz-Ogden classification was used to measure avascular necrosis (AVN). Results 98 radiological records were reviewed, including 53 patients (65 hips). Fifteen hips (23.1%) were redislocated and OR with femoral and pelvic osteotomy (13.8%) was the preferred secondary treatment. The IAI vs. FAI was (38.9º ± 6.8º) and (31.9º ± 6.8º), respectively (t = 6.5, p < 0.001). The prevalence of AVN was 40% (OR 73.3% vs. CR 30%, P = 0.003). Unsatisfactory results (≤ 4 points on the Ömeroğlu system) were observed in all hips that required secondary treatment. Conclusions Hips with DDH treated with CR initially had better radiological results than those treated with additional treatments, although with a predominance of regular results (four points) with the Ömeroğlu system. AVN is frequently observed in hips with failed CR.