Real-shaped Italian drafts on the left. Publishable English on the right. Numbers, study design, and clinical claims are preserved verbatim — only the language changes.
Methods: Sono stati arruolati 84 pazienti consecutivi con dolore lombare cronico che andavano al pronto soccorso. Tutti erano sottoposti a RMN. Abbiamo guardato chi aveva ernia discale e chi no, e li abbiamo seguiti per un anno per vedere se stavano meglio dopo terapia conservativa.
Methods: Between January and December 2024, 84 consecutive patients presenting to the emergency department with chronic low-back pain were prospectively enrolled. All participants underwent lumbar magnetic resonance imaging at admission. Patients were stratified by the presence or absence of disc herniation and followed for 12 months to evaluate functional recovery following conservative management. The primary outcome was the change in the Oswestry Disability Index at 12 months; secondary outcomes included the visual analogue scale for pain and the EQ-5D quality-of-life score.
Results: I 50 pazienti operati entro 24 ore avevano un risultato migliore, con un punteggio medio Harris di 78. Gli altri 50 che erano stati operati dopo 24 ore avevano un punteggio di 65. C'era differenza significativa. Anche la mortalità a 30 giorni era più bassa nel gruppo operato entro 24 ore.
Results: Patients who underwent surgery within 24 hours of admission (n = 50) achieved superior functional outcomes at six-month follow-up, with a mean Harris Hip Score of 78.4 ± 9.2, compared with 65.1 ± 11.8 in the delayed-surgery cohort (n = 50; p < 0.001). Thirty-day mortality was also significantly lower in the early-surgery group (4.0% vs 12.0%; relative risk 0.33, 95% CI 0.12–0.93; p = 0.024).
Abstract: Vogliamo vedere se operare prima la frattura del femore aiuta gli anziani. Abbiamo guardato 100 pazienti, 50 operati subito e 50 operati dopo. Quelli operati subito stavano meglio dopo. Quindi forse è meglio operare subito.
Background. Timing of surgical fixation in elderly patients with femoral neck fractures remains debated. We evaluated whether early surgery (≤ 24 hours from admission) improves functional and survival outcomes compared with delayed surgery. Methods. In a prospective cohort of 100 consecutive patients aged ≥ 70 years admitted with displaced femoral neck fracture, surgical timing was determined by operating-room availability. The primary endpoint was the Harris Hip Score at 6 months; the secondary endpoint was 30-day mortality. Results. Early surgery (n = 50) was associated with a higher mean Harris Hip Score (78.4 vs 65.1; p < 0.001) and lower 30-day mortality (4.0% vs 12.0%; p = 0.024). Conclusions. Early surgical fixation within 24 hours of admission is associated with significantly improved functional recovery and reduced short-term mortality in elderly patients with femoral neck fracture.