Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Radiation-grafted membranes for polymer electrolyte fuel cells: current trends and future directions

Fuel cell technology is one of the key emerging technologies that is currently attracting tremendous effort with the aim to provide alternative environmentally friendly and efficient power sources. The worldwide move away from conventional fossil fuel combustion power generation technologies is driving much of this important research. The replacement of a liquid electrolyte by PEM in such systems has eliminated the corrosion problems and conferred on the system additional advantages such as simplicity of construction, compactness, and quick self-starting at ambient temperatures. The successful performance of these kinds of fuel cell systems depends critically on the role played by the PEM. The second category involves the formation of acid-base complexes that provide a viable alternative for membranes that can maintain high conductivity at elevated temperatures without suffering from dehydration effects