{
  "abstract": "Introduction: The COVID-19 pandemic substantially disrupted orthopedic services, but its effect on fracture patterns and fixation strategies for extracapsular hip fractures remains unclear. This study evaluated whether the pandemic was associated with a change in cephalomedullary nail utilization in a rural UK population. Materials and Methods: A Level III retrospective cohort study was conducted at a rural UK district general hospital. Patients aged ≥50 years with extracapsular hip fractures treated with cephalomedullary nails were compared across two consecutive 24-month periods before (March 2018–March 2020) and during the pandemic (March 2020–March 2022). The primary outcome was the proportion of all hip fractures treated with cephalomedullary nails. Secondary outcomes included operative time, blood loss, reduction method, bisphosphonate use, complications, and 6- and 12-month mortality. Comparisons were unadjusted and used available data without imputation. Results: Among 658 hip fracture admissions, 95 underwent cephalomedullary fixation. Nailing accounted for 13.3% of fractures before and 15.8% during the pandemic (P = 0.36). Operative time increased significantly from 90 to 140 min (P < 0.001). Differences in open reduction, blood loss, bisphosphonate use, complications, and 6 and 12-month mortality were not statistically significant. Conclusion: The COVID-19 pandemic was not associated with a significant change in cephalomedullary nail utilization. However, operative times increased substantially, suggesting persistent effects on surgical efficiency. Given the retrospective, single-center design, modest sample size and incomplete secondary data, these findings are hypothesis-generating, and multicenter studies incorporating fracture classification and risk-adjusted outcomes are warranted.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedics, Lower Limb Arthroplasty, Golden Jubilee National Hospital, Glasgow, Scotland, United Kingdom.",
    "Department of Orthopaedics, Foot and Ankle Surgery, Golden Jubilee National Hospital, Glasgow, Scotland, United Kingdom.",
    "Department of Trauma and Orthopaedics, Dumfries Galloway Royal Infirmary, Dumfries, Scotland, United Kingdom.",
    "Department of Orthopaedics, Glangwili General Hospital, Carmarthen, United Kingdom.",
    "Department of Orthopaedics, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.",
    "Department of Orthopaedics, Dumfries Galloway Royal Infirmary, Dumfries, Scotland, United Kingdom."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Syed Suhaib Jameel",
      "orcid": "0009-0007-8087-6043"
    },
    {
      "affs": [
        1
      ],
      "name": "Ronak Naveenchandra Kotian",
      "orcid": "0000-0001-9268-9674"
    },
    {
      "affs": [
        2
      ],
      "name": "Hizabr ElHassan"
    },
    {
      "affs": [
        3
      ],
      "name": "Anoop Pothen John",
      "orcid": "0000-0003-4683-7925"
    },
    {
      "affs": [
        4
      ],
      "name": "J S R G Saran",
      "orcid": "0000-0001-8770-0111"
    },
    {
      "affs": [
        5
      ],
      "name": "Sameh Hatab",
      "orcid": "0009-0002-6272-4517"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9wpqn2ntzy6cw.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8518",
  "fulltext_url": "https://jocr.co.in/wp/2026/11/cephalomedullary-nailing-of-extracapsular-hip-fractures-before-and-during-the-covid-19-pandemic-a-rural-uk-cohort-study/",
  "id": "9wpqn2ntzy6cw",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://doi.org/10.13107/jocr.2026.v16.i11.8518",
  "language": "en",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC925-935"
    ],
    [
      "lcc",
      "RD701-811"
    ],
    [
      "openalex",
      "2746|Hip and Femur Fractures"
    ]
  ],
  "openalex": "W7225559556",
  "pdf_url": "https://europepmc.org/articles/PMC13740980?pdf=render",
  "pmcid": "PMC13740980",
  "pmid": "42997136",
  "published": "2026-11-01",
  "publisher": "Indian Orthopaedic Research Group",
  "ris": "https://research.draconitic.com/paper/9wpqn2ntzy6cw.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T14:21:35Z",
      "native_id": "1ca9bcad2ae847b3869295460183da3d",
      "source": "doaj",
      "url": "https://doi.org/10.13107/jocr.2026.v16.i11.8518"
    },
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997136",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997136"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Hip and Femur Fractures",
      "subfield": "surgery"
    }
  ],
  "title": "Cephalomedullary Nailing of Extracapsular Hip Fractures Before and During the COVID-19 Pandemic: A Rural UK Cohort Study",
  "title_text": "Cephalomedullary Nailing of Extracapsular Hip Fractures Before and During the COVID-19 Pandemic: A Rural UK Cohort Study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/9wpqn2ntzy6cw",
  "venue": "Journal of Orthopaedic Case Reports",
  "versions": []
}