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The demographic trends towards an ageing population in the Western world and an increasing incidence of frail elderly with significant comorbidities is an important consideration for all healthcare professionals. Since the hip fracture incidence is corresponding with the increasing incidence of frail elderly, it is of great importance to improve quality of care and reduce the rate of complications and mortality after surgery. The research described in this thesis focuses on both technical and clinical outcomes (in particular adverse events) of hip fracture surgery with special emphasis on the use of a hemiarthroplasty for femoral neck fractures.

Background: Inguinal hernias are among the most common abdominal wall hernias but rarely caused by penetrating trauma. Case presentation: We report a case of a 61-year-old patient with a traumatic inguinal hernia after penetrating injury through the inguinal canal. Local inspection of the intestines and abdominal cavity showed no fecal spill, blood clots or signs of contamination. Therefore, no laparoscopy or laparotomy was initiated. The abdominal wall was closed using a mesh patch. No infections or re-herniation occurred. Conclusion: Clinicians could consider local exploration in the treatment of traumatic inguinal hernias.