Does Modern Nail Geometry Affect Positioning in the Distal Femur of Elderly Patients With Hip Fractures? A Comparison of Otherwise Identical Intramedullary Nails With a 200 Versus 150 cm Radius of Curvature

2013 ◽  
Vol 27 (6) ◽  
pp. 299-302 ◽  
Author(s):  
Cory A. Collinge ◽  
CPT Michael J. Beltran
Keyword(s):  
Elderly Patients ◽  
Hip Fractures ◽  
Distal Femur ◽  
Radius Of Curvature ◽  
Intramedullary Nails

scholarly journals New Computerized Method in Measuring the Sagittal Bowing of Femur from Plain Radiograph—A Validation Study

2019 ◽  
Vol 8 (10) ◽  
pp. 1598
Author(s):  
Liaw ◽  
Chen ◽  
Wu ◽  
Fuh ◽  
Chang
Keyword(s):  
Validation Study ◽  
Distal Part ◽  
Distal Femur ◽  
Plain Radiograph ◽  
Region Growing ◽  
Lateral View ◽  
Medullary Canal ◽  
Radius Of Curvature ◽  
Intramedullary Nails ◽  
Plain Radiographs

Background: Mismatch of intramedullary nails with the bowing of femur is a frequent clinical finding. Previous studies showed inconsistent results. Methods: We present an algorithm of region growing territory method to get the radii of the anterior bowing of femur. We also tested it on ten radiographs. Plain radiographs of the lateral view of femur from five men and five women taken between January and August 2014 in Taipei Hospital were chosen randomly. The curvature of femur outline and medullary canal were measured for three times each. Radii of curvature of whole femur, proximal, middle and distal parts were calculated and analyzed. Results: The coefficient of variation of the 240 measurements ranged from 0.007 to 0.295 and averaged 0.088. The average radii of curvature of the whole, proximal, middle, and distal femur were 1318 mm, 752 mm, 1379 mm, and 599 mm, respectively. At the distal part of the femur, the radius of curvature of the femur outline (452 mm) was smaller than the medullary canal (746 mm) (p < 0.05). Women’s femur was straighter than men’s when we compared the whole length (1435 mm vs. 1201 mm, p < 0.05). The radii we calculated were smaller than the current intramedullary nails. Conclusion: The results showed that the inter-observer and intra-observer differences are acceptable, support the impression that different bowing conditions existed for Asians as compared to Caucasians, and also indicate the mismatch of current instruments to the curvature of femur.

The effects of ‘old’ red blood cell transfusion on mortality and morbidity in elderly patients with hip fractures – A retrospective study

Injury ◽  
2013 ◽  
Vol 44 (6) ◽  
pp. 747-750 ◽  
Author(s):  
Assaf Kadar ◽  
Ofir Chechik ◽  
Eldad Katz ◽  
Itay Blum ◽  
Gabrielle Meghiddo ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Elderly Patients ◽  
Blood Cell ◽  
Hip Fractures ◽  
Red Blood Cell ◽  
Red Blood Cell Transfusion ◽  
Mortality And Morbidity

Prehospital Pain and Analgesic Therapy in Elderly Patients with Hip Fractures

Pain Practice ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 545-551 ◽  
Author(s):  
Ludwig Oberkircher ◽  
Natalie Schubert ◽  
Daphne-Asimenia Eschbach ◽  
Christopher Bliemel ◽  
Antonio Krueger ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Hip Fractures ◽  
Analgesic Therapy

scholarly journals Elderly Patients with Pertrochanteric Hip Fracture: In Hospital Care

2019 ◽  
Vol 3 (4) ◽  
pp. 1-8
Author(s):  
Faour Martín O
Keyword(s):  
Health Care ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Hip Fractures ◽  
Cost Reduction ◽  
Hospital Care ◽  
Scientific Evidence ◽  
Clinical Results ◽  
Fracture Management ◽  
Care Of Elderly

Objective: To evaluate the improvement in the care of elderly patients hospitalized due to pertrochanteric hip fractures. Methods: A comparative study of two cohorts of patients admitted due to pertrochanteric hip fractu re before (2010) and after the application of in hospital management protocols (2018). The intervention consisted in the implementation of multidisciplinary measures during hospitalization based on current scientific evidence. An evaluation of the clinical results was performed, as well as the health care impact. Results: The characteristics of patients admitted for hip fracture in 2010 (216 patients) and 2018 (205 patients) were similar in age, sex, Barthel index and the Charlson abbreviated index. In 2018 patients had more comorbidity. A significant reduction of preoperative stay and overall stay in the cohort of 2018 was achieved. Detection of delirium, malnutrition and anaemia was higher in 2018, and a reduced incidence of infection and a better function al efficiency was achieved in this period. Conclusion: The introduction of measures for the improvement of the pertrochanteric hip fracture management reduces hospitalization with consequent cost reduction. Unification of criteria among professionals may b e an opportunity for better clinical results and reduction of complications.

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