scholarly journals Elderly Patients with Proximal Femoral Fracture Who Returned to Living at Home with Their Spouse

2016 ◽  
Vol 65 (2) ◽  
pp. 149-152
Author(s):  
Koji SUZUKI
Keyword(s):  
Elderly Patients ◽  
Femoral Fracture ◽  
Proximal Femoral Fracture ◽  
At Home

scholarly journals Elderly Patients with Proximal Femoral Fracture Who Returned to Living at Home with Their Spouse

2016 ◽  
Vol 65 (1) ◽  
pp. 9-14
Author(s):  
Koji SUZUKI ◽  
Sadaomi KAWACHI ◽  
Hideki NANKE ◽  
Hiromichi AOYAMA ◽  
Kei INOMATA ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Femoral Fracture ◽  
Proximal Femoral Fracture ◽  
At Home

scholarly journals Perioperative pain management in elderly patients with а proximal femoral fracture: evidence review

Pain medicine ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 42-49
Author(s):  
Anastasiia Romanenko ◽  
Юрій Кучин ◽  
Катерина Бєлка ◽  
Ігор Токар
Keyword(s):  
Hip Fracture ◽  
Pain Management ◽  
Elderly Patients ◽  
Femoral Fracture ◽  
Adverse Drug Events ◽  
Perioperative Period ◽  
The Elderly ◽  
Proximal Femoral Fracture ◽  
Nerve Blocks ◽  
Number Of Patients

The purpose of this article is to compare different methods of analgesia during perioperative period in elderly patients with а proximal femoral fracture. The incidence of hip fracture is high and also rises with the age, for example, In Great Britain, number of patients with a hip fracture will be approximately 100 000 in 2033, and it’s also associated with significant healthcare financing. Nevertheless, effective pain management is a big challenge for clinicians because of considerable problems in geriatric patients, including age, physiological changes in the elderly, preexisting comorbidities, cognitive impairment, high risk of delirium, problems with rehabilitation and probability of an independent life [12].   Opioids are still the main option for hip fracture pain management, despite differences in pharmacokinetics and pharmacodynamics in elderly patients, which are correlated with high frequency of side effects. Opioid-related adverse drug events are associated with worse patient outcomes such as morbidity, mortality and length of stay increase. Therefore, peripheral nerve blocks as part of multimodal analgesic technique can provide more effective pain control after hip fracture. Comprehensive literature searches focus on the use of peripheral nerves blocks as preoperative analgesia, as postoperative analgesia or as a supplement to general anesthesia for hip fracture surgery.

Assessment of Mortality Risk in Elderly Patients After Proximal Femoral Fracture

Orthopedics ◽  
2014 ◽  
Vol 37 (2) ◽  
pp. e194-e200 ◽  
Author(s):  
Jennifer M.T.A. Meessen ◽  
Salvatore Pisani ◽  
Maria L. Gambino ◽  
Domenico Bonarrigo ◽  
Natasja M. van Schoor ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Mortality Risk ◽  
Femoral Fracture ◽  
Proximal Femoral Fracture

scholarly journals Treatment With Helical Blade Cephalomedullary Nail for Two-Part Basicervical Proximal Femoral Fracture in Elderly Patients: A Retrospective Observational Study

2017 ◽  
Vol 8 (4) ◽  
pp. 244-251 ◽  
Author(s):  
Ichiro Okano ◽  
Takatoshi Sawada ◽  
Nobumasa Kushima ◽  
Tetsuya Tachibana ◽  
Katsunori Inagaki
Keyword(s):  
Elderly Patients ◽  
Femoral Fracture ◽  
Proximal Femoral Fracture ◽  
Rotational Stability ◽  
Cephalomedullary Nail ◽  
Related Complication ◽  
Fracture Group ◽  
Helical Blade ◽  
Extracapsular Fracture

Background: Basicervical proximal femoral fracture is a known subtype of extracapsular fracture and is mechanically unstable, especially for the rotational direction, which may lead to implant failure. A cephalomedullary nail (CMN) is widely used for the fixation of unstable extracapsular fracture; however, its application for basicervical fracture remains controversial. Helical blade CMN is proven to have more rotational stability than traditional lag screw implants and potentially advantageous in the treatment of basicervical fracture. The aim of this study is to assess the effectiveness of helical blade CMN for basicervical fracture in elderly patients. Methods: We conducted a retrospective review of 500 consecutive extracapsular fracture patients treated surgically between January 2005 and February 2015. Patients who had trochanteric extension or multifragment fracture were excluded. Sixteen cases of 2-part basicervical proximal femoral fracture were identified. All patients were treated with the same single helical blade CMN system (DePuy Synthes PFNA-II). Implant-related complications were recorded. Results: Two patients dropped out during follow-up and 14 patients were included in the analysis. The average follow-up period was 21.9 months. No major complication was observed. The patients were subcategorized into 2 groups: nondisplaced (displacement <2 mm at any point of the fracture line) or displaced. Excessive telescoping was observed in 2 patients, both of whom were in the displaced fracture group. The overall implant-related complication rate was 14.2% (2/16). Conclusion: Internal fixation with the helical blade CMN system can be considered as a treatment option for 2-part basicervical proximal femoral fracture in elderly patients.

scholarly journals Study on Walking Ability after Surgery for Proximal Femoral Fracture in Elderly Patients Aged 75 Years or Older

2013 ◽  
Vol 03 (02) ◽  
pp. 94-96
Author(s):  
Tsuyoshi Nakai ◽  
Atsunori Onishi ◽  
Kunihiko Hashimoto ◽  
Toshiyuki Nakamura ◽  
Naohiro Yasuda ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Femoral Fracture ◽  
Proximal Femoral Fracture ◽  
Walking Ability
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