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Rehabilitation after fixation of femoral neck fracture

Konstantinos I Alexiou, Andreas Roushias, Sokratis E Varitimidis, Konstantinos N Malizos
Fractures due to fragility of the bone around the hip joint have become a major public health issue, presenting with an increasing incidence due to the growth of the elderly population. The purpose of this review was to evaluate the impact of hip fractures on the quality of life (QoL), health status (HS), functioning, and psychological parameters, and factors influencing the outcome and the appropriate interventions for improvement of elderly patients. A systematic electronic search of the relevant literature was carried out using the CINAHL, Cochrane, EMBASE, Medline (OvidSP), and PubMed databases spanning the time period from their establishment up to January 2017...
2018: Clinical Interventions in Aging
Luigi Murena, Antonio Moretti, Francesca Meo, Enrico Saggioro, Giulia Barbati, Chiara Ratti, Gianluca Canton
BACKGROUND: Cut-out is the most common mechanical complication of the osteosynthesis of pertrochanteric fractures. This complication determines a significant increase in morbidity in elderly patient. Cut-out is defined as the varus collapse of the femoral head-neck fragment with the extrusion of the cephalic screw. Surgical treatment of cut-out might lead to further complications, longer rehabilitation, increased social burden and healthcare system costs. The aim of the study is to identify the predictors of cut-out to prevent its occurrence...
March 2018: Archives of Orthopaedic and Trauma Surgery
Kyung Sub Song, Sang Phil Yoon, Su Keon Lee, Seung Hwan Lee, Bong Seok Yang, Byeong Mun Park, Ick Hwan Yang, Beom Seok Lee, Ji Ung Yeom
PURPOSE: Hip fractures in hemodialysis patients are accompanied by high rates of complications and morbidities. Previous studies have mainly reported on nonunion and avascular necrosis of femoral neck fractures in this patient group. In this study the complication and clinical results of hemodialysis patients with intertrochanteric fractures treated with proximal femoral intramedullary nailing have been investigated through comparison with patients with normal kidney function. MATERIALS AND METHODS: Forty-seven patients were included; the hemodialysis group (n=17) and the control group with normal kidney function (n=30)...
March 2017: Hip & Pelvis
Charles M M Peeters, Eva Visser, Cornelis L P Van de Ree, Taco Gosens, Brenda L Den Oudsten, Jolanda De Vries
BACKGROUND: With an increasing ageing population, hip fractures have become a major public health issue in the elderly. It is important to examine the health status (HS) and health-related quality of life (HRQOL) of the elderly faced with the epidemic of hip fractures. OBJECTIVE: To provide an overview of reported HS and HRQOL in elderly patients with a hip fracture. DESIGN: A systematic literature search was performed in Embase, Medline, Web of Science, Scopus, CINAHL, Cochrane, PsycINFO, Pubmed, and Google Scholar in July 2014...
July 2016: Injury
Francois Steffann, Jean-Louis Prudhon, Jean-Marc Puch, André Ferreira, Loys Descamps, Régis Verdier, Jacques Caton
Several surgical approaches could be used in hip arthroplasty or trauma surgery: anterior, anterolateral, lateral, posterior (with or without trochanterotomy), using or not an orthopedic reduction table. Subtrochanteric and extra-capsular trochanteric fractures (ECTF) are usually treated by internal fixation with mandatory restrictions on weight bearing. Specific complications have been widely described. Mechanical failures are particularly high in unstable fractures. Hip fractures are a major public health issue with a mortality rate of 12%-23% at 1 year...
2015: SICOT-J
Anu Salpakoski, Mauri Kallinen, Ilkka Kiviranta, Markku Alen, Erja Portegijs, Esa Jämsen, Jari Ylinen, Taina Rantanen, Sarianna Sipilä
AIM: The aim was to assess the level of lower body pain among people with previous femoral neck fracture, and whether the type of surgery was associated with pain and physical function a mean of 2 years after surgery. METHODS: The study included 115 community-dwelling older adults aged 60 years and older with previous femoral neck fracture, and 31 reference subjects without previous lower limb injuries. A total of 30 patients had internal fixation surgery, 70 had hemiarthroplasty and 15 had total hip replacement...
June 2016: Geriatrics & Gerontology International
P Gierer, T Mittlmeier
The incidence of femoral neck fractures increases exponentially with rising age. Young patients are rarely affected but when they are it is mostly due to high energy accidents, whereas older patients suffer from femoral neck fractures by low energy trauma due to osteoporotic changes of the bone mineral density. Treatment options have not essentially changed over the last few years. Non-operative treatment may be a choice in non-dislocated and impacted fractures. Due to the high risk of secondary fracture displacement prophylactic screw osteosynthesis is recommended even in Garden type I fractures...
March 2015: Der Unfallchirurg
R Radulescu, A Badila, I Japie, A Papuc, R Manolescu
Dislocations of the hip usually occur following high energy trauma, the coxo-femoral joint being inherently stable, and can be associated with acetabular fractures or fractures of the head, neck or shaft of femur. However, the combination between the anterior hip dislocation and the ipsilateral intertrochanteric fracture is extremely rare, the literature offering only scarce information. We present the case of a patient, aged 44, victim of a trauma by precipitation from height (12m), diagnosed with left hip anterior dislocation and intertrochanteric fracture of the ipsilateral femur...
September 15, 2013: Journal of Medicine and Life
Bhava Rj Satish, Atmakuri V Ranganadham, Karruppasamy Ramalingam, Sujit Kumar Tripathy
BACKGROUND: The treatment options for displaced femoral neck fracture in elderly are screw fixation, hemiarthroplasty and total hip arthroplasty based primarily on age of the patient. The issues in screw fixation are ideal patient selection, optimal number of screws, optimal screw configuration and positioning inside the head and neck of femur. The problems of screw fixation may be loss of fixation, joint penetration, avascular necrosis of femoral head, nonunion, prolonged rehabilitation period and the need for second surgery in failed cases...
March 2013: Indian Journal of Orthopaedics
P Douša, O Čech, M Weissinger, V Džupa
At the present time proximal femoral fractures account for 30% of all fractures referred to hospitals for treatment. Our population is ageing, the proportion of patients with post-menopausal or senile osteoporosis is increasing and therefore the number of proximal femoral fractures requiring urgent treatment is growing too. In the age category of 50 years and older, the incidence of these fractures has increased exponentially. Our department serves as a trauma centre for half of Prague and part of the Central Bohemia Region with a population of 1 150 000...
2013: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Rasa Valavičienė, Alfredas Smailys, Jūratė Macijauskienė, Ami Hommel
Quality of life in patients with femoral neck fracture is an issue frequently discussed in the literature. There is ongoing research on identifying factors that have an impact on quality of life in this particular group of patients. A great variety of factors affecting quality of life and lack of information on their importance encouraged us to perform a systematic literature review analyzing quality of life of patients who sustained femoral neck fracture. The search was performed in the PubMed and Medline databases according to the selected key words...
2010: Medicina
Nataša Kos, Helena Burger, Gaj Vidmar
PURPOSE: To find out whether patients with femoral neck fracture treated with hemiarthroplasty differ from those treated with internal fixation regarding functional outcome, walking ability, pain or short-term mortality. METHOD: Sixty-six patients aged 64 years or more with femoral neck fracture were included in a prospective non-randomised trial with two equal-sized groups recruited consecutively within each group. All patients were treated operatively and encouraged to pursue an active rehabilitation...
2011: Disability and Rehabilitation
E Gaumetou, S Zilber, P Hernigou
INTRODUCTION: Hip fractures are an important public health problem given their growing incidence as well as their functional and vital repercussions. With longer survival, patients with a contralateral fracture are increasingly numerous. The objective of this study was to investigate the bilateralization of hip fractures in terms of anatomic location and time to the second fracture. HYPOTHESIS: Contralateral fractures are of the same anatomical type as the primary fractures...
February 2011: Orthopaedics & Traumatology, Surgery & Research: OTSR
Thomas L Duquette, Daniel J Watson
The patient was a 21-year-old female who was currently enrolled in a military security forces training program. She had a 1-month history of worsening left anterior hip pain that was insidious in nature and limiting her ability to run. The patient was diagnosed as having a left hip strain, prescribed a nonsteroidal anti-inflammatory medication,given a reduced activity waiver, and referred to a physical therapist. Despite previous radiographs of the pelvis and hips that were interpreted as normal, the history and physical examination findings led the physical therapist to be concerned about the presence of a possible femoral neck stress fracture...
December 2010: Journal of Orthopaedic and Sports Physical Therapy
Stefan Bauer, Patrick Isenegger, Oliver P Gautschi, Kwok M Ho, Piers J Yates, Rene Zellweger
PURPOSE: To compare early functional outcomes, complications, and mortality in elderly patients treated with the less costly, cemented Thompson prosthesis or the cemented bipolar prosthesis in order to identify factors affecting outcomes. METHODS: Records of 303 patients with femoral neck fractures treated with the cemented Thompson monoblock prosthesis (n=206) or the cemented bipolar prosthesis (n=97) were reviewed. The choice of prosthesis was solely determined by surgeon's preference...
August 2010: Journal of Orthopaedic Surgery
S Timotijević, Z Bascarević, Z Vukasinović, G Trajković, V Bascarević
UNLABELLED: Fractures of the femoral neck are the most common with the older population, and in this population are dominantly made by the forces of low strength intensity. AIM: To show early complications ensued during the first 6 weeks after the surgical treatment of the older patients with fractures of the femoral neck. MATERIALS AND METHOD: 315 hospitalised patients are included within the retrospective analysis who are operated because of the fracture of the femoral neck in KBC Bezanijska Kosa in Belgrade, in the period 2007-2010...
2010: Acta Chirurgica Iugoslavica
Frede Frihagen, Gudrun M Waaler, Jan Erik Madsen, Lars Nordsletten, Silje Aspaas, Eline Aas
BACKGROUND AND PURPOSE: There is very little information on the cost of different treatments for femoral neck fractures. We assessed whether total hospital and societal costs of treatment of elderly patients with displaced femoral neck fractures differ between patients operated with internal fixation or hemiarthroplasty. METHODS: 222 patients (mean age 83 years, 165 women (74%)) who had been randomized to internal fixation or hemiarthroplasty were followed for 2 years...
August 2010: Acta Orthopaedica
Koichi Murata, Shigeki Sugitani, Hiroki Yoshioka, Takashi Noguchi, Toshiyuki Aoto, Takashi Nakamura
BACKGROUND: The aim of this study was to predict the ambulation reacquisition time after hip fracture in elderly people using the unipedal standing test during the early postoperative stage. METHODS: Patients with an intertrochanteric fracture treated with internal fixation (n = 35) and patients with a femoral neck fracture treated with hemiarthroplasty (n = 22) were included. A unipedal standing test using the nonoperated leg was performed on days 3 and 7 after the operation...
January 2010: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Richard F Kyle
Fractures of the femoral neck are increasing at an exponential rate as a result of the longevity of the general population. The Garden and Pauwels classifications both are routinely used to describe displacement and stability of femoral neck fractures. Osteonecrosis and nonunion remain problematic because of the compromised blood supply to the femoral head in displaced fractures. Nondisplaced fractures and displaced fractures in patients physiologically younger than 65 years are treated with closed or open reduction and internal fixation...
2009: Instructional Course Lectures
Brian Aros, Anna N A Tosteson, Daniel J Gottlieb, Kenneth J Koval
UNLABELLED: This study was performed to determine whether patients who sustain an intertrochanteric fracture have better outcomes when stabilized using a sliding hip screw or an intramedullary nail. A 20% sample of Part A and B entitled Medicare beneficiaries 65 years or older was used to generate a cohort of patients who sustained intertrochanteric femur fractures between 1999 and 2001. Two fracture implant groups, intramedullary nail and sliding hip screw, were identified using Current Procedural Terminology and International Classification of Diseases, 9th Revision codes...
November 2008: Clinical Orthopaedics and related Research
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