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Rehabilitation after femoral neck fracture in adult

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
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
Nirav K Patel, Khaled M Sarraf, Sarah Joseph, Chooi Lee, Fiona R Middleton
BACKGROUND: Hip fractures are common injuries in the elderly, with significant associated morbidity and mortality rates. The National Hip Fracture Database (NHFD) was implemented to audit care according to national standards thus improving its clinical and cost-effectiveness. PATIENTS AND METHODS: We retrospectively examined the care pathway for all hip fractures after its introduction at our centre over 1 year, with an audit of care according to the BOA-BGS 'Blue Book' guidelines...
December 2013: Injury
Božidar Sebečić, Mario Starešinić, Vencel Culjak, Mladen Japjec
BACKGROUND: To present the method and advantages of anterior minimally invasive surgery (AMIS) in coxarthrosis and hip fractures treatment. METHODS: During 2008 and 2009, 35 patients were treated with AMIS method. They were compared with 35 patients treated with lateral, transgluteal approach (control group) in the same period. All operations were performed by the same surgical team. The main reason for surgery was hip arthrosis, only two patients in AMIS group underwent surgery because of femoral neck fracture...
February 2012: Medicinski Glasnik
Stefan Landgraeber, Jens M Theysohn, Tim Classen, Marcus Jäger, Sebastian Warwas, Hans-Peter Hohn, Wojciech Kowalczyk
Aseptic necrosis of the femoral head (AVN) leads to destruction of the affected hip joint, predominantly in younger patients. Advanced core decompression (ACD) is a new technique that may allow better removal of the necrotic tissue by using a new percutaneous expandable reamer. A further modification is the refilling of the drill hole and the defect with an injectable, hard-setting, composite calcium sulphate (CaSO₄)-calcium phosphate (CaPO₄) bone graft substitute. Compression tests were performed on seven pairs of femoral cadaver bones...
November 2013: Journal of Tissue Engineering and Regenerative Medicine
Magdalena A Wujtewicz, Kamil Chwojnicki, Radosław Owczuk, Maria Wujtewicz
Multiple system atrophy (MSA) is an adult onset, incurable neurodegenerative disease, characterized by symptoms of nervous system failure. Occurrence of laryngeal dystonia indicates increased risk of sudden death caused by airway occlusion. We present the case report of 63-year-old patient with history of orthostatic hypotension, parkinsonism, progressive adynamia, and stridor. The patient was admitted to the hospital for diagnosis of orthostatic hypotension. A diagnosis of possible MSA was made. Because of patient's complaints, an X-ray of the hip joint was taken...
June 2012: Neurological Sciences
Inger Nilsson, Cecilia Rogmark
PURPOSE: To assess rehabilitation, type of follow-up visits and outcome after bipolar hemiarthroplasty for femoral neck fracture. METHOD: Two hundred thirty-six consecutive patients with femoral neck fractures treated with hemiarthroplasty were followed for 30 months. RESULTS: One hundred sixty-eight (71%) were women, 175 (74%) over 80 years old and 53 (22%) were demented. Of 150 patients with available 3-month data, 7 patients (5%) had not regained their walking ability...
2011: Disability and Rehabilitation
Grazyna Baczyk, Madgalena Adamek
The main aim of the research was to define the degree of independence among patients after operative treatment femoral neck fractures in the first day after the operation and on day previous to the release from hospital. Attempt was made to determine the degree of independence in the ten activities of life, functional status and emotional state of patients. Efforts have also tried to assess the impact of functional status and emotional autonomy to the degree subjects. The study was conducted in Hospital in Poznan and Hospital in Chodziez, in the period from August 2006 March 2007...
July 2010: Chirurgia Narzadów Ruchu i Ortopedia Polska
Charles Fattal, Denis Mariano-Goulart, Eric Thomas, Hélène Rouays-Mabit, Christine Verollet, Laurent Maimoun
OBJECTIVES: To identify circumstances surrounding the onset of fracture and common risk factors in persons with spinal cord injury (SCI) and to suggest an alternative or complement to the pharmacologic approach by evaluating the need for a prospective study based on the impact of a targeted therapeutic education on risk management of fractures in this population. DESIGN: Retrospective study. SETTING: Hospital and Rehabilitation Center Setting...
January 2011: Archives of Physical Medicine and Rehabilitation
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
Shaohua Ding, Kang Zheng
OBJECTIVE: To evaluate the therapeutic outcome of artificial total hip arthroplasty (THA) with collum femoris preserving for hip joint disease in young and middle-aged patients. METHODS: From March 2002 to March 2005, 26 cases (31 hips) of hip joint disease were treated with artificial THA with collum femoris preserving, including 19 males (23 hips) and 7 females (8 hips) and aged 32-48 years with an average of 37 years. In 31 hips, 17 left hips and 14 right hips were involved...
January 2010: Chinese Journal of Reparative and Reconstructive Surgery
Susan W Muir, Abebaw M Yohannes
OBJECTIVE: To evaluate the evidence of rehabilitation outcomes after the surgical repair of a hip fracture in older people with cognitive impairment. DESIGN: Systematic review. METHODS: Searches were conducted in MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane Library (Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effectiveness, and Cochrane Controlled Trials Register), ProQuest Dissertations, and Theses Database and bibliographies of extracted publications in the English language between 1990 and June 2007...
2009: Journal of Geriatric Physical Therapy
Antonio Spinarelli, Vittorio Patella, Domenico Speciale, Massimo Petrera, Donato Vittore, Vito Pesce, Silvio Patella
Few cases of hip fracture in pregnant women affected by transient osteoporosis of the femoral head have been reported in the literature, but its real incidence seems to be underestimated. During pregnancy, osteoporosis manifests itself with an insidious onset of hip pain and limp without any trauma or infective episode in clinical history. Its clinical course is characterized by spontaneous recovery a few weeks to several months after delivery. This article describes the case of a 35-year-old woman with a sudden onset of bilateral hip pain during the last trimester of her first pregnancy; she had neither history of steroid therapy nor alcohol abuse; her body temperature and serological parameters were normal...
May 2009: Orthopedics
Jason P Long, Thomas J Santner, Donald L Bartel
Short-term femoral neck fracture is a primary complication associated with contemporary hip resurfacing. Some fractures are associated with neck notching, while others occur in the absence of notching. These unexplained fractures may be due to large magnitude strains near the implant rim, which could cause bone damage accumulation and eventual neck fracture. We used statistically augmented finite element analysis to identify design and environmental variables that increase bone strains near the implant rim after resurfacing, and lead to strain magnitudes sufficient for rapid damage accumulation...
October 2009: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Dragica Smrke, Mirza Biscević
AIM: The percentage of elderly people increases in societies today and so does the number of specific conditions, illnesses and injuries, with hip fracture as the most important one. The aim of the study was to point to hip fracture as a medical and social problem by objectively quantifying functional abilities of geriatric patients after hip fracture. PATIENTS AND METHODS: The study included 414 (63 male and 351 female) with femoral neck fracture and hip endoprosthesis implanted at University Department of Traumatology in Ljubljana during the 1988-2004 period...
July 2008: Acta Medica Croatica: C̆asopis Hravatske Akademije Medicinskih Znanosti
Aytaç Can, Murat Servan Döşoğlu, Ilhan Karacan, Safak Karamehmetoğlu
BACKGROUND: Osteoporosis occurs in paralyzed extremities secondary to immobilization following spinal cord injury (SCI). Bone mineral density (BMD) is rapidly lost after SCI. Loss of BMD may reach fracture threshold although it slows with time. This study was planned to investigate the option of impediment of osteoporosis by early axial loading in immobilized patients. METHODS: Fifteen patients with complete paraplegia having spinal cord lesion between T4-L1 and 15 normal volunteers were included into the study...
April 2007: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Gershon Volpin, Kamal Hassan, Daniel Haller, Haim Shtarker
Patients that have had organ transplantation receive immunosuppressive therapy to prevent organ rejection. Along with this therapy comes a higher incidence of osteoporosis, which may lead to an increased frequency of fractures in post-transplant patients. This article presents three patients who underwent organ transplantation and had subsequent fractures: subcapital fracture of the femoral neck treated with hemiarthroplasty of the hip, in a patient 8 years post cardiac transplantation; minimally displaced intertrochanteric fracture treated by percutaneous pinning, in a patient one year post lung transplantation; minimally displaced subcapital fracture treated by percutaneous pinning, in a patient 3 months post liver transplantation...
December 2006: Harefuah
H-C Pape, B Zelle, R Lohse, M Stalp, F Hildebrand, C Krettek, M Panzica, V Duhme, N A Sittaro
INTRODUCTION: There is limited information available about the long-term follow-up of polytrauma patients. In this study, the social and medical sequelae of trauma were reinvestigated at 10 years after the injury. METHODS: Patients were selected out of a population of polytraumatised patients treated at Hannover Medical School between 1973 and 1990. INCLUSION CRITERIA: multiple injuries treated at one institution, age between 3 and 60 years of age at the time of injury...
December 2006: Injury
T R O Beringer, J Clarke, J R M Elliott, D R Marsh, G Heyburn, I C Steele
OBJECTIVE: To study the outcome following treatment for proximal femoral fracture in elderly people. METHODS: All consecutive males and females admitted to the acute fracture service at the Royal Victoria Hospital and the Belfast City Hospital for the 3 years from 1999 to 2001 were studied. The data was collected by trained research nurses. Variables gathered included age, sex, marital status, mental state, pre-injury Barthel score and the American Society of Anaesthesiology (ASA) physical status grading...
September 2006: Ulster Medical Journal
Kuen Tak Suh, Dong Joon Kang, Jung Sub Lee
There have been no reports of bilateral femoral neck fractures followed by bilateral femoral intertrochanteric fractures. A 28-year-old man presenting with bilateral femoral neck fractures due to generalized convulsions was diagnosed with chronic renal failure and treated with percutaneous screw osteosynthesis and hemodialysis. During rehabilitation, the patient again had convulsions resulting in bilateral femoral intertrochanteric fractures 2 months after the operation. He was treated with a compression hip screw on the right side and conservatively on the left side...
March 2006: Archives of Orthopaedic and Trauma Surgery
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