scholarly journals Probiotic containing Lactobacillus casei , Lactobacillus bulgaricus , and Streptococcus thermophiles (ACTIMEL) for the prevention of Clostridium difficile associated diarrhoea in the elderly with proximal femur fractures

2018 ◽  
Vol 11 (1) ◽  
pp. 85-88 ◽  
Author(s):  
Ravi Mallina ◽  
J. Craik ◽  
N. Briffa ◽  
Viren Ahluwalia ◽  
J. Clarke ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Proximal Femur ◽  
Lactobacillus Casei ◽  
The Elderly ◽  
Lactobacillus Bulgaricus ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Clostridium Difficile Associated Diarrhoea

Association of abductor hip muscle atrophy with fall-related proximal femur fractures in the elderly

Injury ◽  
2020 ◽  
Vol 51 (7) ◽  
pp. 1626-1633
Author(s):  
Samet Erinç ◽  
Mehmet Ali Bozca ◽  
Müjdat Bankaoğlu ◽  
Süleyman Çakırtürk ◽  
Yusuf Yahşi ◽  
...  
Keyword(s):  
Muscle Atrophy ◽  
Proximal Femur ◽  
The Elderly ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Hip Muscle

How Safe and Time Consuming is the Surgical Training of Young Orthopaedic Surgeons? A Retrospective Analysis of Proximal Femur Fractures

2021 ◽  
Author(s):  
Konrad Schütze ◽  
Carlos Pankratz ◽  
Alexander Eickhoff ◽  
Florian Gebhard ◽  
Peter Richter
Keyword(s):  
Surgical Training ◽  
Proximal Femur ◽  
Surgical Complications ◽  
Elderly Population ◽  
Operating Time ◽  
The Elderly ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Surgical Trainees ◽  
Tip Apex Distance

Abstract Background Fractures of the proximal femur in the elderly population are rising. Teaching the appropriate surgical treatment of these fractures is of paramount importance. The aim of the study was to evaluate differences in outcome of surgical procedures between supervised trainees and senior surgeons. Objective Are there more surgical complications, poorer quality or an increased operating time if the procedure (in this case: fixation of proximal femur fractures) is performed by trainees under supervision in comparison to experienced surgeons. Material and Methods All patients treated with the proximal femur nail antirotation (PFNA) between 2015 and 2016 at a level one trauma centre were included in this study. The retrospective review of the 299 patients compared supervised surgical trainees and senior surgeons. Parameters included operating time, tip apex distance, position of the blade, Hb-difference, transfusion rate, surgical complications as well as mortality, and were compared between the groups. Results 153 of 299 procedures were performed by supervised surgical trainees. In comparison to senior surgeons, there was no significant difference in operating time (WA 54.48 min; OA 60.47 min; p > 0,05), Hb-difference (WA 2.8 g/dl; OA 2.6 g/dl; p > 0.05), tip-apex distance (WA 21.2 mm; OA 20.5 mm, p = 0.37) or rate of surgical complications. There was no difference in the rate of optimal blade positions between the groups (WA 87.5%; OA 89.0%; p = 0.366). Furthermore, mortality showed no difference between the groups, but was greater in older patients or high ASA grade. Conclusion Supervised surgical training during treatment of proximal femur fractures shows no increase in operating time, complications or mortality and no difference in quality. With the fast growth of the elderly population, surgical training of fragility fractures should receive more attention in the future.

scholarly journals Impact of osteosynthesis in fracture care: a cost comparison study

2020 ◽  
Author(s):  
Klaus Eichler ◽  
Marc Höglinger ◽  
Flurina Meier ◽  
Fabio Knöfler ◽  
Stefan M Scholz-Odermatt ◽  
...  
Keyword(s):  
Proximal Femur ◽  
Indirect Costs ◽  
The Elderly ◽  
Cost Comparison ◽  
Tree Model ◽  
Fracture Care ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Health Gains ◽  
Working Age

Aim: To estimate the health economic impact of osteosynthesis (OS) in fracture care over six decades in 17 high-income countries. Patients & methods: Applying a decision tree model, we assumed a hypothetical absence of OS and compared OS (intervention) with conservative treatment (CONS; comparator). We included patients with femur, tibia and radius fractures (age <65 years) and for proximal femur fractures also elderly patients (≥70 years). Results: We estimated savings in direct and indirect costs of 855 billion Swiss francs in the working age population in addition to 4.6 million years of life gained. In the elderly population, 69 billion Swiss francs were saved in direct costs of proximal femur fractures in addition to 73 million years of life gained. Conclusion: OS contributed to maximize health gains of society.

Fatal falls in the elderly and the presence of proximal femur fractures

2018 ◽  
Vol 132 (6) ◽  
pp. 1699-1712 ◽  
Author(s):  
Sylvia Schick ◽  
Daniela Heinrich ◽  
Matthias Graw ◽  
Raúl Aranda ◽  
Uta Ferrari ◽  
...  
Keyword(s):  
Proximal Femur ◽  
The Elderly ◽  
Proximal Femur Fractures ◽  
Femur Fractures

Relationship Between Mortality and Proximal Femur Fractures in the Elderly

Orthopedics ◽  
2003 ◽  
Vol 26 (10) ◽  
pp. 1045-1049
Author(s):  
Graziano Bettelli ◽  
Giuseppe Bianchi ◽  
Alessandro Marinelli ◽  
Cesare Stagni ◽  
Armando Giunti
Keyword(s):  
Proximal Femur ◽  
The Elderly ◽  
Proximal Femur Fractures ◽  
Femur Fractures

scholarly journals Management of proximal femur fractures in the elderly: current concepts and treatment options

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
H. Fischer ◽  
T. Maleitzke ◽  
C. Eder ◽  
S. Ahmad ◽  
U. Stöckle ◽  
...  
Keyword(s):  
Proximal Femur ◽  
Treatment Options ◽  
Fluid Management ◽  
Young Patients ◽  
The Elderly ◽  
Operative Management ◽  
Old Patients ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Frail Patients

AbstractAs one of the leading causes of elderly patients’ hospitalisation, proximal femur fractures (PFFs) will present an increasing socioeconomic problem in the near future. This is a result of the demographic change that is expressed by the increasing proportion of elderly people in society. Peri-operative management must be handled attentively to avoid complications and decrease mortality rates. To deal with the exceptional needs of the elderly, the development of orthogeriatric centres to support orthogeriatric co-management is mandatory. Adequate pain medication, balanced fluid management, delirium prevention and the operative treatment choice based on comorbidities, individual demands and biological rather than chronological age, all deserve particular attention to improve patients’ outcomes. The operative management of intertrochanteric and subtrochanteric fractures favours intramedullary nailing. For femoral neck fractures, the Garden classification is used to differentiate between non-displaced and displaced fractures. Osteosynthesis is suitable for biologically young patients with non-dislocated fractures, whereas total hip arthroplasty and hemiarthroplasty are the main options for biologically old patients and displaced fractures. In bedridden patients, osteosynthesis might be an option to establish transferability from bed to chair and the restroom. Postoperatively, the patients benefit from early mobilisation and early geriatric care. During the COVID-19 pandemic, prolonged time until surgery and thus an increased rate of complications took a toll on frail patients with PFFs. This review aims to offer surgical guidelines for the treatment of PFFs in the elderly with a focus on pitfalls and challenges particularly relevant to frail patients.

scholarly journals Geriatric Proximal Femur Fractures During the Covid-19 Pandemic - Fewer Cases, But More Comorbidities

2021 ◽  
Vol 12 ◽  
pp. 215145932110096
Author(s):  
Christina Polan ◽  
Heinz-Lothar Meyer ◽  
Manuel Burggraf ◽  
Monika Herten ◽  
Paula Beck ◽  
...  
Keyword(s):  
Nursing Home ◽  
Elderly Patients ◽  
Proximal Femur ◽  
Minor Trauma ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Number Of Patients ◽  
Group 2 ◽  
The Impact ◽  
Group 1

Background: The COVID-19 pandemic is challenging healthcare systems worldwide. This study examines geriatric patients with proximal femur fractures during the COVID-19 pandemic, shifts in secondary disease profile, the impact of the pandemic on hospitalization and further treatment. Methods: In a retrospective monocentric study, geriatric proximal femur fractures treated in the first six months of 2020 were analyzed and compared with the same period of 2019. Pre-traumatic status (living in a care home, under supervision of a legal guardian), type of trauma, accident mechanism, geriatric risk factors, associated comorbidities, time between hospitalization and surgery, inpatient time and post-operative further treatment of 2 groups of patients, aged 65-80 years (Group 1) and 80+ years (Group 2) were investigated. Results: The total number of patients decreased (70 in 2019 vs. 58 in 2020), mostly in Group 1 (25 vs. 16) while the numbers in Group 2 remained almost constant (45 vs. 42). The percentage of patients with pre-existing neurological conditions rose in 2020. This corresponded to an increase in patients under legal supervision (29.3%) and receiving pre-traumatic care in a nursing home (14.7%). Fractures were mostly caused by minor trauma in a home environment. In 2020, total number of inpatient days for Group 2 was lower compared to Group 1 (p = 0.008). Further care differed between the years: fewer Group 1 patients were discharged to geriatric therapy (69.6% vs. 25.0%), whereas in Group 2 the number of patients discharged to a nursing home increased. Conclusions: Falling by elderly patients is correlated to geriatric comorbidities, consequently there was no change in the case numbers in this age group. Strategic measures to avoid COVID-19 infection in hospital setting could include reducing the length of hospital stays by transferring elderly patients to a nursing home as soon as possible and discharging independent, mobile patients to return home.

Sign in / Sign up

Export Citation Format

Share Document