scholarly journals Bilateral Simultaneous Femoral Neck Fracture Mimicking Abdominal Pain in a Cerebral Palsy Patient

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
P. Mariani ◽  
M. Buttaro ◽  
F. Comba ◽  
E. Zanotti ◽  
P. Ali ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Abdominal Pain ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Primary Care Physicians ◽  
Walking Ability ◽  
X Rays ◽  
Permanent Disability ◽  
Neck Fracture ◽  
Cerebral Palsy Patient

Simultaneous bilateral femoral neck fractures are unusual lesions, generally associated with an underlying condition which causes impaired bone mineralization, triggered by an increased bone stress. We present a 24-year-old cerebral palsy patient, who was previously evaluated in another institution due to inability to walk, interpreted as abdominal pain. No alteration in blood analysis or abdominal X-rays was found. As no response to treatment was observed, a new abdominal X-ray was taken, which incidentally depicted bilateral medial femoral neck fracture. He was referred to our practice after a resection arthroplasty was offered in another institution. After admission, bilateral one-stage THA was performed. Several reports emphasize bone disease as a major precipitating factor, and there is an increased incidence of hip fractures in chronic epilepsy, renal osteodystrophy, and chronic steroid use. Femoral head resection has been proven to be effective in immobilized patients, whereas this was not a reasonable option in this patient who presented walking ability. Despite the treatment election, primary care physicians should be aware of and alert to the possibility of fractures in patients with neurological disorders and calcium metabolism alterations. Late diagnosis of orthopedic injuries in this type of patients may lead to permanent disability.

scholarly journals Patient-Perceived Quality of Life after Total Hip Arthroplasty: Elective versus Traumatological Surgery

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Alessandro Aprato ◽  
Alessandro Massè ◽  
Francesco Caranzano ◽  
Renato Matteotti ◽  
Patrick Pautasso ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Womac Score ◽  
X Rays ◽  
Length Discrepancy ◽  
Neck Fracture ◽  
Group A ◽  
Group B

Purpose. The aim was to evaluate and compare patient's health-related quality of life after THA for osteoarthritis and femoral neck fracture. The postoperative outcome was retrospectively evaluated in patients who underwent THA with an intracapsular femoral neck fracture (Group A) or with an hip osteoarthritis (Group B). Methods. Length discrepancy was measured on postoperative X-rays. Study groups were compared as to age, results of WOMAC and SF-36 tests, limb length discrepancy (LLD) by independent group t-test. Correlations between LLD and results obtained atWOMAC test were performed. 117 patients were enrolled. The 2 groups were similar as to age, type of implanted stem and sex. Mean follow up was 2,4 years for group A and 2,3 years for group B. Results. WOMAC score was found higher in group A in all items examinated. Correlation tests did not indicate a statistically significant linear relationship between LLD and WOMAC score in both groups. Conclusions. Patients who received THA for arthritis have better perception of quality of life than traumatologic patients. Although LLD should always be strongly considered by the surgeons performing a THA, LLD alone can't be considered as an indicator of patient dissatisfaction or clinical bad result after a 2-year followup.

scholarly journals Rapid preoperative predicting tools for 1-year mortality and walking ability of Asian elderly femoral neck fracture patients who planned for hip arthroplasty

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Guangtao Fu ◽  
Mengyuan Li ◽  
Yunlian Xue ◽  
Hao Wang ◽  
Ruiying Zhang ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Hip Arthroplasty ◽  
External Validation ◽  
Femoral Neck Fractures ◽  
Screening Tests ◽  
Walking Ability ◽  
Validation Group ◽  
Data Set ◽  
Neck Fracture

Abstract Background Femoral neck fractures in elderly patients typically warrant operative treatment and are related to high risks of mortality and morbidity. As early hip arthroplasties for elderly femoral neck fractures are widely accepted, rapid predicting models that allowed quantitative and individualized prognosis assessments are strongly needed as references for orthopedic surgeons during preoperative conversations. Methods Data of patients aged ≥ 65 years old who underwent primary unilateral hemiarthroplasty or total hip arthroplasty due to femoral neck fracture between January 1st, 2012 and June 30th, 2019 in our center were collected. Candidate variables included demographic data, comorbidities, and routine preoperative screening tests. The main outcomes included 1-year mortality and free walking rate after hip arthroplasty. Patients were randomly divided into derivation and validation groups in the ratio of three to one. Nomograms were developed based on multivariable logistic regressions of derivation group via R language. One thousand bootstraps were used for internal validation. Those models were further tested in the validation group for external validation. Results The final analysis was performed on 702 patients after exclusion and follow-up. All-cause 1-year mortality of the entire data set was 23.4%, while the free walking rate was 57.3%. Preoperative walking ability showed the biggest impact on predicting 1-year mortality and walking ability. Static nomograms were created from the final multivariable models, which allowed simplified graphical computations for the risks of 1-year mortality and walking ability in a certain patient. The bias-corrected C index of those nomograms for predicting 1-year mortality in the derivation group and the validation group were 0.789 and 0.768, while they were 0.807 and 0.759 for predicting postoperative walking ability. The AUC of the mortality and walking ability predicting models were 0.791 and 0.818, respectively. Conclusions Our models enabled rapid preoperative 1-year mortality and walking ability predictions in Asian elderly femoral neck fracture patients who planned for hip arthroplasty, with adequate predictive discrimination and calibration. Those rapid assessment models could help surgeons in making more reasonable clinical decisions and subsequently reducing the risk of potential medical dispute via quantitative and individualized prognosis assessments.

scholarly journals Walking Ability after Femoral Neck Fracture.

1995 ◽  
Vol 44 (1) ◽  
pp. 269-272
Author(s):  
Norimasa Sunakawa ◽  
Tsutomu Teruya ◽  
Hiroaki Hanzawa ◽  
Fuminori Kanaya ◽  
Tomoaki Yoshikawa ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Walking Ability ◽  
Neck Fracture

scholarly journals FEMORAL NECK FRACTURE

2018 ◽  
Vol 25 (12) ◽  
pp. 1805-1808
Author(s):  
Basharat Manzoor ◽  
Shehzad Mehmood ◽  
M. Javed Iqbal
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Operative Treatment ◽  
Treatment Options ◽  
Thigh Pain ◽  
X Rays ◽  
Prosthetic Replacement ◽  
Orthopedic Department ◽  
Neck Fracture ◽  
Austin Moore

Femoral neck fracture is common in the elderly, with only 2-3% found in patient younger than 50 years. Osteoprosis & co-mordities increase the incidence of their fractures. Non-Operative treatment is indicated only is unfit or non-ambulatory patients age, general health status and Socio economic condition of patients along with availability of facilities are important to select the treatment modality. There are many operative treatment options, prosthetic replacement with Austin Moore prosthesis (AMP) is one of the treatment option in this age group. Post Operative complications are thigh pain, hip dislocation & infection. Objectives: To determine the results of Austin moore prosthesis in fracture neck of femur in elderly patients in terms of mid-thigh pain. Study Design: Descriptive Case series & setting in Orthopedic Department Allied Hospital Faisalabad. Period: Study Period is from April 2008 to August 2010. Setting: All the cases done in Orthopedic department Allied & DHQ Hospital Faisalabad. Methods: All the patients were evaluated in emergency department of Orthopedics as per ATLS protocol and diagnose by obtaining X-Rays pelvis with both Hip Joints and were operated by consultant through moore’s approach Head of Femur was removed and replaced by Austinmoor’s prosthesis of appropriate size. In all cases one dose of prophylactic broad spectrum antibiotic were giving. Results: 56 Patients (31 males 55.4% + 25 female 44.6) with mean age 73.08 +8.13 are Included in the criteria and were operated with same implant. After 2 monthspost operatively 40 Patients had no pain 07 (12.5%) had mild (71.4%). Pain & 08 Patients 14.3 % had moderate pain. After 03 month post operatively 43 Patients (78.2%) had no pain, 02 (3.6%) had mil, 08 Patients (14.5%) moderate and 01(1.8%) had scene. Conclusion: Prosthetic replacement with AMP is one of the treatment options in femoral neck fracture. 

scholarly journals Nutritional Status and Temporal Changes in the Walking Ability of Femoral Neck Fracture Patients

2015 ◽  
Vol 30 (4) ◽  
pp. 523-527
Author(s):  
Nobuhiro OKAMOTO ◽  
Shin MASUMI ◽  
Masatoshi MIZUTANI ◽  
Keisuke SAITOH ◽  
Kazuhiro HARADA ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Nutritional Status ◽  
Femoral Neck Fracture ◽  
Temporal Changes ◽  
Walking Ability ◽  
Neck Fracture

Evaluation of the correlation between risk factors and mortality in elderly patients with femoral neck fracture with 5-year follow-up

2008 ◽  
Vol 149 (11) ◽  
pp. 493-503 ◽  
Author(s):  
Andor Sebestyén ◽  
Imre Boncz ◽  
Ferenc Tóth ◽  
Márta Péntek ◽  
József Nyárády ◽  
...  
Keyword(s):  
Risk Factors ◽  
Femoral Neck ◽  
Elderly Patients ◽  
Femoral Neck Fracture ◽  
Neck Fracture

A csípőtáji törésekhez idős korban magas halálozás társul. A szakirodalomban kevés a nagy beteganyagot feldolgozó, országos kiterjedésű ellátórendszer adatain alapuló feldolgozás. Célkitűzés: A tanulmány célja a 60 év feletti akut, monotraumás combnyaktöröttek primer ellátását követő halálozások vizsgálata havonta és évente ötéves utánkövetéssel, valamint a különböző rizikófaktoraik halálozásra gyakorolt hatásainak értékelése az egyes időperiódusokban. Módszer: Az adatok az Országos Egészségbiztosítási Pénztár adatbázisából származnak. Az értékelés bázisát a fekvőbeteg-ellátást végző intézményekből combnyaktörés primer műtéti ellátását követően 2000. évben emittált betegek képezik. Bemutatjuk az átlagos évenkénti, havonkénti és heti halálozási arányokat, valamint rizikótényezők szerinti alakulásukat havonként és évenként. A rizikótényezők és a halálozás kapcsolatának értékelése logisztikus és Cox-regressziós analízissel történik. Eredmények: A tanulmányban 3783 fő került elemzésre. Átlagéletkoruk 77,97 (SD 8,52) év. A halálozás az első héten 1,71%, 30 napon belül 8,99%, az első évben 30,74%, öt év alatt 61,88% volt. A halálozás havi szinten az első 5 hónapig mutat csökkenést, éves szinten az első év után stagnál. A rizikófaktorok közül a férfinem és a magasabb életkor öt évig, a kísérőbetegségek hatásai a negyedik évig, a laterális combnyaktöréstípus és a 12 órán túli ellátás két évig, a korai lokális szövődmények egy évig, a hétvégi ellátások az első hónapban eredményeznek magasabb halálozási kockázatot. Az országos és egyetemi ellátásokat követően az első évben alacsonyabb a halálozási kockázat. Következtetések: A csípőtáji törések managementjében a halálozások csökkentése érdekében hangsúlyozzuk a 12 órán belüli ellátás, a törési típusnak megfelelő módszerválasztás, a hét minden napján történő azonos ellátási feltételek biztosítása, az ellátások centrumokba történő szervezése, a beteg általános állapotának és kísérőbetegségeinek megfelelő akut ellátás és az utókezelések fontosságát.

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