Clinical Study of Treating Elderly Patients’ Femoral Intertrochanteric Fracture with Biotype Common Handle (Short Handle) Artificial Femoral Head Arthroplasty

2020 ◽  
Vol 09 (02) ◽  
pp. 18-27
Author(s):  
少林 王
Keyword(s):  
Clinical Study ◽  
Femoral Head ◽  
Elderly Patients ◽  
Intertrochanteric Fracture ◽  
Femoral Intertrochanteric Fracture

scholarly journals The Perioperative Nursing of Treating the Elderly Patients of Femoral Intertrochanteric Fracture with PFNA

2015 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Ying Zhang
Keyword(s):  
Elderly Patient ◽  
Elderly Patients ◽  
Intertrochanteric Fracture ◽  
Perioperative Period ◽  
The Elderly ◽  
Good Recovery ◽  
Surgical Risk ◽  
Perioperative Nursing ◽  
Femoral Intertrochanteric Fracture ◽  
Pull Through

<p><strong>Objective:</strong> Summarize the perioperative nursing of the elderly patient of femoral intertrochanteric fracture. <strong>Method: </strong>Retrospectively analyze the preoperative preparations as well as the postoperative nursing of treating the 75 elderly patients of femoral intertrochanteric fracture with PFNA. <strong>Results: </strong>Those 75 patients all pull through perioperative period and their functions are in good recovery. <strong>Conclusion:</strong> The elderly patient of femoral intertrochanteric fracture has much surgical risk together with many complications during perioperative period. Adopting effective comprehensive nursing can improve the treatment effect of the operation, and can also reduce the complications. </p>

scholarly journals Proximal femoral nail anti-rotation versus cementless bipolar hemiarthroplasty for unstable femoral intertrochanteric fracture in the elderly: a retrospective study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Shenghu Zhou ◽  
Jun Liu ◽  
Ping Zhen ◽  
Weiwei Shen ◽  
Yanfeng Chang ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Elderly Patients ◽  
Intertrochanteric Fracture ◽  
Operation Time ◽  
The Elderly ◽  
Proximal Femoral Nail ◽  
Bipolar Hemiarthroplasty ◽  
Intertrochanteric Fractures ◽  
Intraoperative Bleeding ◽  
Femoral Intertrochanteric Fracture

Abstract Background The treatment for unstable intertrochanteric fractures in the elderly has always been a controversial issue. The aim in this study was to compare the curative effects of proximal femoral nail anti-rotation (PFNA) and cementless bipolar hemiarthroplasty (CPH) on femoral intertrochanteric fracture in the elderly. Methods From March 2008 to December 2012, 108 elderly patients with femoral intertrochanteric fractures were treated by PFNA or CPH. There were 63 males and 45 females, aged 75.3–99.1 years [(83.7 ± 5.6) years]. The patients’ bone mineral density was routinely measured, and the fractures were classified according to Evans-Jensen. The patients were divided into CPH group and PFNA group. The differences in operation time, intraoperative bleeding, immobilization duration, hospitalization time, Harris scores and postoperative complications including deep venous thrombosis, lung and urinary infection were analyzed. Results All patients were followed for 12.5–36.2 months [(28.0 ± 6.3) months)]. The operation time was (53.7 ± 15.2) min and (77.5 ± 16.8) min in PFNA group and CPH group, respectively (P < 0.05); intraoperative bleeding was (132.5 ± 33.2) mL and (286.3 ± 43.2) mL, respectively (P < 0.05); immobilization duration was (28.2 ± 3.7) days and (3.1 ± 1.2) days, respectively (P < 0.05); hospitalization time was (7.6 ± 1.8) days and (6.9 ± 2.2) days, respectively (P > 0.05); and the Harris scores after 1 year were (87.7 ± 7.9) points and (88.3 ± 9.2) points, respectively (P > 0.05). There was no significant difference in postoperative complications between the two groups (P > 0.05). Conclusion Both PFNA and CPH are safe and effective treatments for femoral intertrochanteric fracture in elderly patients. Nonetheless, CPH allows faster mobilization and recovery. Trial registration Registration Number: ChiCTR1900022846. Reg Date:2019-04-26 00:27:33 Retrospective registration

scholarly journals Effects of aminocaproic acid on perioperative hidden blood loss in elderly patients with femoral intertrochanteric fracture treated with proximal femoral nail anti-rotation

2019 ◽  
Vol 47 (10) ◽  
pp. 5010-5018 ◽  
Author(s):  
Rui Zhang ◽  
Zhuqing Yang ◽  
Tao Lei ◽  
Zichuan Ping ◽  
Guangchao Bai
Keyword(s):  
Blood Loss ◽  
Elderly Patients ◽  
Intertrochanteric Fracture ◽  
Aminocaproic Acid ◽  
Control Group ◽  
Hidden Blood Loss ◽  
Postoperative Drainage ◽  
Femoral Intertrochanteric Fracture ◽  
And Control ◽  
Experimental Group

Objective To determine the efficacy of aminocaproic acid on perioperative hidden blood loss (HBL) in elderly patients with femoral intertrochanteric fracture treated with proximal femoral nail anti-rotation (PFNA). Methods Seventy consecutively admitted elderly patients with femoral intertrochanteric fracture treated with PFNA between 1 May 2017 and 1 May 2018 were recruited. The patients were randomised into the experimental and control groups receiving 1 g aminocaproic acid in 200 mL saline and only 200 mL normal saline intravenously, respectively. The following factors were recorded: demographic characteristics, haemoglobin and haematocrit levels on preoperative day 1 and postoperative days 1 and 3, surgical blood loss, postoperative drainage, the rate and volume of transfusion, and complications. Results No significant differences were seen in surgical blood loss and postoperative drainage between the experimental and control groups, though total blood loss was greater in the control group. Visible blood loss and HBL were significantly lower in the experimental group than in the control group, and a lower rate and volume of transfusion were also recorded in the experimental group. Conclusion Aminocaproic acid significantly reduced perioperative HBL and volume and rate of transfusion in elderly patients with femoral intertrochanteric fracture receiving PFNA.

scholarly journals Risk factors of perioperative blood transfusion in elderly patients with femoral intertrochanteric fracture

Medicine ◽  
2020 ◽  
Vol 99 (15) ◽  
pp. e19726
Author(s):  
Cheng-Qian Dai ◽  
Li-Hong Wang ◽  
Ye-Qin Zhu ◽  
Guo-Hong Xu ◽  
Jun-Biao Shan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Transfusion ◽  
Elderly Patients ◽  
Intertrochanteric Fracture ◽  
Femoral Intertrochanteric Fracture ◽  
Perioperative Blood Transfusion

scholarly journals Conservatively Treated Femoral Intertrochanteric Fracture With Early Asymptomatic Novel Coronavirus Disease 2019 (COVID-19): A Case Report

2020 ◽  
Vol 11 ◽  
pp. 215145932096938
Author(s):  
Yuki Suzuki ◽  
Toshihiko Kasashima ◽  
Kazutoshi Hontani ◽  
Yasuhiro Yamamoto ◽  
Kanako Ito ◽  
...  
Keyword(s):  
Intertrochanteric Fracture ◽  
Screening Method ◽  
Oxygen Demand ◽  
Japanese Woman ◽  
Trauma Patients ◽  
Lung Field ◽  
Old Japanese ◽  
Femoral Intertrochanteric Fracture ◽  
Novel Coronavirus ◽  
The Right

Introduction: The ongoing outbreak of novel coronavirus disease 2019 (COVID-19) is a worldwide problem. Although diagnosing COVID-19 in fracture patients is important for selecting treatment, diagnosing early asymptomatic COVID-19 is difficult. We describe herein a rare case of femoral intertrochanteric fracture concomitant with early asymptomatic novel COVID-19. Case presentation: An 87-year-old Japanese woman was transferred to our emergency room with a right hip pain after she fell. She had no fever, fatigue, or respiratory symptoms on admission and within the 14 days before presenting to our hospital, and no specific shadow was detected in chest X-ray. However, chest computed tomography (CT) was performed considering COVID-19 pandemic, and showed ground-glass opacities with consolidation in the dorsal segment of the right lower lung field. Then, qualitative real-time reverse-transcriptase-polymerase-chain-reaction (RT-PCR) was carried out and turned out to be positive. She was diagnosed right femoral intertrochanteric fracture with concomitant COVID-19 infection. Conservative treatment was applied to the fracture due to infection. After admission, fever and oxygen demand occurred but she recovered from COVID-19. Throughout the treatment period, no cross-infection from the patient was identified in our hospital. Conclusion: This case highlights the importance of considering chest CT as an effective screening method for infection on hospital admission in COVID-19-affected areas, especially in trauma patients with early asymptomatic novel COVID-19.

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